Med Surge Exam 4: Acid-Base Balance
29 Questions
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Med Surge Exam 4: Acid-Base Balance

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@SharpestClimax

Questions and Answers

What is the normal serum potassium level?

  • 4.5
  • 5.0 (correct)
  • 6.0
  • 3.5
  • Which of the following is a manifestation of hyperkalemia?

  • Abdominal cramps (correct)
  • Seizure
  • Increased deep tendon reflexes
  • Hypotension
  • What is the normal serum calcium level?

  • 10.2-12.2
  • 8.2-10.2 (correct)
  • 9.2-11.2
  • 7.2-9.2
  • What is a cause of hypomagnesemia?

    <p>Diarrhea</p> Signup and view all the answers

    What is a manifestation of hypocalcemia?

    <p>Smooth muscle spasms/twitching</p> Signup and view all the answers

    What is a nursing intervention for hyponatremia?

    <p>Seizure precaution</p> Signup and view all the answers

    What is a manifestation of hypernatremia?

    <p>Irritability</p> Signup and view all the answers

    What is a treatment for metabolic acidosis?

    <p>Treating underlying cause</p> Signup and view all the answers

    What is a nursing intervention for UTI?

    <p>Increased fluid intake</p> Signup and view all the answers

    What is urinary incontinence?

    <p>Involuntary or uncontrolled loss of urine</p> Signup and view all the answers

    What is a common treatment method for dysmenorrhea?

    <p>Combined oral contraceptive (Progesterone &amp; estrogen)</p> Signup and view all the answers

    Which of the following is NOT a method for the diagnosis of cervical cancer?

    <p>Digital rectal exam</p> Signup and view all the answers

    What is a common manifestation of Benign Prostatic Hyperplasia (BPH)?

    <p>Weak urine stream/decreased force</p> Signup and view all the answers

    What increases the risk of prostate cancer?

    <p>Prostate enlarges with age</p> Signup and view all the answers

    Which of the following is a normal finding in testicular cancer?

    <p>Testicles are darker in skin color than the rest of the body</p> Signup and view all the answers

    What is the recommended age for receiving the HPV prevention vaccine?

    <p>15-26 years</p> Signup and view all the answers

    What medication is commonly used to treat syphilis?

    <p>Penicillin</p> Signup and view all the answers

    How is menopause classified?

    <p>12 months of no vaginal bleeding</p> Signup and view all the answers

    What is cervical dysplasia?

    <p>Abnormal growth of cells on the surface of the cervix</p> Signup and view all the answers

    What does a pH level lower than 7.35 indicate?

    <p>Acidosis</p> Signup and view all the answers

    Which of these pH levels indicates respiratory alkalosis?

    <p>7.50</p> Signup and view all the answers

    What does a PCO2 level higher than 45 indicate?

    <p>Respiratory acidosis</p> Signup and view all the answers

    If HCO3 is increasing alongside pH, what does it indicate?

    <p>Metabolic problem</p> Signup and view all the answers

    Which is a common manifestation of hypovolemia?

    <p>Tachypnea</p> Signup and view all the answers

    What is the appropriate medical management for hypervolemia?

    <p>Fluid restriction</p> Signup and view all the answers

    What is a possible complication of hypervolemia?

    <p>Weight gain of 2lbs in 3 days</p> Signup and view all the answers

    Which nursing intervention is appropriate for a patient experiencing hypovolemia?

    <p>Skin turgor assessment</p> Signup and view all the answers

    What defines diffusion in a biological context?

    <p>Fluids moving from extracellular to intracellular</p> Signup and view all the answers

    What is the normal range for HCO3?

    <p>22-26</p> Signup and view all the answers

    Study Notes

    pH Ranges and Acid-Base Imbalance

    • pH range: 7.35-7.45
    • pH lower than 7.35: Acidosis
    • pH higher than 7.45: Alkalosis

    PCO2 Ranges and Respiratory Disorders

    • PCO2 range: 35-45
    • PCO2 opposite direction to pH: Respiratory disorder (Respiratory acidosis)
    • Respiratory acidosis: pH less than 7.35 and PCO2 higher than 45
    • Respiratory alkalosis: pH greater than 7.45 and PCO2 less than 35

    HCO3 Ranges and Metabolic Problems

    • HCO3 range: 22-26
    • HCO3 same direction as pH: Metabolic problem
    • Metabolic acidosis: Decreased pH, PCO2, HCO3
    • Metabolic alkalosis: Increased pH, PCO2, HCO3

    Fluid and Electrolyte Balance

    • Diffusion: Fluids move from extracellular to intracellular
    • Hypovolemia: Tachycardia, Tachypnea, dehydration, Low BP, Orthostatic hypotension
    • Hypovolemia medical management: IV isotonic solution (9% NS)
    • Hypovolemia nursing interventions: Fall precaution, Assist with ambulation, Monitor weight, Skin turgor assessment
    • Hypervolemia: Hypertension, Rapid peripheral pulses, Respiratory symptoms, Crackles in lungs
    • Hypervolemia medical management: Fluid restriction
    • Hypervolemia nursing interventions: Monitoring weight, Calculating/monitoring strict I&Os, Fall precaution

    Electrolyte Imbalance

    • Hypokalemia: Serum potassium level < 5.0
    • Hyperkalemia: ECG changes, Tall peaked T waves, Abdominal cramps, Muscle weakness, Diarrhea, Arrhythmia
    • Hyperkalemia interventions: Calcium gluconate IVP, Calcium administration, IV dextrose and insulin administration
    • Hypomagnesemia: Serum level < 1.6, Diarrhea
    • Hypomagnesemia nursing management: Referral to alcohol abstinence programs
    • Calcium normal values: 8.2-10.2
    • Calcium and potassium are heart sensitive

    Hyponatremia and Hypernatremia

    • Hyponatremia: Diuretics and seizure
    • Hyponatremia nursing interventions: Seizure precaution
    • Hypernatremia medical management: Limit sodium intake, Monitor daily weight

    Other Electrolyte Imbalance

    • Hypochloremia: Irritability, Hypotension, Tetany (Charlie horse)

    Metabolic Acidosis

    • Treatment: Treat underlying cause, Antidiarrheals
    • Nursing management: Decreased cardiac output related to severe metabolic state
    • Nursing interventions: Monitor hemodynamic status

    UTI and Incontinence

    • UTI manifestations: Dysuria, Dark foul-smelling urine
    • UTI nursing intervention: Increased fluid intake (2-3 liters per day)
    • Urinary incontinence: Involuntary or uncontrolled loss of urine in any amount

    Men's Health and Reproductive Health

    • Black cohosh: Menopause
    • Bladder cancer risk factor: Smoking
    • BPH manifestation: Weak urine stream/decreased force
    • BPH medications: Anticholinergic
    • BPH diagnosis: Digital rectal exam, Urinalysis to detect infection or blood
    • Prostate cancer risk factor: Prostate enlarges with age
    • Prostate cancer teaching: Signs of infection/fever
    • Testicular cancer normal finding: Testicles darker in skin color than the rest of the body
    • HPV increases the risk of: Cervical Cancer
    • HPV diagnosis: Pap test, Colposcopy
    • HPV nursing intervention assessment: Presence of genital warts
    • HPV teaching: Prevention vaccine recommended for age 15-26
    • Genital herpes manifestations: Fever, Headache
    • Genital herpes medication: Cannot be taken during pregnancy
    • Chlamydia may be asymptomatic but may result in: Dysuria
    • Gonorrhea risk factors: Low socioeconomic status, History of STI and PID, Multiple sex partners
    • Menopause classification: 12 months of no vaginal bleeding

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    Description

    This quiz covers the ranges and implications of pH, PCO2, and HCO3 in the human body, including acidosis and alkalosis. Test your knowledge of respiratory disorders and acid-base balance.

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