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NUR 336 Acid-Base Balance Review Questions and Correct Answers $8.99   Add to cart

Exam (elaborations)

NUR 336 Acid-Base Balance Review Questions and Correct Answers

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  • NUR 336
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  • NUR 336

Respiratory acidosis (hypoventilation) risk factors obesity, tumors, stroke, neurological diseases, pulmonary embolus, ARDS, pulmonary edema, asthma, pneumonia, respiratory depression (opioids, poisons, anesthetics), COPD Respiratory acidosis signs and symptoms muscle weakness, numbness & tingling...

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  • August 29, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 336
  • NUR 336
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twishfrancis
NUR 336 Acid-Base Balance Review
Questions and Correct Answers
Respiratory acidosis (hypoventilation) risk factors ✅obesity, tumors, stroke,
neurological diseases, pulmonary embolus, ARDS, pulmonary edema, asthma,
pneumonia, respiratory depression (opioids, poisons, anesthetics), COPD

Respiratory acidosis signs and symptoms ✅muscle weakness, numbness & tingling
(hands and feet), headache, cyanosis, vasodilation (cause of headache), bradycardia
and hypotension as acidosis worsens, ineffective, shallow, rapid breathing, initially low
respiratory rate

Respiratory acidosis electrolyte imbalance ✅hyperkalemia

Respiratory acidosis teaching needs ✅breathing treatments, breathing techniques
(pursed lip), weight management, smoking cessation, fall prevention

Respiratory acidosis treatment ✅oxygen therapy, narcan, enhance gas exchange
(positioning and breathing techniques, ventilatory support, *bronchodilators*,
mucolytics), *IS, BiPAP, CPAP, ventilator, bicarb if needed, cardiac monitor*

Respiratory alkalosis (hyperventilation) risk factors ✅*fear, anxiety, panic attacks,
pain*, intracerebral trauma, asphyxiation, shock, meningitis, irregular breathing patters,
aspirin overdose

Respiratory alkalosis signs and symptoms ✅*SOB, lightheadedness, cramping,
hyperventilation, tetany, numbness in mouth, tingling*, tachypnea, inability to
concentrate, tinnitus, possible loss of consciousness, tachycardia, rapid, deep
respirations

Respiratory alkalosis electrolyte imbalances ✅hypocalcemia and hypokalemia

Respiratory alkalosis teaching needs ✅stress management, proper use of
medications, breathing techniques, anxiety reduction techniques

Respiratory alkalosis treatment ✅*rebreathing with paper bag (rebreathing
techniques), pain medication, fall prevention, decreased stimulation*, anti-anxiety
medications, electrolyte replacement, oxygen therapy

Metabolic acidosis risk factors ✅*obesity, hypothyroidism, ileostomy (loose stools is
bad), DKA, kidney failure, pancreatitis (inadequate production of bicarbonate), diarrhea

, (excessive elimination of bicarbonate)*, liver failure, heavy exercise, starvation, surgery,
dehydration

Metabolic acidosis signs and symptoms ✅*decreased LOC, lethargy, bradycardia,
rapid, deep respirations (Kussmaul respirations)*, headache, drowsiness, confusion, dry
mucous membranes, decreased respiratory rate

Metabolic acidosis electrolyte imbalance ✅hyperkalemia

Metabolic acidosis teaching needs ✅*diabetic management, alcohol cessation,
probiotics to prevent diarrhea*, medication compliance, education on exercise, proper
use of aspirin, diet teaching needs for kidney failure

Metabolic acidosis treatment ✅*if sodium bicarbonate is low, administer PO/IV sodium
bicarbonate (if pH is less than 7.2), insulin if DKA, dialysis*, assess labs (worries about
hyperkalemia), tele monitor, antidiarrheal and provide rehydration, fall prevention,
probiotics

Metabolic alkalosis risk factors ✅*oral ingestion of excess amounts of antacids
(bases), blood transfusions, TPN, excess sodium bicarbonate administration, prolonged
vomiting, NG suctioning, potassium depletion due to thiazide diuretics, laxative
overuse*, Cushing's syndrome, hyperaldosteronsim

Metabolic alkalosis signs and symptoms ✅*changes in LOC, increased respirations,
anxiety, irritability, positive Chvostek's sign, tachycardia, numbness, tingling, tetany,
hyperreflexia*, muscle weakness, confusion, convulsions

Metabolic alkalosis electrolyte imbalances ✅hypocalcemia and hypokalemia

Metabolic alkalosis teaching needs ✅*adhere to diet and dialysis regimen, safe food
handling, fall risk precautions*, education about turns/diuretics

Metabolic alkalosis treatment ✅*antiemetics, fluids, electrolyte replacement, d/c NG
suctioning*, dialysis compliance

A nurse in the emergency department is caring for a client who has pulmonary edema,
reports dyspnea, and appears anxious. The client's blood pressure is 108/79 and his
apical pulse is 112. Which of the following interventions is the nurse's priority?

a) Administer high-flow oxygen at 5 L/min by facemask to the client
b) Place the client in high-Fowler's position with legs dependent
c) Give the client sublingual nitroglycerin
d) Reassure the client ✅Administer high-flow oxygen at 5 L/min by facemask to the
client.

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