Page 1 of 17
EXAM 2: NUR 2392 / NUR2392 (LATEST
UPDATES STUDY BUNDLE) MULTIDIMENSIONAL CARE II
/ MDC 2 EXAM | QUESTIONS AND VERIFIED ANSWERS
| 100% CORRECT | GRADE A - RASMUSSEN
Uncompensated .....ANSWER.....pH and one other value is
abnormal
Partial compensation .....ANSWER.....pH, CO2, and HCO3 are all
off
Full compensation .....ANSWER.....pH is normal
Acidosis .....ANSWER.....reduces the excitability of cardiovascular
muscle, neurons, skeletal muscle, and smooth muscle.
Alkalosis .....ANSWER.....increases the sensitivity of excitable
tissues allowing them to OVERRESPOND without stimulation
ABG considerations .....ANSWER.....- Assess cardiovascular w/
acidosis (cardiac arrest from hyperkalemia)
,Page 2 of 17
- Assess neuro status
- Fall precautions
Bicarb HC03 .....ANSWER.....kidney compensation (slow and
powerful)
Respiratory PaC02 .....ANSWER.....Respiratory compensation
(fast but limited)
Metabolic acidosis causes .....ANSWER.....DKA, Starvation,
diarrhea, kidney failure, dehydration, liver failure, pancreatitis,
heavy exercise, seizure activity, fever, hypoxia, ischemia,
ethanol/methanol intoxication
Metabolic acidosis signs and symptoms
.....ANSWER.....bradycardia, hypotension, thready pulse, CNS
depression, hyporeflexia, kussmal resp (with resp compensation),
warm, flushed, dry skin.
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Metabolic acidosis treatment .....ANSWER.....hydration and
medication to treat underlying problems (DKA - give insulin).
Metabolic alkalosis causes .....ANSWER.....antacids, blood
transfusion, sodium bicarbonate, total parenteral nutrition (TPN),
prolonged vomiting, nasogastric suctioning, hypercortisolism,
hyperaldosteronism, Loop/Thiazide diuretics.
Metabolic Alkalosis s/s .....ANSWER.....anxiety, irritability, tetany,
seizures, POSITIVE CHVOSTEK, POSITIVE TROUSSEAU,
parathesis, hyperreflexia, muscle cramping/twitching, skeletal
muscle weakness, Tachycardia, norm/low BP, increased Digoxin
toxicity, decreased respiratory effort (muscle weakness).
metabolic alkalosis treatment .....ANSWER.....restore
fluid/electrolyte imbalances
Respiratory acidosis cause .....ANSWER.....Opioids, anesthetics,
electrolyte imbalance, inadequate chest expansion, muscle
weakness, airway obstruction, alveolar-capillary block.
EXAM 2: NUR 2392 / NUR2392 (LATEST
UPDATES STUDY BUNDLE) MULTIDIMENSIONAL CARE II
/ MDC 2 EXAM | QUESTIONS AND VERIFIED ANSWERS
| 100% CORRECT | GRADE A - RASMUSSEN
Uncompensated .....ANSWER.....pH and one other value is
abnormal
Partial compensation .....ANSWER.....pH, CO2, and HCO3 are all
off
Full compensation .....ANSWER.....pH is normal
Acidosis .....ANSWER.....reduces the excitability of cardiovascular
muscle, neurons, skeletal muscle, and smooth muscle.
Alkalosis .....ANSWER.....increases the sensitivity of excitable
tissues allowing them to OVERRESPOND without stimulation
ABG considerations .....ANSWER.....- Assess cardiovascular w/
acidosis (cardiac arrest from hyperkalemia)
,Page 2 of 17
- Assess neuro status
- Fall precautions
Bicarb HC03 .....ANSWER.....kidney compensation (slow and
powerful)
Respiratory PaC02 .....ANSWER.....Respiratory compensation
(fast but limited)
Metabolic acidosis causes .....ANSWER.....DKA, Starvation,
diarrhea, kidney failure, dehydration, liver failure, pancreatitis,
heavy exercise, seizure activity, fever, hypoxia, ischemia,
ethanol/methanol intoxication
Metabolic acidosis signs and symptoms
.....ANSWER.....bradycardia, hypotension, thready pulse, CNS
depression, hyporeflexia, kussmal resp (with resp compensation),
warm, flushed, dry skin.
, Page 3 of 17
Metabolic acidosis treatment .....ANSWER.....hydration and
medication to treat underlying problems (DKA - give insulin).
Metabolic alkalosis causes .....ANSWER.....antacids, blood
transfusion, sodium bicarbonate, total parenteral nutrition (TPN),
prolonged vomiting, nasogastric suctioning, hypercortisolism,
hyperaldosteronism, Loop/Thiazide diuretics.
Metabolic Alkalosis s/s .....ANSWER.....anxiety, irritability, tetany,
seizures, POSITIVE CHVOSTEK, POSITIVE TROUSSEAU,
parathesis, hyperreflexia, muscle cramping/twitching, skeletal
muscle weakness, Tachycardia, norm/low BP, increased Digoxin
toxicity, decreased respiratory effort (muscle weakness).
metabolic alkalosis treatment .....ANSWER.....restore
fluid/electrolyte imbalances
Respiratory acidosis cause .....ANSWER.....Opioids, anesthetics,
electrolyte imbalance, inadequate chest expansion, muscle
weakness, airway obstruction, alveolar-capillary block.
