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Nurs 403 Class 4 Section 1 Questions With Complete Solutions CA$18.75   Add to cart

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Nurs 403 Class 4 Section 1 Questions With Complete Solutions

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Pulmonary Assessment correct answer: - history - physical exam - breath sounds and their meaning Breath sounds correct answer: - Rales/Crackles (fluid) - Rhonchi (congestion) - Wheezes (airway) - Pleural Rub (irritated pleural space) - Diminished - Absence Diagnostics: ABG correct a...

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  • July 24, 2023
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Nurs 403 Class 4 Section 1 Questions With
Complete Solutions
Pulmonary Assessment correct answer: - history
- physical exam
- breath sounds and their meaning

Breath sounds correct answer: - Rales/Crackles (fluid)
- Rhonchi (congestion)
- Wheezes (airway)
- Pleural Rub (irritated pleural space)
- Diminished
- Absence

Diagnostics: ABG correct answer: - pH: 7.35-7.45 (acid/base
evaluator)
- PaCO2: 35-45 mm Hg
- HCO3: 22-26 mm Hg (metabolic evaluator)
- PaO2: 80-100 mm Hg (more accurate than SaO2)
- SaO2: 92-100%

Steps for interpreting ABG correct answer:

Respiratory Acidosis correct answer: - decreased pH
- increased PaCO2

Respiratory Acidosis causes correct answer: - Hypoventilation
- COPD
- over sedation

,- head trauma
- drug OD
- neuromuscular disease

Respiratory Acidosis interventions correct answer: - Need to
↑ventilation
- C&DB
- Suction
- Oxygen
- Meds = Bronchodilators
- Ambulate
- Increase frequency rate on mech. vent

Respiratory Alkalosis correct answer: - increased pH
- decreased PaCO2

Respiratory Alkalosis causes correct answer: - Hyperventilation
- Hypoxia
- Anxiety
- PE
- Pg
- hypervent with Mech. Vent.
- compensation for Met. Acidosis

Respiratory Alkalosis interventions correct answer: - Need to
↓ventilation
- Breath into a bag
- Hold breath
- Calm patient
- Decrease Frequency rate on mech. Vent.

, metabolic acidosis correct answer: - decreased pH
- decreased HC03

metabolic acidosis causes correct answer: High Anion Gap:
+ Lactic Acidosis
+ Ketoacidosis
+ RF
+ acid ingestion
+ Rhabdomyolosis
Non-Anion Gap:
+ Diarrhea
+ renal tube acidosis
+ Ileostomy
+ pancreatic fistula

Metabolic acidosis interventions correct answer: - Need to ↑
Base
- Sodium Bicarb IV & Fluids
- Treat underlying cause (Metabolic or Resp.)

Metabolic Alkalosis correct answer: - increased pH
- Increased HCO3

Metabolic Alkalosis causes correct answer: - Steroid Tx
- Vomiting
- GI suction
- Diuretic tx
- hypokalemia
- hypovolemia
- hypochloremia
- Na Bicarb ingestion

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