NR-507 FINAL STUDY GUIDE

1.        Acid base imbalance

NR-507 FINAL STUDY GUIDE

➢        While checking arterial blood gas results, a nurse finds respiratory acidosis. What does the nurse suspect is occurring in the patient?

reduced tidal volumes

➢        A 20-year-old male is in acute pain. An arterial blood gas reveals decreased carbon dioxide (CO2) levels. Which of the following does the nurse suspect is the most likely cause?

Hyperventilation

➢        The nurse is assessing a client with suspected respiratory acidosis. Which assessment items are priority for the nurse to collect?

Rate and depth of respirations, Skin color and temperature, Appearance of the optic nerve

o The nurse is administering sodium bicarbonate to the client with respiratory acidosis. The nurse understands that which is the primary goal of treatment for this client?

Removing excess acids in blood

➢        The student nurse is assisting in the care for a client with acute respiratory acidosis. The nurse explains to the student nurse that the client's blood pH initially falls in the development of acute respiratory acidosis because of which process?

Hypoventilation

2.        ACTH

➢        The nurse is preparing a client for testing to determine if the client has Cushing syndrome. What tests are included in the screening process

24-hour urine secretion of cortisol Dexamethasone suppression test Plasma levels of ACTH