If the pH and the BiCarb are both in the same direction then it is? – Correct AnswerMetabolic
If the pH is up it is? – Correct Answer-Alkalosis
If the pH is down it is? – Correct Answer-Acidosis
As the pH goes so goes my patient except for? – Correct Answer-Potassium
If the pH is up my patient with show signs and symptoms of? – Correct AnswerIncrease… like tachycardia,diarrhea and borborygmi
If the pH is down my patient will show signs and symtoms of? – Correct AnswerDecrease… like decreased output, bradycardia and constipation
If my pH is up my potassium (K+) is ? – Correct Answer-Down
If my pH is down my potassium (K+) is? – Correct Answer-Up
If my patient is overventilating I should choose? – Correct Answer-Respiratory Alkalosis
If my patient is underventilating I should choose? – Correct Answer-Respiratory Acidosis
If my patient has prolonged gastric vomiting or suction I choose? – Correct AnswerMetabolic Alkalosis
If it is not lung or prolonged vomiting or suctioning I choose? – Correct AnswerMetabolic Acidosis
High pressure alarms are triggered when? – Correct Answer-They cannot push air in
High pressure alarms are caused by what three types of obstructions? – Correct
Answer-Kinking, Water in dependant loops and mucus in the airway.
If kinking in the tube is present you? – Correct Answer-Unkink
If water is present in the dependant loops you? – Correct Answer-Open system and
empty water.
If mucus is present you? – Correct Answer-Turn them, cough and have them deeo
breath first. If ineffective you then suction.
Low pressure alarms are triggered when? – Correct Answer-It is to easy to push air in.
Low pressure alarms are normally caused by? – Correct Answer-Disconnection
If the tubing is disconnected you? – Correct Answer-Reconnect
If O2 sensor line is disconnected you? – Correct Answer-Reconnect
In a vented client respiratory alkalosis means the vent setting may be too? – Correct
Answer-High
In a vented client respiratory acidosis means the vent may be too? – Correct AnswerLow
What do you do if the patients disconnected tube is on the floor? – Correct Answer-Bag
them, (call for help) get new tube and then reconnect.
What do you do if the patients disconnected tube is on the chest? – Correct AnswerReconnect … if its above the waist its ok.
What is the biggest problem in abuse? – Correct Answer-Denial
To treat denial you need to? – Correct Answer-Confront
How do you confront? – Correct Answer-Point out the difference between what they say
and what they do.
What is the one circumstance that you as a nurse would support denial? – Correct
Answer-Loss and Grief
What is dependency? – Correct Answer-When the abuser gets a significant other so
make decisions for them or do thing for them.
What is codependency? – Correct Answer-When the significant other gets positive self
esteem from doing things or making decisions for an abuser.
To treat dependency/codependency you ? – Correct Answer-Set limits and enforce
them. You also need to work or the self estreem of the codependent.
What is manipulation? – Correct Answer-When the abuser gets the significant other fo
do things for them that is not in the best interest of the significant other. This can be
dangerous and harmful to the significant other.
How do you treat manipulation? – Correct Answer-Set limits and enforce.
Why is manipulation easier to treat then dependency/codependency? – Correct AnswerBecause no one likes being manipulated.
What is Wernickes (Korsakoffs) Syndrome? – Correct Answer-Psychosis induced by
vitamin B1 (Thiamine) deficiency.
Vitamin B1 helps breakdown? – Correct Answer-Alcohol
Primary symptom of Wernickes? – Correct Answer-Amnesia with confabulation (making
up stories).
Is Wernickes preventable? – Correct Answer-Yes
Is Wernickes arrestable? – Correct Answer-Yes
Is Wernickes reversible? – Correct Answer-No
What is aversion therapy? – Correct Answer-When you try and make the patient hate
something.
Antabuse onset and duration is? – Correct Answer-2 weeks
Teach a patient taking Antabuse to avoid what? – Correct Answer-Alochol
On top of alcohol a patient taking Antabuse should also avoid what other 7 things? –
Correct Answer-Elixirs, Vanilla Extract, Aftershave/Perfumes, Alcohol based hand
sanitizer, Insect repellant, Mouthwash and Vinagerette.
What are the five uppers? – Correct Answer-Caffeine, Cocaine, Methamphetamines,
PCP/LSD and ADHD Meds
Downers are? – Correct Answer-Everything other then the five uppers.
S/S of upper use? – Correct Answer-Everything goes up…Tachycardia, increased BP
etc.
S/S of downer use? – Correct Answer-Everything goes down…Bradycardia, decreased
BP etc.
Overdose of a downer causes everything to go? – Correct Answer-Down
Overdose of an upper causes everything to go? – Correct Answer-Up
Withdrawal of an upper causes everything to go? – Correct Answer-Down
Withdrawal of a downer causes everything to go? – Correct Answer-Up
At birth if the mother was addicted to a substance always assume the newborn is in? –
Correct Answer-Intoxication
If 24 hours after birth assume the baby is in? – Correct Answer-Withdrawal
Every alcoholic goes through what withing 24 hours after cessation? – Correct AnswerWithdrawal syndrome
After 72 hours of alochol withdrawal a small minority may get? – Correct AnswerDelirium Tremens
Can Delirium Tremens kill you? – Correct Answer-Yes
Can Alcohol Withdrawal Syndrome kill you? – Correct Answer-No
Are patients with Alcohol Withdrawal Syndrome a danger to themselves or others? –
Correct Answer-No
Are patients with Delirium Tremens a danger to themselves or others? – Correct
Answer-Yes
N/I for Delirium Tremens? – Correct Answer-Private room near nurses station,
NPO/Clear liquids, Restricted bed rest, restraints, tranquilizer, multivitamin (B1 vit.) and
antihypertensive.
N/I for Alcohol Withdrawal Syndrome? – Correct Answer-Semi-private room anywhere,
regular diet, up and ad-lib, no restraint, tranquilizer, multivitamin (B1) and
antihypertensive.
A two point restraint is? – Correct Answer-One arm and the opposite leg.
N/I for restraints? – Correct Answer-Check Q15min. and rotate sites Q2H
All aminoglycosides end in? – Correct Answer-“mycin” Vancomycin
If it has “thro” in it you? – Correct Answer-Throw it out…Zithromycin
Toxic effects of aminoglycosides? – Correct Answer-Ototoxicity, nephrotoxicity and
cranial nerve 8 (vestibulocochlear nerve) which senses sound.
In aminoglycoside use monitor? – Correct Answer-Hearing, balance, tinnitus &
creatinine (best indicator of renal function)
Frequency of administration for aminoglycosides? – Correct Answer-Q8H