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Acid-Base Disturbances and Nursing Process

Total questions: 14

Worksheet time: 14mins

Name
Class
Date
1.

A 54-year-old patient with a history of chronic obstructive pulmonary disease and was rushed to the emergency department with increasing shortness of breath, pyrexia, and a productive cough. Measurement of arterial blood gas shows pH 7.25, high blood CO2 (68 mm Hg). How would you interpret this?

a)

Respiratory acidosis

b)

Respiratory alkalosis

c)

Metabolic acidosis

d)

Metabolic Alkalosis

2.

Patient admit to the emergency room with extreme anxiety and overventilation. Measurement of arterial blood gas shows pH 7.55, low blood CO2 (34 mm Hg). How would you interpret this?

a)

Respiratory acidosis

b)

Respiratory alkalosis

c)

Metabolic acidosis

d)

Metabolic Alkalosis

3.

Patient admitted to the emergency room due to over ingestion of salicylate. Measurement of arterial blood gas shows pH 7.25, low blood bicarbonate (17 mEq/L). How would you interpret this?

a)

Respiratory acidosis

b)

Respiratory alkalosis

c)

Metabolic acidosis

d)

Metabolic Alkalosis

4.

A patient in the medical ward ingested high dose of antacids. What acid base disturbance you expect for this patient?

a)

Respiratory acidosis

b)

Respiratory alkalosis

c)

Metabolic acidosis

d)

Metabolic Alkalosis

5.

The doctor writes an order a liquid oral medication. The order says to administer 20 grams by mouth BID. Pharmacy dispenses you with 10 gram/15 ml. How many ml will you administer per dose?

a)

10 ml

b)

20 ml

c)

30 ml

d)

15 ml

6.

The doctor writes an order for a medication. The order says to administer 12.5 mg PO BID. Pharmacy dispenses you with 6.25 mg tablets. How many tablets do you administer with this dose?

a)

1.5 tablets

b)

2 tablets

c)

3 tablets

d)

2.5 tablets

7.

The doctor writes an order for a medication. The order says to administer 0.1 gram by mouth daily. Pharmacy dispenses you with 100 mg per tablet. How many tablets will you administer per dose?

a)

1 tablets

b)

0.1 tablets

c)

0.3 tablets

d)

2.5 tablets

8.

Which of the following is a cause of fluid volume deficit?

a)

Liver failure

b)

Kidney failure

c)

Movement of fluid to third space

d)

Excessive Sodium intake

9.

In which of the following serum (plasma) Sodium increase?

a)

Fluid volume excess

b)

Fluid volume decrease

c)

Dehydration

d)

Bleeding

10.

Which of the following is a cause of volume excess?

a)

Heart failure

b)

Bleeding

c)

Decrease Sodium intake

d)

Movement of fluid to third space

11.

The nurse need to formulate the Goals and interventions suitable to the patient condition at which phase of the Nursing Process?

a)

Assessment

b)

Diagnosis

c)

Planning

d)

Implementation

12.

The first thing nurse need to do in the implementation phase is?

a)

Re-assessment

b)

Implement intervention

c)

Set outcomes

d)

Use NOC to develop outcomes

13.

The kidney uses the following to regulate Sodium?

a)

Excretion

b)

Re-absorption

c)

Filtration

d)

Nothing

14.

The growth of microorganism in body parts without causing disease is called?

a)

Normal Flora

b)

Infection

c)

Nosocomial

d)

Immunity