Mark Klimek NCLEX Review-
Lecture/Yellow Book questions with
answers
Rule |of |the |B's: |If |the |____ |and |the |_____ |are |______ |in |the |same |direction |then |it |is |
meta_____ |- |ANSWERS✔✔ |pH, |Bicarb, |Both, |Bolic
pH |7.30_______ |HCO3 |20_______ |- |ANSWERS✔✔ |↓= |acidosis; |↓= |metabolic
pH |7.58_______ |HCO3 |32_______ |- |ANSWERS✔✔ |↑= |alkalosis; |↑= |metabolic
pH |7.22_______ |HCO3 |30_______ |- |ANSWERS✔✔ |↓= |acidosis; |↑= |respiratory
You |are |providing |care |to |a |client |with |the |following |blood |gas |results: |pH |7.32, |CO2 |49, |
HCO3 |29, |PO2 |80, |and |SaO2 |90%. |Based |on |these |results, |the |client |is |experiencing: |- |
ANSWERS✔✔ |↓= |acidosis; |↑= |respiratory
MacKussmaul |- |ANSWERS✔✔ |The |only |acid |base |to |cause |Kussmaul |respirations |is |
Metabolic |ACidosis
As |the |_______ |goes, |so |goes |_______ |except |for |_______ |- |ANSWERS✔✔ |pH, |my |patient, |
Potassium
Up |- |ANSWERS✔✔ |hyokalemia, |alkalosis, |HTN, |Tachycardia, |Tachypnea, |Seizures, |
Irritability, |Spastic, |Diarrhea, |Borborygme, |hyperreflexia, |etc
Down |- |ANSWERS✔✔ |hyperkalemia, |acidosis, |htn, |bradycardia, |constipation, |absent |bowel |
sounds, |flacid, |bradypnea
, Causes |of |acid-base |imbalances: |First |ask |yourself, |"Is |it |_______?" |If |yes, |then |it's |_______. |
Then |ask |yourself: |"Are |they |_______ |or |_______. |If |_______, |pick |_______. |If |_______, |pick |
_______ |- |ANSWERS✔✔ |lung, |respiratory, |overventilating, |underventilating, |
overventilating, |alkalosis, |underventilating, |acidosis
Causes |of |acid-base |imbalances: |If |it's |not |lung, |then |it's |_______. |If |the |patient |has |_______ |
_______ |vomiting |or |suction, |pick |_______. |For |everything |else |that |isn't |lung, |pick |_______ |
_______. |When |you |don't |know |what |to |pick, |choose |_______ |_______ |- |ANSWERS✔✔ |
metabolic, |prolonged |gastric, |alkalosis, |metabolic |acidosis, |metabolic |acidosis
High |pressure |alarms |are |triggered |by |_______ |resistance |to |air |flow. |- |ANSWERS✔✔ |
increased
High |pressure |alarms |are |triggered |by |increased |resistance |to |airflow |and |can |be |caused |by |
obstructions |of |three |types: |_______ |action, |_______ |action, |_______ |action |- |ANSWERS✔✔ |
(kinked |tube) |unkink, |(water |in |tube) |empty, |(mucus |in |airway) |cough |and |deep |breathe
Low |pressure |alarms |are |triggered |by |_______ |resistance |to |airflow. |- |ANSWERS✔✔ |
decreased
Low |pressure |alarms |are |triggered |by |decreased |resistance |to |airflow |and |can |be |caused |by |
disconnections |of |the |_______ |or |_______ |- |ANSWERS✔✔ |tubing |(reconnect |it), |oxygen |
sensor |tube |(reconnect |it |UNLESS |tube |is |on |the |floor- |bag |them |and |call |RT |if |this |happens)
Respiratory |alkalosis |means |ventilator |settings |may |be |too |_______ |- |ANSWERS✔✔ |high
Respiratory |acidosis |means |ventilator |settings |may |be |too |_______ |- |ANSWERS✔✔ |low
What |does |"wean" |mean? |- |ANSWERS✔✔ |gradually |decrease |with |the |goal |of |getting |off |
altogether