{"id":114827,"date":"2023-08-23T04:04:16","date_gmt":"2023-08-23T04:04:16","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=114827"},"modified":"2023-08-23T04:04:17","modified_gmt":"2023-08-23T04:04:17","slug":"mark-klimek-yellow-book-2023-2024","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/23\/mark-klimek-yellow-book-2023-2024\/","title":{"rendered":"Mark Klimek Yellow Book 2023\/2024"},"content":{"rendered":"\n

If the pH and the BiCarb are both in the same direction then it is? ———– Correct
Answer ———- Metabolc
If the pH is up it is? ———– Correct Answer ———- Alkalosis
As the pH goes so goes my patient except for? ———– Correct Answer ———-
Potassium
If the pH is down it is? ———– Correct Answer ———- Acidosis
If the pH is up my patient with show signs and symptoms of? ———– Correct Answer —
——– Increase\u2026 like tachycardia,diarrhea and borborygmi
If the pH is down my patient will show signs and symtoms of? ———– Correct Answer –
——— Decrease\u2026 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
Answer ———- Metabolic Alkalosis
If it is not lung or prolonged vomiting or suctioning I choose? ———– Correct Answer —
——– Metabolic Acidosis
Kussmal Respirations ———– Correct Answer ———- Metabolic Acidosis ( Remember
MacKussmal
Before measuing ABGs you should check what? ———– Correct Answer ———-
Allen’s test. Should be positive. Pt makes a fist and pressure is applied to the ulnar and
the radial arteries Ulnar pressure is released and color should return in 7 seconds
(means it’s positive and OK to take ABG’s).
1 \/ 4
Definition of Compensation ———– Correct Answer ———- PH is normal! It is never
compensated if it is abnormal.
If PH normal ———– Correct Answer ———- look in the direction it is going. Closer to
Acidic? (7.35) acidosis.
Then look at Bicarb & figure out which is abnormal. If Bicarb is out of range, it’s
metabolic acidosis.
If C02 is abnormal, it’s Respiratory Acidosis \ud83d\ude42
If your pt is acidotic and you need to pick a symptom ———– Correct Answer ———-
Pick the symptom where everything is DOWN. ( And vice Versa)
Ex: 2 degree Morbitz Type 2 BLOCK. <—- Down direction
If you don’t know what causes an acid base balance, pick ———– Correct Answer ——
—- Metabolic Acidosis
If in doubt in ABGs, always pick ———– Correct Answer ———- Headache, nausea,
weakness & numbness+ tingling. It can be either up or down.
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.
Don’t suction unless ———– Correct Answer ———- Coughing & deep breathing is
deemed inappropriate.
In order to suction, you must be able to hear ———– Correct Answer ———- Mucus in
the lung
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
2 \/ 4
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
Answer ———- Low
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.
First question to ask if the low pressure alarm sounds ———– Correct Answer ———-
Where is the tubing?!
HOLD ———– Correct Answer ———- H- High Pressure
O- Obstruction
L- Low
D- Disconnections
Never put anything in YOUR scope of practice ———– Correct Answer ———- On
anyone else
Make sure your answer is ———– Correct Answer ———- PATIENT FOCUSED.
TAKE CARE OF YOUR PATIENT!
Don’t answer based on staff, building, machine, etc.
PATIENT FIRST.
What does wean mean? ———– Correct Answer ———- Decrease Gradually
What do you do if the patients disconnected tube is on the chest? ———– Correct
Answer ———- Reconnect \u2026 if its above the waist its ok.
Remember is PSYCH if you are asked to Prioritize, Don’t forget ———– Correct
Answer ———- MASLOW!<\/p>\n\n\n\n

    \n
  1. Physiological<\/li>\n\n\n\n
  2. Safety<\/li>\n\n\n\n
  3. Comfort – Includes pain<\/li>\n\n\n\n
  4. Psychological<\/li>\n\n\n\n
  5. Social<\/li>\n\n\n\n
  6. Spiritual
    When prioritizing, always use Maslow + ABCs ———– Correct Answer ———- For one
    patient. Don’t if you have more than one patient.
    3 \/ 4
    What is the biggest problem in abuse? ———– Correct Answer ———- Denial
    To treat denial you need to? ———– Correct Answer ———- Confront them.
    Definition of Denial ———– Correct Answer ———- Refusal to accept reality of their
    problem
    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
    Always go ———– Correct Answer ———- Med surg first. Then Psych
    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.
    Say NO and follow through.
    Agree in advance on what requests are allowed, then enforce the agreement.
    Work on self esteem 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
    Answer ———- Because no one likes being manipulated.
    DABDA ———– Correct Answer ———- D- Denial
    A- Anger
    B- Bargaining
    D- Depression
    A- Acceptance https:\/\/learnexams.com\/<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    If the pH and the BiCarb are both in the same direction then it is? ———– CorrectAnswer ———- MetabolcIf the pH is up it is? ———– Correct Answer ———- AlkalosisAs the pH goes so goes my patient except for? ———– Correct Answer ———-PotassiumIf the pH is down it is? ———– Correct Answer ———- AcidosisIf the […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-114827","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/114827","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=114827"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/114827\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=114827"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=114827"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=114827"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}