Acid Base Balance Race

Which Acid-Base Imbalance is this patient experiencing? HR 114 BP 114/85 R 30 T 98.7 O2 – 96% PH 7.55 PaCO2 25 Bicarb 24 The patient states, "I can't calm dow,n" and reports numbness and tingling in extremities.

• Respiratory Alkalosis

• Respiratory Acidosis

• Metabolic Alkalosis

• Metabolic Acidosis

Your patient’s labs indicate that they are in Respiratory Alkalosis. What signs and symptoms do you anticipate when performing your assessment?  Select all that Apply. Type the numbers associated with each of your answer choices below. They must be in numeric order, no spaces.

1.     Bradycardia  

2.     Deep Rapid Breathing  

3.     Hard board like abdomen  

4.     Hypertension  

5.     Hyperventilation  

6.     Lethargy  

7.     Lightheadedness  

8.     Projectile vomit 

9.     Skin breakdown  

10. Tachycardia  

Your classmate is experiencing a panic attack after receiving a bad test grade? What actions will you take? Select all that apply. Type the numbers associated with each of your answer choices below. They must be in numeric order, no spaces. 1. Administer their asthma inhaler 2. Encourage breathing into a paper bag 3. Encourage slow deep breaths 4. Sit them down 5. Tell them "you are fine" and to "Stop being dramatic"

New parents bring their 2-week-old baby to the hospital for consistent crying and reflux. The child's mucus membranes are dry, and he has not had a wet dipper in 4 hours. Labs are done and the ABG are PH 7.49 PaCO2 34 Bicarb 29. Using the data provided which Acid base imbalance is the patient experiencing?

• A. Respiratory Alkalosis

• B. Respiratory Acidosis

• C. Metabolic Alkalosis

• D. Metabolic Acidosis

Which of the following signs and symptoms indicate to the nurse that the infant may have pyloric stenosis? Select all that apply. Type the numbers associated with each of your answer choices below. They must be in numeric order, no spaces. 1. The infant has spit up after a large bottle 2. The infant is 3 oz less than birth weight 3. The infant is fussy when his diaper is wet 4. The infant shows signs of hunger 5. The parent states "He no longer spits up as long as he is sitting up for 30 minutes after a feeding" 6. The parent tells you "When he vomits it just shoots across the room" 7. There is an olive sized mass in the epigastrium area of the infant’s abdomen

Which intervention by the nurse is appropriate when pyloric stenosis is diagnosed in an infant? (select all that apply) Type the numbers associated with each of your answer choices below. They must be in numeric order, no spaces. 1. Comfort the parents and tell them "everything will be just fine" 2. Explain that the infant will be receiving a pyloromyotomy, and obtain consent for the procedure 3. Initiate IV Fluids as ordered by the provider 4. Initiate seizure precautions for the infant 5. Notify CPS that the infant is malnourished 6. Take a detailed patient history

A patient’s ABG is as follows. What acid-base imbalance is the patient experiencing? PH 7.32 PaCO2 50 Bicarb 27

• A. Respiratory Alkalosis

• B. Respiratory Acidosis

• C. Metabolic Alkalosis

• D. Metabolic Acidosis

A nurse administers 1 mL of the morphine from the bottle shown. What signs and symptoms may the patient experience after this medication administration? Select all that apply. Type the numbers associated with each of your answer choices below. They must be in numeric order, no spaces. 1. Abdominal pain 2. CO2 deficit 3. Dizziness 4. Drowsiness 5. Headache 6. Hypertension 7. Hypotension 8. Tachycardia

A patient was given 10 mg of morphine IVP. What actions by the nurse would be appropriate? Type the numbers associated with each of your answer choices below. They must be in numeric order, no spaces. 1. Administer more pain medication to the patient 2. Administer Narcan if appropriate 3. Darken the room and allow the patient to get some rest 4. Initiate CPR 5. Preform a neurological assessment 6. Provide supplemental oxygen and mechanical ventilation if appropriate

A patient has the following lab values. What acid-base balance is the patient experiencing? Sodium 144 mEq/L Potassium 5.6 mEq/L Chloride 100 mEq/L Calcium 9.3 mg/dL BUN- 27 mg/dL Creatinine 1.8 mg/dL Total Bilirubin 0.8 mg/dL Total Protein 7 g/dL Blood Glucose 823 mg/dL ABG- PH 7.26, PaCO2 35, Bicarb 15

• A. Respiratory Alkalosis

• B. Respiratory Acidosis

• C. Metabolic Alkalosis

• D. Metabolic Acidosis