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Nurs 454 Exam #1 Questions With Correct Answers.

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Nurs 454 Exam #1 Questions With Correct Answers. True or False: Capillary refill is part of ventilation. - answerTrue True or False: Chronic illnesses (e.g. COPD) remain unchanged at high altitude. - answerFalse; High altitude can cause exacerbations of chronic illness What is usually the fi...

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  • October 19, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nurs 454
  • Nurs 454
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sirjoel
©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM



Nurs 454 Exam #1 Questions With Correct
Answers.


True or False:




Capillary refill is part of ventilation. - answer✔True


True or False:




Chronic illnesses (e.g. COPD) remain unchanged at high altitude. - answer✔False; High altitude

can cause exacerbations of chronic illness


What is usually the first sign the brain isn't getting enough oxygen? - answer✔Headache


What are ABG normal values? - answer✔pH: 7.35-7.45


PaCO2: 35-45

HCO3: 22-26

PaO2: 80-100

, ©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM


SaO2: >95%


What are some causes of hypoxemic respiratory failure? - answer✔-V/Q mismatch (PE, COPD,

atelectasis)

-Shunt

-Diffusion limitation (ARDS, TB, COPD)

-Alveolar hypoventilation

What is the different between a patent foramen ovale (PFO) and a ventral septal defect (VSD)? -

answer✔PFO: Shunts from R to L; unoxygenated blood from R atrium goes into the L side of the

heart that IS oxygenated




VSD: Shunts from L to R; oxygenated blood gets re-circulated but it can also cause pulmonary

congestion


Hypoxemic Respiratory Failure Definition - answer✔PaO2 of 60 mm Hg or less at 60% FiO2


Hypercapnic Respiratory Failure Definition - answer✔PaCO2 >45 mm Hg


What are some causes of hypercapnic respiratory failure? - answer✔-Airways and alveoli

abnormalities (asthma, cystic fibrosis)

-CNS abnormalities (brain trauma, neuro dz)

, ©SIRJOEL EXAM SOLUTIONS
10/10/2024 11:44 AM


-Chest wall abnormalities (COPD)

-Neuromuscular conditions


Does a heparin drip require a dedicated line? - answer✔Yes


Early signs of respiratory failure - answer✔Change in mental status, tachycardia, tachypnea,

mild HTN, restlessness, diaphoresis


Late signs of respiratory failure - answer✔Cyanosis, PaO2 of 45 mm Hg or less, dyspnea,

bradycardia, stupor, coma


Diagnostic studies used for respiratory failure - answer✔-Chest x-ray


-ABG

-Pulse oximetry

-CBC, serum electrolytes, UA

-ECG

-Sputum/blood cultures

-CT scan

-V/Q scan

-ETCO2 (end tidal CO2) capnography

-Pulmonary artery catheter (severe cases)

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