lippincott questions
What is the maximum dose per day for ibuprofen? -1,200 mg -2,000 mg -3,200 mg -4,000 mg
3,200
normal PaCO2 range is
35-45
Which are signs of metabolic alkalosis? Chvostek sign Hyperkalemia Cullen sign Hypernatremia
Chvostek sign
What does ROME stand for
Respiratory Opposite Metabolic Equal
low bicarbonate can happen from
diahera and diretics
"above the waist adios acid" is
metabolic alkalosis
metabolic alkalosis can be from
vomiting or loss of potassium
normal pH range is what
7.35-7.45
perfect balance of pH is
7.4
Which type of oxygen mask may be indicated for the patient in respiratory alkalosis? Venturi mask Nasal cannula Non-rebreather mask Simple face mask
Non-rebreather mask
Which are interprofessional goals of treating sepsis? Select all that apply. -Prevent and treat infection. -Maintain tissue oxygenation. -Avoid nutritional support. -Support failing organs. -Keep mean arterial pressure (MAP) above 65 mm Hg.
Prevent and treat infection. Maintain tissue oxygenation. Support failing organs. Keep mean arterial pressure (MAP) above 65 mm Hg.
pH of a patient shows if a patient is
acidotic or alkalotic
Which is not a potential source of an infection that could cause sepsis? -Central venous access device -Atherosclerosis -COVID-19 -Stage 4 pressure injury
anthrosclerosis
"below the wait bye base" is
bicarbonate
metabolic acidosis is detected when
both pH and bicarbonate are low
respiratory alkalosis caused by
hyperventilation like anxiety, hypoxemia, labor, cerebal tumors,
Treatment of respiratory acidosis
reversal of sedative medications, intubation, and BiPAP, hydration
sepsis is
the bodies extreme response to infection
Which patient is at the highest risk for developing sepsis? -A patient admitted for nephrolithiasis -A patient admitted for end-stage kidney disease -A patient admitted for vaginal delivery of a child -A patient who is newly nothing-by-mouth (NPO) status for a procedure in the morning
-A patient admitted for end-stage kidney disease
How do NSAIDs work? -They elevate the body's pain threshold and remove excess heat. -They bind to opioid receptors. -They block beta receptors in the heart. -They block prostaglandin synthesis.
-They block prostaglandin synthesis.
How long does it take NSAIDs to reach peak levels? -30 minutes to 1 hour -1 to 3 hours -2 to 5 hours -6 to 12 hours
1 to 3 hours
Biocarbinate normal range is
22 to 26 mEq/L
In which patient is administering an NSAID contraindicated? -18-year-old with a temperature of 101.2°F being treated for an infection -27-year-old in the first trimester with their second child -48-year-old newly diagnosed with osteoarthritis -56-year-old with nephrolithiasis
27-year-old in the first trimester with their second child
Which description best characterizes sepsis? A localized infection An infection that spread from the skin to the lymph nodes The body's exaggerated response to infection An infection that develops postoperatively
The body's exaggerated response to infection
respiratory acidosis occurs from
low pH and high CO2
metabolic alkolosis occurs when
pH and bicarbonate increase
during respiratory acidosis
pulmonary issues, hypovenilation, overdose of seditives
What does a pH of 7.17, a CO2 of 75 mEq/L, and an HCO3 of 26 mEq/L indicate? Respiratory acidosis Respiratory alkalosis Metabolic acidosis Metabolic alkalosis
respiratory acidosis
Which is not a cause of metabolic acidosis? Diarrhea Diuretics Kidney failure Vomiting
vomiting
treatment for metabolic acidosis includes
-address underlying cause -monitor potassium levels -evaluate for dialysis
treatment of alkalosis includes
-correct the underlying cause -IV fluids -potassium for hypokalemia
Which statement is true regarding drawing blood cultures? -Always draw one blood culture before administering antibiotics. -Draw one set of blood cultures, administer antibiotics, and then draw second set of blood cultures. -Always draw both sets of blood cultures before administering antibiotics. -Drawing blood cultures and administering antibiotics can be done simultaneously.
Always draw both sets of blood cultures before administering antibiotics.
What does a pH of 7.48, a CO2 of 32 mEq/L, and an HCO3 of 22 mEq/L indicate? Respiratory acidosis Respiratory alkalosis Metabolic acidosis Metabolic alkalosis
Respiratory alkalosis
Which are treatments for respiratory acidosis? Select all that apply. Reversing sedative medication Intubation or BiPAP Diuresis Sodium bicarbonate tablets Hydration
Reversing sedative medication Intubation or BiPAP hydration
Why does knowing what causes acid-base imbalances and what is happening in the body important? To encourage similar behavior To train the body to live in a different state To guide treatment and prevention efforts To educate families on their risk of inheriting these disorders
To guide treatment and prevention efforts
respiratory alkalosis is
high pH low CO2
For which condition are NSAIDS recommended to alleviate symptoms? -Gastric ulcers -Blurred vision -Menstrual cramps -Cholecystitis
menstrual cramps
What does a pH of 7.14, a CO2 of 36 mEq/L, and an HCO3 of 9 mEq/L indicate? Respiratory acidosis Respiratory alkalosis Metabolic acidosis Metabolic alkalosis
metabolic acidosis
What does a pH of 7.50, a CO2 of 41 mEq/L, and an HCO3 of 42 mEq/L indicate? Respiratory acidosis Respiratory alkalosis Metabolic acidosis Metabolic alkalosis
metabolic alkalosis
What does a pH of 7.25, a CO2 of 56 mEq/L, and an HCO3 of 24 mEq/L indicate? Respiratory acidosis Respiratory alkalosis Metabolic acidosis Metabolic alkalosis
respiratory acidosis
metabolic alkalosis patients have S&S of
slow respiratory rate, chovetk signs, kidneys trying to excrete