Exam (elaborations)
MARK KLIMEK NCLEX REVIEW- LECTURE/YELLOW BOOK EXAM QUESTIONS WITH COMPLETE ANSWERS
- Course
- Institution
MARK KLIMEK NCLEX REVIEW- LECTURE/YELLOW BOOK EXAM QUESTIONS WITH COMPLETE ANSWERS
[Show more]
Content preview
MARK KLIMEK NCLEX REVIEW-LECTURE/YELLOW BOOK EXAM
QUESTIONS WITH COMPLETE
ANSWERS
Rule of the B's: If the ____ and the _____ are ______ in the same direction then it is
meta_____ - Answer-pH, Bicarb, Both, Bolic
pH 7.30_______ HCO3 20_______ - Answer-↓= acidosis; ↓= metabolic
pH 7.58_______ HCO3 32_______ - Answer-↑= alkalosis; ↑= metabolic
pH 7.22_______ HCO3 30_______ - Answer-↓= 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: -
Answer-↓= acidosis; ↑= respiratory
MacKussmaul - Answer-The only acid base to cause Kussmaul respirations is Metabolic
ACidosis
As the _______ goes, so goes _______ except for _______ - Answer-pH, my patient,
Potassium
Up - Answer-hyokalemia, alkalosis, HTN, Tachycardia, Tachypnea, Seizures, Irritability,
Spastic, Diarrhea, Borborygme, hyperreflexia, etc
Down - Answer-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 _______ - Answer-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 _______ _______ -
Answer-metabolic, prolonged gastric, alkalosis, metabolic acidosis, metabolic acidosis
High pressure alarms are triggered by _______ resistance to air flow. - Answer-
increased
, High pressure alarms are triggered by increased resistance to airflow and can be
caused by obstructions of three types: _______ action, _______ action, _______ action
- Answer-(kinked tube) unkink, (water in tube) empty, (mucus in airway) cough and
deep breathe
Low pressure alarms are triggered by _______ resistance to airflow. - Answer-
decreased
Low pressure alarms are triggered by decreased resistance to airflow and can be
caused by disconnections of the _______ or _______ - Answer-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 _______ - Answer-high
Respiratory acidosis means ventilator settings may be too _______ - Answer-low
What does "wean" mean? - Answer-gradually decrease with the goal of getting off
altogether
What is Maslow's highest priority to lowest priority? - Answer-1. Physiological
2. Safety
3. Comfort
4. Psychological (problems within the person)
5. Social (problems with other people)
6. Spiritual
Arrange from highest to lowest priority using Maslow's:
Denial
Spiritual Distress
Pain in Elbow
Fall Risk
Pathological Family Dynamics
Electrolyte Imbalance - Answer-Electrolyte Imbalance (Physiological)
Fall Risk (Safety)
Pain in Elbow (Comfort)
Denial (Psychological)
Pathological Family Dynamics (Social)
Spiritual Distress (Spiritual)
What are the 5 stages of grief? - Answer-Denial
Anger
Bargain
Depression
Acceptance
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller biggdreamer. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now