University:
American Career College
Course:
NURS-113 | Beginning Medical/Surgical Nursing
Academic year:

2019
Views:

464

Pages:

3
Author:

ilikemyicons0y5

MedSurg Question 1 You are caring for a 63-year-old female who was admitted with shortness of breath. On assessment, the patient appears drowsy and is on 10L of oxygen via a mask. Interpret the following ABG results: pH: 7.29 PaCO2: 68 mmHg HCO3–: 26 mEq/L respiratory acidosis with no compensation Question 2 A 48-year-old male has been admitted with a 24 hour history of abdominal distention and profuse vomiting. A CT scan reveals a large mass causing bowel obstruction. Interpret the following ABG results: pH: 7.50 PaCO2: 41 mmHg HCO3-: 29 mEq/L metabolic alkalosis with no compensation Question 3 A 17-year-old patient present with complaints of a tight feeling in their chest, shortness of breath as well as some tingling in their fingers and around their mouth. They have no significant past medical history and are not on any regular medication. Interpret the following ABG results: pH: 7.49 PaCO2: 24 mmHg HCO3–: 20 mEq/L respiratory alkalosis with partial compensation Question 4 A 24-year-old medical student has just returned from his elective in Ghana. In the last few days, he has developed severe diarrhea. On assessment, he is very dehydrated and tachypneic. Interpret the following ABG results: pH: 7.32 PaCO2: 30 mmHg HCO3-: 13 mEq/L metabolic acidosis with partial compensation Question 5 A 56-year-old man was found unconscious at home with a respiratory rate of 6 breaths per minute and pinprick pupils. Interpret the following ABG results: pH: 7.31 PaCO2: 53 mmHg HCO3-: 22 respiratory acidosis with no compensation Question 6 You have an order to administer 75 mL of an antibiotic over 45 mins. Drop factor: 20 gtt/mL. At what rate in gtt/min would you regulate the IV? Enter your numerical answer only. 33 Question 7 Order: D5 ½ NS at 50 mL/hr. The drop factor is a microdrop. Calculate the flowrate in gtt/min. Enter your numerical answer only. 50 Question 8 A client is receiving 500 mL of D5W infusing at 20 gtt/min. Drop factor: 15 gtt/mL. How many hours will it take for the IV to infuse? Round to the nearest whole number. Enter your numerical answer only. 6 Question 9 20 mEq of potassium chloride is placed in 500 mL of D5W to be administered at a rate of 3 mEq/hr. At what rate in mL/hr should the IV infuse? Enter your numerical answer only. 75 Question 10 The volume in a bag of PRBC is 350 mL. The nurse started the infusion at 2mL/min for the first 15 mins. After 15 mins there are no signs of a transfusion reaction. The nurse adjusts the flow rate on the IV pump to infuse the remaining volume over the next 3 hours. What is the rate on the IV pump? 107 mL/hr because an IV pump is always set as mL per HOUR not minute