MARK KLIMEK REVIEW QUIZ
QUETSIONS AND ANSWERS
changes in pH - Answer--when pH goes up: patient goes up (everything gets irritable)
- when pH goes down: patient goes down (systems in your body shut down)
- when pH goes up, potassium goes down and vice versa
pt has prolonged vomiting or suctioning - Answer-ALWAYS metabolic alkalosis = losing
acid through vomit, pH becomes basic
HOLD - Answer-High = Obstruction (kinks, water condensing within tube, secretions in
airway)
Low = Disconnection
High pressure alarm may indicate - Answer-resp alkalosis
Low pressure alarm may indicate - Answer-resp acidosis
Maslow's Hierarchy of Needs - Answer-physiological (functions of living), safety,
comfort, psych, social, spiritual
Antiabuse (disulfiram) - Answer--takes 2 weeks to get into and out of pt's system
-avoid alcohol-based products
neonatal absitence syndrome (NAS) - Answer-can expect to see difficult to console, low
core body temp, exaggerated startle reflex, resp depression, seizure risk, shrill high
pitch cry
Asystole - Answer-give epi and atropine - can't defib until their is a pulse/electrical
activity
Chest tube location - Answer-Apical - high, air (pneumo)
Basilar - bottom, blood (hemo)
Trouble heart defect - Answer-- shunts blood from right to left, so doesnt get to rest of
body
- cyanotic
- needs surgery, delayed growth, decreased life expectancy, needs more time in
hospital
-all start with T - tetraolgy of fallot, truncus arteriosus, etc.
all congenital heart defects will... - Answer-have a murmur and an echo done
, Tetraology of fallot - Answer-4 defects = ventricular defect (VD), pulmonary stenosis
(PS), over-riding aorta (OA), right hypertrophy (RH)
VarieD PictureS Of A RancH
PPE - Answer-- take off in ABC order - gloves, goggles, gown, mask
- put on - gown, mask, goggles, gloves
Crutches - Answer-- hand grip - elbow flexion about 30 deg
- going up and down stairs - up with the good, down with the bad
Canes - Answer-hold on the strong side
Functional psychosis - Answer--can function in everyday life
-schizophrenia, schizoaffective disorder, major depression, manic
-teach reality - acknowledge feeling, present reality, set a limit, enforce limit
Dementia - Answer-acknowledge feeling and redirect
Delirium - Answer-- temporary
- ack feeling and reassure (this is temp and you will be kept safe)
Ideas of reference - Answer-the pt thinks everyone is talking about them
Neologism - Answer-making up words
#1 cause of DKA - Answer-- acute viral upper resp infections in last 2 weeks
- always ask if they have recently had a viral infection
Bilirubin - Answer-- normal level is 9.9 and up
- elevated level - 10-20, 20 can be toxic
- level of 14-15 is when they need to be hospitalized
Kalemias - Answer-- do the same as the prefix, except for heart rate and urine output
-Hyper - low heart rate and urine output, hyper everything else
- Hypo - increased urine and heart rate, depressed everything else
Calcemias - Answer-- do the opposite as the prefix
Hyper - everything depressed
- Hypo - everything excited
- if it is the skeleton or nerve, blame it on calcium
Chvostek sign - Answer-- touch cheek causes muscle spasm of face
- associated with hypocalcemia
Trousseau sign - Answer-put on a BP cuff, blow it up, and go into a spasm of the hand
QUETSIONS AND ANSWERS
changes in pH - Answer--when pH goes up: patient goes up (everything gets irritable)
- when pH goes down: patient goes down (systems in your body shut down)
- when pH goes up, potassium goes down and vice versa
pt has prolonged vomiting or suctioning - Answer-ALWAYS metabolic alkalosis = losing
acid through vomit, pH becomes basic
HOLD - Answer-High = Obstruction (kinks, water condensing within tube, secretions in
airway)
Low = Disconnection
High pressure alarm may indicate - Answer-resp alkalosis
Low pressure alarm may indicate - Answer-resp acidosis
Maslow's Hierarchy of Needs - Answer-physiological (functions of living), safety,
comfort, psych, social, spiritual
Antiabuse (disulfiram) - Answer--takes 2 weeks to get into and out of pt's system
-avoid alcohol-based products
neonatal absitence syndrome (NAS) - Answer-can expect to see difficult to console, low
core body temp, exaggerated startle reflex, resp depression, seizure risk, shrill high
pitch cry
Asystole - Answer-give epi and atropine - can't defib until their is a pulse/electrical
activity
Chest tube location - Answer-Apical - high, air (pneumo)
Basilar - bottom, blood (hemo)
Trouble heart defect - Answer-- shunts blood from right to left, so doesnt get to rest of
body
- cyanotic
- needs surgery, delayed growth, decreased life expectancy, needs more time in
hospital
-all start with T - tetraolgy of fallot, truncus arteriosus, etc.
all congenital heart defects will... - Answer-have a murmur and an echo done
, Tetraology of fallot - Answer-4 defects = ventricular defect (VD), pulmonary stenosis
(PS), over-riding aorta (OA), right hypertrophy (RH)
VarieD PictureS Of A RancH
PPE - Answer-- take off in ABC order - gloves, goggles, gown, mask
- put on - gown, mask, goggles, gloves
Crutches - Answer-- hand grip - elbow flexion about 30 deg
- going up and down stairs - up with the good, down with the bad
Canes - Answer-hold on the strong side
Functional psychosis - Answer--can function in everyday life
-schizophrenia, schizoaffective disorder, major depression, manic
-teach reality - acknowledge feeling, present reality, set a limit, enforce limit
Dementia - Answer-acknowledge feeling and redirect
Delirium - Answer-- temporary
- ack feeling and reassure (this is temp and you will be kept safe)
Ideas of reference - Answer-the pt thinks everyone is talking about them
Neologism - Answer-making up words
#1 cause of DKA - Answer-- acute viral upper resp infections in last 2 weeks
- always ask if they have recently had a viral infection
Bilirubin - Answer-- normal level is 9.9 and up
- elevated level - 10-20, 20 can be toxic
- level of 14-15 is when they need to be hospitalized
Kalemias - Answer-- do the same as the prefix, except for heart rate and urine output
-Hyper - low heart rate and urine output, hyper everything else
- Hypo - increased urine and heart rate, depressed everything else
Calcemias - Answer-- do the opposite as the prefix
Hyper - everything depressed
- Hypo - everything excited
- if it is the skeleton or nerve, blame it on calcium
Chvostek sign - Answer-- touch cheek causes muscle spasm of face
- associated with hypocalcemia
Trousseau sign - Answer-put on a BP cuff, blow it up, and go into a spasm of the hand
