NUR 425 CC Exam 2 (titled "Exam From Last Wednesday")

SATA causes of alkalosis

Anxiety or chest trauma

Aspirin Overdose

pH: 6.98

CO2: low

Bicarb: low

You have a client on ECMO, what should you do?

Check the connections and decannulation

You have an old man who is stating horribly, laying flat. You have already turned up his oxygen, what should you do next?

Raise the head of the bed

You have a client who was on a pressure setting (PS) and then they got moved to a volume setting (AC), why?

Because the client was unable to initiate breaths on their own

What person (which patient) is more critical?

A 35-year-old man that was in a motor-vehicle accident )MVA) with nonreactive, 5mm pupils

MAP: 50; ICP: 10... What is the CPP and what to do?

CPP = 40 and give norepinephrine

How to verify proper intubation?

Auscultate lungs

Low pressure alarm is going, what could be the cause?

Check connections on tubing

Intubated person/patient is tested with the twitching thing and they have 4/4/ twitches, what to do?

Titrate the paraconium up

Preventing ventilator-associated pneumonia (VAP), what to do?

Oral care Q2 hours

Patient has something going on and has deep rapid breathing with periods of apnea, what type of breathing does he have?

Cheyne stokes

What can cause failure to perfuse?

Pulmonary embolus

Given ABG, it is metabolic acidosis, what do you do/give?

Give sodium bicarbonate

Patient with ARDs

O2 level is low despite receiving high oxygen

Readiness to wean (SATA)

- Taking their own breaths

- Minimal secretions

*There's more, but cannot recall

Early sign of respiratory failure

Restlessness

What causes metabolic acidosis?

DKA

What is associated with metabolic alkalosis?

Vomiting

What is associated with metabolic acidosis?

Diarrhea

Matching question for vent settings

1. PEEP - added as an additional setting

2. CPAP - provides continuous positive pressure O2

3. SIMV - volume of breaths change controlled by patient

4. AC - present # of breaths and tidal volume

What to do with a patient with hypoxemia?

Contraindicated:

- Don't reassess for CPAP

- Increase RR rate

- Increase FiO2

Indicated:

- Proton pump inhibitor

- Change to SIMV?

- Oral care?

- Another option

Which of the following correctly identifies the proper compensatory mechanism>

The renal system compensates for alkalosis by excreting bicarbonate

CPP question... MAP: 120, ICP was normal, what's the appropriate intervention?

Start ordered metoprolol

Which of the following is the appropriate action when taking a patient with an EVD to a CT scan?

Close the drain temporarily during transport

Appropriate interventions for a patient with an EVD (SATA)?

*Only wrote down the wrong answers which are...

- Flush a clot

- Flush normal saline

- Keep drain open during repositioning

Which of the following ABG values is expected for someone who suffers from a pneumothorax?

Respiratory acidosis

*make sure to know the values

Which of the following is true regarding pressure support?

The patient will have to trigger their own breaths or they won't receive any

There was a question about ICP (was something like 48 or higher) and A-line

Reassess the level of the transducer

Drag & drop the early and late signs of hypoxemia

Early:

- Tachypnea

- Tachycardia

- Restlessness

Late:

- Cyanosis

- Bradycardia

Something about corticosteroids

Reduces inflammation in the lungs

Lady was ODing on heroin, what needs to happen?

Intubate

Question regarding respiratory alkalosis (she thinks) b/c she had to read an ABG

Turn down the respiratory rate and increase sedation

Man comes in with bad vitals and is projectile vomiting, what should you prepare?

EVD placement

Something about the body compensating for acid-base imbalance

Respiratory system can sustain for 24 hours

ARDs question about what to do

Increase PEEP?

High ICP and what med to give?

Mannitol

Drop down menu for the 4 acid-base imbalances (gives ABG values)

There was a matching one with all of the different ABGs with the definitions being an ABG reading

ONLY one question on partially compensated acid-base imbalance

Doesn't know the question

3% NS

- Need to lower patient's ICP and the other answer choices were doing something else

Which of the following patient would be at risk for ARDs?

- Dysphagia

- Drug toxicity?

- Near drowning

Gives you an ABG that is partially compensated metabolic something

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