NURS 2873 Exam 3 Questions with Complete Solutions Normal blood pH - Correct Answers ✅7.35-7.45 Normal PaO2 - Correct Answers ✅80-100 mmHg Normal PaCO2 - Correct Answers ✅35-45 mmHg Normal HCO3 - Correct Answers ✅22-26 mEq/L Causes of metabolic acidosis - Correct Answers ✅DKA, severe diarrhea, renal failure, alcohol intoxication, thyroid storm Causes of respiratory acidosis - Correct Answers ✅COPD, drug overdose, atelectasis, pneumonia, pulmonary edema, emphysema Causes of respiratory alkalosis - Correct Answers ✅Hyperventilation, sepsis, asthma Causes of metabolic alkalosis - Correct Answers ✅severe vomiting, excessive GI suctioning, diuretics, excessive NaHCO3 Normal blood glucose levels - Correct Answers ✅70-99 mg/dL 1 / 4
NURS 2873 Exam 3 Questions with Complete Solutions Signs of hypoglycemia - Correct Answers ✅Reduced cognition, tremors, diaphoresis, weakness, hunger, headache, irritability, seizures Signs of hyperglycemia - Correct Answers ✅Polyuria, polydipsia, polyphagia, dehydration, fruity smelling breath, Kussmaul respirations, weight loss, hunger, poor wound healing Meds that affect glucose regulation - Correct Answers ✅insulin, oral hypoglycemic agents, corticosteroids, estrogen, ACE inhibitors, β-blockers, potassium-depleting diuretics, bronchodilators, antipsychotics, and many antibiotics.Renal disease in diabetes - Correct Answers ✅Significant loss of albumin in the urine (300 mcg/dL) indicates renal damage CRP in diabetes - Correct Answers ✅Often elevated in diabetes DKA - Correct Answers ✅The combination of hyperglycemia, ketosis, and acidosis leads to dehydration, and fluid resuscitation and insulin therapy are required to correct this state. Other symptoms include abdominal pain, 2 / 4
NURS 2873 Exam 3 Questions with Complete Solutions vomiting, poor skin turgor, tachycardia, and hypotension.Stress or illness is a frequent trigger for DKA.Hyperosmolar Hyperglycemic Nonketotic Syndrome - Correct Answers ✅Hyperosmolar hyperglycemic nonketotic syndrome (HHNS) is a state characterized by hyperglycemia, hyperosmolarity, and dehydration without acidosis. Occurs in older adults.
HHNS labs - Correct Answers ✅Labs:
BG >600-1200 Elevated serum & urine glucose test Ketones absent Potassium (K) normal or high Marked increase serum test 330-380 osmolality ---this should be 275-295 !!!Na, Cl, Mg, Po4 wnl Cushing syndrome cause - Correct Answers ✅Excess corticosteroid secretion Cushing syndrome symptoms - Correct Answers ✅hyperglycemia, elevated blood pressure, hypokalemia, central fat distribution, dark purple striae, ruddy facial 3 / 4
NURS 2873 Exam 3 Questions with Complete Solutions complexion, hirsutism, weight gain, easy bruising, and muscle weakness.Triage - Correct Answers ✅Means "to sort" Basic premise of triage - Correct Answers ✅Treating patients with a threat to life faster than other patients Emergency severity index (ESI) - Correct Answers ✅5-level triage system that incorporates concepts of illness severity and resource use (e.g., electrocardiogram [ECG], laboratory tests, radiology studies, IV fluids) to determine who should be treated first. The ESI includes a triage algorithm that directs you to assign an ESI level to patients coming into the ED ESI-1 - Correct Answers ✅the stage at which a patient has a life-threatening condition and needs immediate treatment.Should be seen by HCP immediately.ESI-2 - Correct Answers ✅The stage at which a patient needs immediate treatment, but is not dying. Should be seen by HCP within 10 mins.ESI-3 - Correct Answers ✅The state at which a patient is not critically ill, but needs several resources, must have normal vitals. Patient must by seen by HCP within an hour
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