Review BREAKOUT

Exam #1 ReviewBreakout

Practice for the exam by collecting the code to successfully care for a patient with GI, acid-base, and fluid and electrolyte disurbances.

GO!

Index

Collect all the numbers by completing each of the challenges, and enter them in order in the final section to finish the game.

Introduction

Reward

01 Quiz

02 Find!

03 Correct image

INTRODUCTION

start

QUIZ

Complete the following quiz, and getthe first number towards your reward!

QUIZ

question 1/5

PH 7.48 PaCo2 22 HCO3 20 What is the acid base Imbalance?

Uncompensated Respiratory Alkalosis

Partially Compensated Metabolic Alkalosis

Partially Compensated Respiratory Alkalosis

next

RIGHT!

QUIZ

Explanation:1. The PH is high so it is alkalosis2. The PaCo2 is low so it is respiratory3. There is compensation because bicarb is low4. The PH is still out of range so it is partially comensated

question 2/5

PH 7.36 PaCo2 33 HCo3 20 What is the acid-base imbalance?

Fully Compensated Metabolic Acidosis

Partially Compensated Metabolic Acidosis

Fully Compensated Respiratory Acidosis

QUIZ

NEXT

RIGHT!

QUIZ

Explanation:1. PH is normal but more acidotic2. The HCo3 is more acidic - metabolic3. The respiratory system is trying to compensate by being more basic (breathing faster)4. The PH is normal so it is fully compensated

QUESTION 3/5

PH 7.37 PaCo2 44 HCo3 24What is the acid-base imbalance?

Normal ABG

Fully Compensated Respiratory Acidosis

Fully Compensated Metabolic Acidosis

QUIZ

NEXT

RIGHT!

QUIZ

Explanation:The PH, PaCo2, and HCo3 are all in normal range..

QUESTION 4/5

PH 7.55 PaCo2 45 HCo3 30What is the acid-base imbalance?

Partialy Compesated Metaoic Alkalosis

Uncompensated Metabolic Alkalosis

Uncompensated Respiratory Alkalosis

QUIZ

NEXT

RIGHT!

QUIZ

Explanation:1. The PH is high so it is alkalosis2. The bicarb is high so it is metabolic3. The respiratory is normal so it is uncompensated.

QUESTION 5/5

Which of the following patients would the nurse suspect to have this ABG: PH 7.20, PaCo2 52, PaO2 85 HCo3 22

Patient with NGT hooked up to suction

Patient receiving too much Morphine for pain

Patient who is in renal failure

QUIZ

NEXT

RIGHT!

QUIZ

Explanation:This is respiratory acidosis. The cause of respiratory acidosis is holding on to excess hydrogen ions (Acid). Because the patient has received too mush of an opioid he/she is lethargic with a decreased respiratory rate and can't get rid of the Co2.

Wrong!That was good attempt. Please try again. You have got this!

ERROR!

TRY AGAIN

QUIZ

FIND!

From among all the statements you discover,click only on the correct ones

START

CLICK ONLY ON THE CORRECT STATEMENT 1/3

You can drag the light to search through the darkness

Clinical signs of fluid volume deficit are distended neck veins, bounding pulse, dry mucous membrannes, and shortness of breath.

Treat hypokalemia with Insulin and D50

The nurse would expect a patient with FVE to have hemoconcentration (Elevated HCT)

Weight is one of the best measurements of fluid volume status

CLICK ONLY ON THE CORRECT STATEMENT 2/3

You can drag the light to search through the darkness

Signs and symptoms of Hypokalemia include sizures, change in mental status, headache, and irritability

Hyperkalemia cn cause digitalis toxicity

Trousseau Sign indicated hypercalcemia

One of the priorities for a patient with a pottassium imbalance is to place the patient on an EKG monitor

When Calcium is elevated so is Phosphorous

RIGHT!

CLICK ONLY ON THE CORRECT STATEMENT 3/3

You can drag the light to search through the darkness

Sodium deficits only occur in hypervolemia

Patients diagnosed with renal failure are at risk for abnormally low levels of electrolytes

Magnesium and pottassium have an inverse relationship

Calcium, Magnesium, and pottasium are all electrolytes that are essential for heart function

Patients with acidosis are at risk for hypokalemia

RIGHT!

ERROR!

Wrong!That statement is incorrect

TRY AGAIN

CORRECT IMAGE

Choose the correct image

start

Which assessment has top priority for a patient with fluid volume excess? Why?

RIGHT!

The nurse knows that which of these conditions puts the patient most at risk for peritonitis?

RIGHT!

What lab must be checked prior to administering electrolyes?

RIGHT!

Which meal would the nurse suggest for a post gastroduodenal resection to prevent dumping syndrome?

RIGHT!

Which electrolyte disturbance can cause seizures and neurological changes?

ERROR!

TRY AGAIN

START

serieS

Choose the correct shape in the series

7

GREAT!

THE FIRST NUMBER IS:

BACK TO INDEX

0

GREAT!

THE SECOND NUMBER IS:

BACK TO INDEX

92

GREAT!

THE THIRD NUMBER IS:

BACK TO INDEX

ENTER THE SECRET CODE

Congratulations!

You've won the priize. You are one step closer to succeeding on the first exam of the semester! Keep studying!! You have got this!!