NUR 121 final 2024 (with Complete Solutions)

Normal pH correct answers 7.35-7.45 Anything above 7.45- alkalosis Anything below 7.35- acidosis PACO2 correct answers 34-45 Anything above 45- acidosis Anything below 34- alkalosis HCO3 correct answers 22-26 Anything above 26- alkalosis Anything below 22- acidosis What does hyperkalemia cause on an EKG? correct answers Tall, peaked T waves and ectopy Ectopy correct answers a temporary abnormal heartbeat, palpitation If we have a patient with a potassium level of 7, what medication is most likely to be administered? correct answers Sodium polystyrene sulfonate (kayexalate) What are the side effects of Sodium polystyrene sulfonate (kayexalate)? correct answers - blasting diarrhea - binds to potassium and takes it out What is a patient at risk for when taking Lasix (torsemide)? correct answers Hypokalemia because it is a loop diuretic - meaning it is potassium wasting What does hypokalemia look like on EKG? correct answers Flattened T waves, ST depression, prominent U wave When does an individual's tongue look like when dehydrated? correct answers Furrows What lab value do we want to monitor to determine the patient is getting better when being treated for dehydration with IV fluids? correct answers Specific gravity: 1.005-1.030 What amount of fluids should a patient take in to become rehydrated? correct answers 60-120mL (2-4oz) every 1-2 hours Dealing with clients who have fluid imbalances - what are the characteristics of an individual who is exhibiting dehydration? correct answers - skin turgor - dry mucous membrane (furrowed tongue) - elevated temperature Normal hematocrit levels (solute red blood cell): correct answers 37-64