NUR 160 Exam 2, HONDROS Exam
Hypokalemia and lasix - answerIf pt is Hypokalemic, report to RN before giving
Lasix
Hypervolemia Causes - answerCKD, liver disease, cirrhosis, CHF, increased salt
intake, COPD
Hypervolemia Signs and symptoms - answerHeadache, Confusion, Nausea,
Vomiting, Coma
Hypovolemia Causes - answerVomiting, DM, fever, heat exposure, exercise, no
water access, significant injury to skin
Moat accurate assessment of water balance - answerdaily weights in similar
clothing, same scale, same time- plus or minus 2 lbs per day, plus or minus 5 lbs a
week
Potassium (K+) - answer3.5-5
Hyperkalemia causes - answerAKD, CKD, severe injuries, supplementation
Hyperkalemia signs and symptoms - answermuscle fatigue, weakness,
arrhythmia, irritability, Nausea, death
Hypokalemia causes - answerdiuretics. Diarrhea, excessive sweating, laxatives,
ketoacidosis, alcohol abuse
Hypokalemia signs and symptoms - answermuscle cramps, abdominal distention,
constipation, arrhythmia
Renal Pt Diet - answerlow potassium-no potatoes, oranges, bananas, leafy green
veggies, apples, avocados
Sodium (Na+) - answer135-145
Hypernatremia Causes - answertoo much salt, rapid infusion of saline, antacids,
increased dairy consumption
Hypernatremia signs and symptoms - answerdecreased urinary output, firm
rubbery tissue turgor, restlessness, agitation, confusion, flushed skin
Hyponatremia Causes - answerDiarrhea, gastric suctioning, sweating, Vomiting,
low sodium intake, burns, edema/ascites, small bowel obstruction
Hyponatremia signs and symptoms - answermuscle weakness, fatigue, Headache,
restlessness, irritability, hypotension, Nausea, vomiting
Magnesium (MG+) - answer1.5-2.5
Hypermagnesemia Causes - answerTums, CKD, diabetic ketoacidosis
Hypermagnesemia signs and symptoms - answerweakness, hypotension,
Vomiting, Nausea, coma, death
Hypomagnesemia Causes - answeralcoholism, decreased intake of vitamin D,
poor absorption
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, NUR 160 Exam 2, HONDROS Exam
Hypomagnesemia Signs and symptoms - answerseizures, Increased DTR,
arrhthmias, agitation, Nausea, vomiting
Alcoholics-precautions - answerAll alcoholics go in seizure precautions
Calcium (Ca+) - answer8-10
Hypercalcemia causes - answersupplements, calcium, immobilization, antacid,
parathyroidism
Hypercalcemia signs and symptoms - answeranorexia, N,V, decreased DTR,
confusion, coma, constipation, kidney stones
Hypocalcemia Causes - answerdecreased calcium and Vit D, Diarrhea, diuretics,
alcoholism, malabsorption, burns
Hypocalcemia signs and symptoms - answerirritanility, osteoporosis, N,V,D,
increase dDTR, arrhtymtias, +Trousseau sign, +Chvostek sign
Trousseau sign - answerBP
Chvostek sign - answercheek
Heparin - answerPTT
Coumadin - answerPT/INR
PH (acidosis,alkalosis) - answer7.35-7.45
PO2 - answer80-100
PCO2 (Carbon Dioxide) - answer35-45
SaO2 - answer80-100
HCO3 (Bicarb) - answer22-26
ROME - answerRepiratory
Opposite
Metabolic
Equal
How to read an ABG - answer1. Determine if values are high, low, or normal
2. Draw the appropriate arrows next to each value
3. Decide if two values are the same, or if two values are apposite
(same=metabolic, opposite=respiratory)
4. Look at only Ph, if low acidosis, if high alkalosis
UTI signs and symptoms - answerBurning, frequency, urgency, foul smell,
sediment, abdominal pain, chills, fever, darkness, confusion
Hypovolemic Shock sign sand symptoms - answerdecreased BP, Increased HR,
restlessness, decreased urine output
normal urine output - answer15mL/kidney/hr, so 30mL/hour, 200mL per 8 hrs. if
40mL < call MD
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