PDN22_INC_L3_Laboratory_result_analysis_Finalized (1)

Created by Ant

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A common symptom of respiratory acidosis is ___, which can lead to drowsiness and dizziness.

Click to see answer

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headache

Click to see question

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Metabolic and Respiratory Disorders

A common symptom of respiratory acidosis is ___, which can lead to drowsiness and dizziness.

headache

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Acid-Base Balance

In respiratory acidosis, the pH of the lungs is ___ while PCO2 is increasing.

decreasing

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Integrative Nursing Care

Nursing management for respiratory acidosis includes monitoring the client's ___ signs.

vital

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Acid-Base Balance

For severe respiratory acidosis, ___ may be necessary to assist with breathing.

mechanical ventilation

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Acid-Base Balance

To address respiratory alkalosis, the primary goal is to slow the ___ rate.

breathing

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Acid-Base Balance

If anxiety is causing respiratory alkalosis, patients may need to be encouraged to ___ their breathing.

slow

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Acid-Base Balance

In cases of pain-induced rapid breathing, providing ___ can help alleviate the issue.

pain relief

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Acid-Base Balance

Breathing into a paper bag helps patients with respiratory alkalosis by allowing them to rebreathe ___, which raises its level in the blood.

CO2

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Acid-Base Balance

To treat metabolic acidosis, it is important to correct the ___ cause.

underlying

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Acid-Base Balance

For a diabetic patient with metabolic acidosis, it is crucial to control blood ___ and ___ levels.

glucose, insulin

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Acid-Base Balance

If metabolic acidosis is mild, administering ___ fluid may be sufficient.

I.V.

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Acid-Base Balance

In cases of severe metabolic acidosis, ___ bicarbonate may be given.

I.V.

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Acid-Base Balance

Metabolic alkalosis often results from an electrolyte ___ that needs to be corrected.

imbalance

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Acid-Base Balance

To correct metabolic alkalosis, it is important to replace fluid, ___, and potassium.

sodium

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Metabolic and Respiratory Disorders

Type 1 respiratory failure is characterized by ___ (PaO2 < 8 kPa) and ___ (PaCO2 < 6.0 kPa).

hypoxaemia, normocapnia

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Haematologic Studies

A decrease in WBC can be caused by ___, bone marrow failure, or autoimmune disease.

Drug toxicity

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Coagulation Tests

Coumarin-type drugs, such as ___, cause a decrease in the production of prothrombin and other factors.

Warfarin

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Coagulation Tests

The change in the PT takes several days to reach the desired ___.

INR

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Coagulation Tests

Serious bleeding or immediate reversal of anticoagulation may be treated with ___ concentrated clotting factors or FFP.

IV

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Liver Function Tests

Alanine transaminase (___) is a cytosol enzyme specific to the liver.

ALT

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Liver Function Tests

Aspartate transaminase (___) is a mitochondrial enzyme present in heart, muscle, kidney, and brain.

AST

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Liver Function Tests

ALT and AST are present in hepatocytes and leak into blood with ___ cell damage.

liver

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Liver Function Tests

Serological screening tests establish whether liver ___, infection, or obstruction is present.

inflammation

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Liver Function Tests

The reference range for ALT is ___ unit/L.

4 – 36

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Liver Function Tests

The reference range for AST is ___ unit/L.

10 – 40

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Liver Function Tests

The reference range for ALP is ___ units/L.

30 – 120

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Liver Function Tests

Total protein reference range is ___ g/dL.

6.4 – 8.3

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Liver Function Tests

The reference range for Albumin is ___ g/L.

35 – 50

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Liver Function Tests

Globulin reference range is ___ g/L.

23 – 34

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Liver Function Tests

Total bilirubin reference range is ___ μmol/L.

1.71 – 20.5

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Liver Function Tests

The reference range for Direct bilirubin is ___ µmol/L.

< 5.1

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Liver Function Tests

Indirect bilirubin reference range is ___ μmol/L.

3.4 – 12.0

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Liver Function Tests

Alkaline phosphatase (ALP) is primarily found in the tissues of the ___, bone, intestine, kidneys, and placenta.

liver

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Laboratory Result Analysis

Haemolytic anemia is associated with increased levels of ___ bilirubin.

unconjugated (indirect)

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Laboratory Result Analysis

Extensive liver metastasis can lead to increased levels of ___ bilirubin.

conjugated (direct)

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Laboratory Result Analysis

Gallstones are a common disorder that can cause increased levels of ___ bilirubin.

conjugated (direct)

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Laboratory Result Analysis

Cirrhosis is associated with increased levels of ___ bilirubin.

unconjugated (indirect)

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Renal Function Tests

Renal function tests are used to evaluate the severity of ___ disease.

kidney

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Renal Function Tests

Renal function tests assess the client's ___ function.

kidney

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Renal Function Tests

Common tests of renal function include serum creatinine and ___ clearance.

creatinine

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Renal Function Tests

Blood urea nitrogen is a common test of renal function along with serum creatinine and ___ clearance.

creatinine

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Renal Function Tests

The reference range for creatinine (Cr) in males is ___ to ___ µmol/L.

53, 106

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Renal Function Tests

The reference range for blood urea nitrogen (BUN) is ___ to ___ mmol/L.

3.6, 7.1

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Renal Function Tests

The creatinine clearance (CrCl) for females is ___ to ___ ml/min.

87, 107

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Renal Function Tests

The estimated glomerular filtration rate (eGFR) should be greater than ___ ml/min/1.73 m².

60

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Renal Function Tests

Creatinine (Cr) is a catabolic product of ___ phosphate.

creatine

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Renal Function Tests

Creatinine is excreted entirely by the ___.

kidneys

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Renal Function Tests

An elevation in Cr suggests ___ of the disease process.

chronicity

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Renal Function Tests

A doubling of Cr suggests a ___% reduction in GFR.

50

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Renal Function Tests

The Cr level is interpreted in conjunction with the ___ test.

BUN

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Renal Function Tests

Abnormal elevation in creatinine may indicate renal disorders such as ___ or acute tubular necrosis.

glomerulonephritis

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Renal Function Tests

Slight increases in creatinine level can occur after meals, especially after ingestion of large quantities of ___.

meat

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Renal Function Tests

Blood urea nitrogen (BUN) measures the amount of ___ in the blood.

urea nitrogen

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Renal Function Tests

Urea is formed in the liver as the end product of ___ metabolism.

protein

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Renal Function Tests

BUN is directly related to the metabolic function of the liver and the excretory function of the ___.

kidney

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Renal Function Tests

Elevated BUN levels indicate a condition known as ___.

azotemia

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Renal Function Tests

Nearly all renal diseases cause inadequate excretion of urea, leading to a rise in blood urea concentration above ___.

normal

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Renal Function Tests

BUN is interpreted in conjunction with the ___ test.

Cr

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Renal Function Tests

Increased levels of renal function tests can be caused by ___ causes, ___ causes, and ___ causes.

prerenal, renal, postrenal

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Renal Function Tests

One prerenal cause of increased renal function test levels is ___ .

Hypovolemia

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Renal Function Tests

A renal cause of increased renal function test levels is ___ .

Renal diseases

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Renal Function Tests

The CrCl test requires a ___-hour urine collection and serum Cr level.

24

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Renal Function Tests

The 24-hour urine collection is considered too ___ and expensive for routine clinical use.

time-consuming

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Renal Function Tests

GFR can be estimated (eGFR) using serum Cr, age, and numbers that vary depending on ___ and ___.

sex and ethnicity

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Renal Function Tests

Increased levels of CrCl can be caused by ___ and ___.

exercise, pregnancy

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Renal Function Tests

Decreased levels of CrCl may indicate ___ kidney function, such as renal artery atherosclerosis or glomerulonephritis.

impaired

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Renal Function Tests

Conditions causing decreased GFR include congestive heart failure and ___ with ascites.

cirrhosis

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Renal Function Tests

High cardiac output syndromes, such as ___, can lead to increased levels of CrCl.

sepsis

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Acid-Base Balance

Electrolytes assist with the regulation of ___ balance.

water

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Acid-Base Balance

Electrolytes are essential for ___ activity.

neuromuscular

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Acid-Base Balance

One of the functions of electrolytes is to regulate and maintain ___ balance.

acid-base

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Acid-Base Balance

Common electrolytes include Na+, Cl-, and ___.

Mg2+

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Acid-Base Balance

___ is listed as a common electrolyte along with Potassium, Phosphates, and Proteins.

Ca2+

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Metabolic and Respiratory Disorders

A common symptom of hypokalemia includes ___ and vomiting.

nausea

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Metabolic and Respiratory Disorders

In hypokalemia, the ECG may show ___ T waves.

flattened

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Metabolic and Respiratory Disorders

Hypokalemia can result in ___ as a sign of low blood pressure.

↓BP

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Metabolic and Respiratory Disorders

Muscle weakness in hypokalemia can be associated with ___ cramps.

leg

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Metabolic and Respiratory Disorders

Headache can be a symptom of ___ .

Hyponatremia

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Metabolic and Respiratory Disorders

Anorexia can be a sign of ___ .

Hyponatremia

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Metabolic and Respiratory Disorders

Calcium (Ca2+) is essential for ___ nerve impulse transmission.

transmitting

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Metabolic and Respiratory Disorders

Calcium helps regulate ___ contraction and relaxation, including cardiac muscle.

muscle

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Metabolic and Respiratory Disorders

Calcium is instrumental in activating enzymes that stimulate many essential ___ reactions in the body.

chemical

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Metabolic and Respiratory Disorders

Calcium plays a role in ___ coagulation.

blood

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Metabolic and Respiratory Disorders

Hypoparathyroidism is a condition that can lead to ___ .

hypocalcemia

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Metabolic and Respiratory Disorders

One of the symptoms of hypocalcemia is ___ .

numbness

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Metabolic and Respiratory Disorders

Prolonged ___ interval is an ECG finding in hypocalcemia.

QT

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Metabolic and Respiratory Disorders

Massive transfusion of citrated blood can lead to ___ .

hypocalcemia

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Metabolic and Respiratory Disorders

Generalized peritonitis can cause ___ .

hypocalcemia

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Metabolic and Respiratory Disorders

Diuretic phase of kidney injury may result in ___ .

hypocalcemia

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Metabolic and Respiratory Disorders

Bronchospasm can be a sign of ___ .

hypocalcemia

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Acid-Base Balance

Phosphorous is the primary anion of the ___.

ICF

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Metabolic and Respiratory Disorders

Phosphorous is essential for the formation of ___ and 2,3-diphosphoglycerate.

adenosine triphosphate (ATP)

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Acid-Base Balance

Phosphorous helps maintain ___ balance, the nervous system, and intermediary metabolism.

acid-base

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Metabolic and Respiratory Disorders

Phosphorous provides structural support to ___ and ___.

bones, teeth

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Metabolic and Respiratory Disorders

Hyperphosphatemia can be caused by ___ kidney injury and chronic kidney disease.

acute

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Metabolic and Respiratory Disorders

One of the signs of hyperphosphatemia is ___, which is characterized by muscle spasms.

tetany

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Metabolic and Respiratory Disorders

Excessive intake of phosphorus and ___ can lead to hyperphosphatemia.

vitamin D

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Metabolic and Respiratory Disorders

A symptom of hyperphosphatemia includes ___ and vomiting.

nausea

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Metabolic and Respiratory Disorders

In hyperphosphatemia, muscle weakness can occur due to ___ levels of calcium.

low

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Metabolic and Respiratory Disorders

Soft tissue calcifications in the lungs, heart, kidneys, and cornea can be a sign of ___ .

hyperphosphatemia

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Metabolic and Respiratory Disorders

Signs and symptoms of hypophosphatemia include ___ and ___.

Paresthesia, Muscle weakness

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Metabolic and Respiratory Disorders

One cause of hypophosphatemia is ___ withdrawal.

Alcohol

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Metabolic and Respiratory Disorders

Refeeding syndrome after starvation consumes ___ .

PO43-

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Metabolic and Respiratory Disorders

A symptom of hypophosphatemia can be ___ pain and tenderness.

Bone

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Metabolic and Respiratory Disorders

Hypophosphatemia can lead to ___ failure.

Respiratory

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Metabolic and Respiratory Disorders

Diabetic ketoacidosis is a condition that can cause ___ .

Hypophosphatemia

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Metabolic and Respiratory Disorders

Signs of hypophosphatemia may include ___ and confusion.

Seizures

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Metabolic and Respiratory Disorders

Malabsorption can lead to ___ .

Hypophosphatemia

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Metabolic and Respiratory Disorders

Hyperparathyroidism is associated with ___ .

Hypophosphatemia

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Metabolic and Respiratory Disorders

A sign of hypophosphatemia is ___ .

Nystagmus

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Laboratory Result Analysis

When interpreting serum electrolyte reports, it is important to note that the laboratory report reflects only ___ levels.

serum

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Laboratory Result Analysis

The level of electrolytes in the serum is very close to electrolytes in the ___ fluid.

interstitial

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Integrative Nursing Care

Radiology uses ___ technology to diagnose and treat disease.

imaging

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Integrative Nursing Care

Diagnostic radiology allows us to see ___ inside your body.

structures

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Integrative Nursing Care

Using imaging, a radiologist can diagnose the cause of your ___ .

symptoms

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Integrative Nursing Care

Radiology can monitor how well your body is responding to a ___.

treatment

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Integrative Nursing Care

One of the illnesses that can be screened for using radiology is ___ cancer.

breast

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Integrative Nursing Care

Radiology can also screen for ___ disease.

heart

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Laboratory Result Analysis

X-rays are a form of electromagnetic radiation that can ___ the human body.

penetrate

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Laboratory Result Analysis

X-rays are absorbed by materials in differing amounts based on their ___ and ___.

density, composition

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Laboratory Result Analysis

Bone absorbs X-rays well due to its ___ density.

high

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Laboratory Result Analysis

Soft tissue has a ___ density, thus absorbs fewer X-rays.

lower

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Laboratory Result Analysis

A ___ image is produced from X-ray imaging.

2D

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Laboratory Result Analysis

To determine the projection of a chest X-ray, check the position of the ___ and ___.

scapulae, clavicles

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Laboratory Result Analysis

If the scapulae overlie the lung field, the film is ___ projection.

anteroposterior (AP)

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Laboratory Result Analysis

If the scapulae do not overlie the lung field, the film is ___ projection.

posteroanterior (PA)

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Integrative Nursing Care

When checking orientation on a chest x-ray, do not assume the heart is always on the ___.

left

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Integrative Nursing Care

To identify rotation in a chest x-ray, the medial ends of the clavicles should be equidistant from the ___ process.

spinous

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Integrative Nursing Care

If one clavicle is nearer than the other on a chest x-ray, the patient is ___.

rotated

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Integrative Nursing Care

In assessing a chest x-ray, the medial ends of the clavicles should be aligned with the ___ of the vertebral column.

spinous processes

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Laboratory Result Analysis

In a chest X-ray, the vertebral bodies should only be visible through the ___ shadow at the lower part of the cardia.

cardiac

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Arterial Blood Gas (ABG) Interpretation

The degree of inspiration is determined by counting the number of ribs ___ the diagram.

above

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Arterial Blood Gas (ABG) Interpretation

The midpoint of the right hemidiaphragm should be between the ___ and ___ ribs anteriorly.

5th, 7th

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Arterial Blood Gas (ABG) Interpretation

The cardiothoracic ratio (CTR) should be between ___ and ___.

0.42, 0.50

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Arterial Blood Gas (ABG) Interpretation

The maximum diameter of the heart is less than half of the ___ diameter.

transthoracic

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Arterial Blood Gas (ABG) Interpretation

Any abnormally dense areas of the transthoracic shadow may indicate ___ issues.

cardiac

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Metabolic and Respiratory Disorders

The most common cause of gas under the diaphragm is ___ perforation.

hollow viscous

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Laboratory Result Analysis

The chest X-ray shows the lungs appearing mostly clear with some possible ___ in the lower regions.

opacities

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Laboratory Result Analysis

The X-ray indicates that the mediastinum appears normal in ___.

width

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Laboratory Result Analysis

A possible ___ tube is visible running down the esophagus in the chest X-ray.

nasogastric

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Laboratory Result Analysis

The ECG cable is shown coming from the patient's right shoulder across the chest and is highlighted in ___.

blue

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Laboratory Result Analysis

The findings on the X-ray indicate that the penetration is ___.

OK

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Laboratory Result Analysis

The X-ray identifies a foreign body, including an ET tube about the ___.

carina

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Laboratory Result Analysis

The X-ray is labeled as ___ on the right side of the chest.

PORTABLE

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Laboratory Result Analysis

The X-ray is taken in the ___ view.

AP

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Laboratory Result Analysis

The right internal jugular central line is noted as a foreign body in the chest X-ray along with the ___ cable.

ECG

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Laboratory Result Analysis

A CT scan is a ___, noninvasive x-ray procedure.

painless

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Laboratory Result Analysis

CT scans have a unique capability of distinguishing minor differences in the ___ of tissue.

density

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Laboratory Result Analysis

During a CT scan examination, the detectors are both ___ around the body.

rotating

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Laboratory Result Analysis

CT scans can acquire ___ images.

multiple

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Laboratory Result Analysis

A CT scan provides a ___ image of an organ or structure.

3D

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Integrative Nursing Care

MRI uses powerful magnets and ___ waves to create pictures of the body.

radio

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Integrative Nursing Care

MRI is considered ___ because it does not use radiation.

noninvasive

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Integrative Nursing Care

MRI provides better contrast between normal and abnormal tissue than ___ scan.

CT

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Laboratory Result Analysis

Angiograms can be used to assess the arteries of the ___, heart, lung, kidneys, or lower extremities.

brain

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Laboratory Result Analysis

An EEG is a test used to measure the ___ activity of the brain.

electrical

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Laboratory Result Analysis

EEG is useful in diagnosing ___ disorders.

seizure

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Laboratory Result Analysis

One of the conditions evaluated by EEG is ___ syndrome.

organic brain

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Laboratory Result Analysis

EEG can help in the determination of ___ death.

brain

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Metabolic and Respiratory Disorders

During normal sleep, brainwaves are relatively ___ and have a lower amplitude.

smoother

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Metabolic and Respiratory Disorders

Brainwaves during an absence seizure are characterized by ___ spikes and increased amplitude.

sharp

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Metabolic and Respiratory Disorders

The brain activity during an absence seizure is described as ___ compared to normal sleep.

disturbed

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Acid-Base Balance

To determine respiratory status, one must assess pH, PaCO₂, and ___.

PaO₂

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Acid-Base Balance

The kidneys can regulate the pH by excreting ___ and controlling serum bicarbonate through reabsorption.

H+

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Acid-Base Balance

It takes the kidneys ___ days to restore the pH to normal.

Several

p.14
Acid-Base Balance

To determine metabolic acid-base balance, one must assess pH, PaCO2, HCO3, and ___.

BE

p.15
Acid-Base Balance

In metabolic alkalosis, the pH is ___ and HCO3- is ___.

alkalotic, alkalotic

p.15
Acid-Base Balance

In metabolic acidosis, the pH is ___ and HCO3- is ___.

acidotic, acidotic

p.15
Acid-Base Balance

An example of metabolic alkalosis is when the pH is ___ and HCO3- is ___.

7.5, 32 mmol/L

p.15
Acid-Base Balance

An example of metabolic acidosis is when the pH is ___ and HCO3- is ___.

7.32, 19 mmol/L

p.16
Acid-Base Balance

A negative base excess (BE) indicates ___ acidosis.

metabolic

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Acid-Base Balance

A positive base excess (BE) indicates ___ alkalosis.

metabolic

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Acid-Base Balance

Base excess (BE) reflects the number of ___ available in the blood to help buffer changes in pH.

anions

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Acid-Base Balance

If the pH value is less than ___, it indicates acidosis.

7.35

p.17
Acid-Base Balance

If the pH value is greater than ___, it indicates alkalosis.

7.45

p.17
Acid-Base Balance

In primary respiratory causes, pH and PCO2 move in ___ directions.

opposite

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Acid-Base Balance

In primary metabolic causes, pH and HCO3- move in ___ direction.

same

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Acid-Base Balance

One type of acid-base imbalance is ___ acidosis.

Respiratory

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Acid-Base Balance

One type of acid-base imbalance is ___ alkalosis.

Respiratory

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Acid-Base Balance

One type of acid-base imbalance is ___ acidosis.

Metabolic

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Acid-Base Balance

One type of acid-base imbalance is ___ alkalosis.

Metabolic

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Acid-Base Balance

Respiratory acidosis is characterized by the accumulation of ___ in the body.

CO2

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Acid-Base Balance

The accumulation of CO2 leads to the production of ___ acid.

carbonic

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Metabolic and Respiratory Disorders

Clinical manifestations of respiratory acidosis include ___ respiration, decreased BP, and skin/mucosa that is pale to cyanotic.

Rapid, Shallow

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Acid-Base Balance

Lung compensation occurs for ___ causes.

metabolic

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Acid-Base Balance

To treat respiratory acidosis, it is important to improve ___.

ventilation

p.24
Acid-Base Balance

In cases of respiratory acidosis, administering ___ can help improve breathing.

bronchodilators

p.33
Haematologic Studies

The reference value for Lymphocytes is ___ x 10^9/L.

0.9 - 3.4

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Haematologic Studies

The reference value for Platelets in adults is ___ x 10^9/L.

150 - 420

p.34
Haematologic Studies

An increase in Hb may indicate ___, congenital heart disease, or severe dehydration.

Erythrocytosis

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Coagulation Tests

A decreased level of aPTT may occur in the early stage of ___.

DIC

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Coagulation Tests

Extensive cancer can lead to a ___ level of aPTT.

decreased

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Coagulation Tests

An aPTT greater than ___ seconds indicates that too much heparin is being given.

100

p.40
Coagulation Tests

The effect of heparin can be reversed by ___ sulfate.

protamine

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Coagulation Tests

Heparin's effect is immediate and ___ lived, unlike that of warfarin.

short

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Coagulation Tests

Heparin prevents intravascular clotting during ___ of the vessels.

clamping

p.41
Coagulation Tests

If the PT is greatly prolonged, evaluate the patient for ___ tendencies.

bleeding

p.41
Coagulation Tests

Common disorders for prolonged PT include ___ disease.

liver

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Coagulation Tests

A common disorder for prolonged PT is ___ biliary disease.

obstructive

p.41
Coagulation Tests

Hereditary factor deficiency can include Factors ___, ___, ___ or ___.

II, V, VII, X

p.41
Coagulation Tests

A deficiency in ___ can lead to prolonged PT.

Vitamin K

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Coagulation Tests

___ is a condition that can cause prolonged PT.

DIC

p.41
Coagulation Tests

Massive ___ transfusion can result in prolonged PT.

blood

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Renal Function Tests

Decreased muscle mass will result in ___ CrCl values.

lower

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Acid-Base Balance

If more CO₂ is retained, it leads to more carbonic acid and shifts toward ___.

acidosis

p.13
Acid-Base Balance

Hyperventilation results in less carbonic acid and shifts toward ___.

alkalosis

p.13
Acid-Base Balance

The lungs can shift the pH of the blood within a few ___.

minutes

p.2
Laboratory Result Analysis

Upon completion of the lecture, students will be able to analyse the value of laboratory data including ___, CBC, Coagulation test, Liver function test, Renal function test, and common measured electrolytes.

ABG

p.2
Laboratory Result Analysis

Students will understand the basic principle of interpretation of ___ X-ray.

chest

p.2
Laboratory Result Analysis

Students will describe the basic principle of common ___ tests.

diagnostic

p.3
Laboratory Result Analysis

Judging the value of laboratory data requires assessing the ___ of the test and the contextual ___.

credibility, relevance

p.3
Laboratory Result Analysis

A sudden change in laboratory values is of greatest concern when there is a ___ in the patient's condition.

deterioration

p.3
Laboratory Result Analysis

Clients may exhibit more symptoms with an abruptly changed result compared to those with a ___ change in data due to the body's adaptation.

chronic

p.3
Laboratory Result Analysis

When judging the value of laboratory results, one must consider the ___ that may affect the results.

factors

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Laboratory Result Analysis

Clients with abnormal laboratory results may exhibit a ___ of symptoms that can provide insight into their condition.

pattern

p.3
Laboratory Result Analysis

Other assessment data that suggest a changed laboratory result may include ___ and ___ findings.

clinical, historical

p.3
Laboratory Result Analysis

Factors that may change patterns in laboratory results include ___, ___, and ___ changes.

medication, lifestyle, environmental

p.5
Blood Gas Analysis

Blood gas analysis is used to evaluate ___ function.

respiratory

p.5
Acid-Base Balance

Blood gas analysis provides a measure to determine - balance.

acid-base

p.5
Acid-Base Balance

The integration of respiratory, renal, and cardiovascular system functions is essential to maintain normal - balance.

acid-base

p.5
Blood Gas Analysis

Different types of blood gases include Arterial blood gases (ABG), venous blood gases (VBG), capillary blood gases, and ___ blood gases.

cord

p.5
Metabolic and Respiratory Disorders

Abnormal blood gas findings can indicate a ___ or ___ disorder.

respiratory, metabolic

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Renal Function Tests

A postrenal cause of increased renal function test levels is ___ .

Ureteral obstruction

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57
58
Renal Function Tests

___ is a prerenal cause that can lead to increased renal function test levels.

Shock

p.56
57
58
Renal Function Tests

___ is a prerenal cause associated with increased renal function test levels due to fluid loss.

Burns

p.56
57
58
Renal Function Tests

___ is a prerenal cause that can lead to increased renal function test levels due to insufficient blood volume.

Dehydration

p.56
57
58
Renal Function Tests

___ is a prerenal cause that can lead to increased renal function test levels due to heart issues.

Congestive heart failure

p.56
57
58
Renal Function Tests

___ is a prerenal cause that can lead to increased renal function test levels due to infection.

Sepsis

p.56
57
58
Renal Function Tests

___ is a renal cause that can lead to increased renal function test levels due to medication effects.

Nephrotoxic drugs

p.56
57
58
Renal Function Tests

___ is a postrenal cause that can lead to increased renal function test levels due to blockage in the urinary tract.

Bladder outlet obstruction

p.57
56
58
Renal Function Tests

CrCl is a measure of the ___ of the kidney.

glomerular filtration rate (GFR)

p.57
56
58
Renal Function Tests

The ability of the nephron to act as a filter affects the ___ of CrCl.

amount of blood available to be filtered

p.57
56
58
Renal Function Tests

When one kidney becomes diseased, the other kidney can compensate by increasing its ___ rate.

filtration

p.95
Laboratory Result Analysis

Angiograms are indicated for the diagnosis of ___, stenosis, emboli, thrombosis, aneurysms, tumors, congenital malformation, or trauma.

occlusions

p.20
Metabolic and Respiratory Disorders

Monitoring the client's ___ is essential to assess the impact of metabolic acidosis on their health.

vital signs

p.21
Metabolic and Respiratory Disorders

Excessive acid loss in metabolic alkalosis can occur due to ___ vomiting.

repeated

p.21
Acid-Base Balance

In metabolic alkalosis, bicarbonate retention leads to an increase in ___ levels.

base

p.21
Metabolic and Respiratory Disorders

Clinical manifestations of metabolic alkalosis include ___, lethargy, and confusion.

restlessness

p.21
Metabolic and Respiratory Disorders

A common symptom of metabolic alkalosis is ___, which can lead to muscle cramps and tingling of fingers and toes.

hypokalemia

p.21
Acid-Base Balance

In metabolic alkalosis, the pH level is typically ___, indicating alkalosis.

increased

p.21
Integrative Nursing Care

Nursing management for metabolic alkalosis includes monitoring the client's ___ signs.

vital

p.21
Integrative Nursing Care

It is important to monitor the client's ___ status in cases of metabolic alkalosis.

neurological

p.21
Integrative Nursing Care

Monitoring the client's ___ intake and output is crucial in managing metabolic alkalosis.

fluid

p.21
Metabolic and Respiratory Disorders

In metabolic alkalosis, the heart rate may be affected, leading to potential ___.

dysrhythmias

p.21
Integrative Nursing Care

Nursing management for metabolic alkalosis includes assessing motor function and sensation in the ___ .

extremities

p.21
Laboratory Result Analysis

Laboratory results should be monitored and reported ___ in cases of metabolic alkalosis.

timely

p.21
Integrative Nursing Care

Administering medications and intravenous fluid as prescribed is part of the nursing management for ___ .

metabolic alkalosis

p.22
Acid-Base Balance

An increase in pH indicates a condition that is ___ and can be caused by disorders such as alkali ingestion and vomiting.

Alkalotic

p.22
Acid-Base Balance

A decrease in pH indicates a condition that is ___ and is associated with disorders like asthma and cardiac disease.

Acidotic

p.22
Acid-Base Balance

An increase in PCO2 can be seen in conditions such as late-stage asthma and ___ disorders.

respiratory

p.22
Acid-Base Balance

A decrease in PCO2 may occur in early-stage asthma and ___ due to hyperventilation.

dysrhythmias

p.22
Acid-Base Balance

An increase in PO2 is often a result of ___ and hyperbaric oxygen exposure.

hyperventilation

p.22
Acid-Base Balance

A decrease in PO2 can be associated with acute respiratory distress syndrome (ARDS) and ___ disorders.

cardiac

p.23
Acid-Base Balance

In cases of metabolic acidosis, the primary problem is a ___ in HCO3.

decrease

p.23
Acid-Base Balance

For metabolic acidosis, the compensation observed is a ___ in PaCO2.

decrease

p.23
Acid-Base Balance

In metabolic alkalosis, the primary problem is an ___ in HCO3.

increase

p.23
Acid-Base Balance

For metabolic alkalosis, the compensation observed is an ___ in PaCO2.

increase

p.23
Acid-Base Balance

In respiratory acidosis, the primary problem is an ___ in PaCO2.

increase

p.23
Acid-Base Balance

For respiratory acidosis, the compensation observed is an ___ in [HCO3].

increase

p.23
Acid-Base Balance

In respiratory alkalosis, the primary problem is a ___ in PaCO2.

decrease

p.23
Acid-Base Balance

For respiratory alkalosis, the compensation observed is a ___ in [HCO3].

decrease

p.23
Acid-Base Balance

Renal compensation occurs for ___ causes.

respiratory

p.6
Arterial Blood Gas (ABG) Interpretation

The Arterial Blood Gas (ABG) test assesses the ability of the lung to provide adequate ___ and remove ___, which reflects ventilation.

oxygen, carbon dioxide

p.6
Acid-Base Balance

The ABG test evaluates the ability of the kidneys to absorb or excrete ___ ions to maintain normal body ___.

bicarbonate, pH

p.7
Acid-Base Balance

The purpose of arterial blood gas analysis includes assessing ___ balance.

acid-base

p.7
Arterial Blood Gas (ABG) Interpretation

Arterial blood gases are used to evaluate the ___ status.

oxygenation

p.7
Arterial Blood Gas (ABG) Interpretation

One of the purposes of arterial blood gas analysis is to identify abnormalities of ___.

ventilation

p.8
Acid-Base Balance

Venous Blood Gas (VBG) provides data on ___ delivery and ___ consumption.

oxygen, oxygen

p.8
Acid-Base Balance

VBG reflects the balance between the amount of oxygen used by tissues and organs and the amount of oxygen returning to the ___ side of the heart in the blood.

right

p.8
Acid-Base Balance

VBG is recommended to guide goal-directed therapy in postoperative patients at risk for ___ instability.

haemodynamic

p.8
Acid-Base Balance

Using VBG may decrease ___ and ___ in patients with septic shock.

morbidity, mortality

p.8
Acid-Base Balance

VBG can help identify ___ hypoxia in patients.

tissue

p.9
Acid-Base Balance

The pH in blood gas analysis measures the concentration of ___ ion.

hydrogen

p.9
Acid-Base Balance

PaCO2 represents the partial pressure of ___ in the blood.

carbon dioxide

p.9
Acid-Base Balance

PaO2 indicates the partial pressure of ___ in the blood.

oxygen

p.9
Acid-Base Balance

HCO3 is a ___ value in blood gas analysis.

calculated

p.9
Acid-Base Balance

Base excess (BE) measures the amount of acid/base needed to titrate plasma pH back to ___.

7.4

p.9
Acid-Base Balance

HCO3 is the main buffer in ___ fluid.

extracellular

p.9
Acid-Base Balance

Base excess reflects the metabolic capacity of bases such as HCO3 and ___ in blood gas analysis.

PO4

p.9
Acid-Base Balance

The actual HCO3 value is affected by ___ and respiratory conditions.

metabolic

p.9
Acid-Base Balance

Base excess indicates the net excess or deficit of ___.

HCO3

p.10
Arterial Blood Gas (ABG) Interpretation

The normal pH range for arterial blood is ___ to ___.

7.35, 7.45

p.10
Arterial Blood Gas (ABG) Interpretation

The PCO2 level in arterial blood should be between ___ and ___ kPa.

4.6, 6.0

p.10
Arterial Blood Gas (ABG) Interpretation

The normal PO2 range for venous blood is ___ to ___ kPa.

2.7, 6.5

p.10
Arterial Blood Gas (ABG) Interpretation

HCO3- levels in arterial blood typically range from ___ to ___ mmol/L.

22, 26

p.10
Arterial Blood Gas (ABG) Interpretation

The base excess (BE) in arterial blood is typically between ___ to ___ mmol/L.

-2, +2

p.10
Arterial Blood Gas (ABG) Interpretation

O2 saturation in arterial blood should be between ___% and ___%.

95, 99

p.11
Acid-Base Balance

Every organ system relies on ___ balance.

pH

p.11
Acid-Base Balance

The two main modulators of pH balance are the ___ system and ___ system.

pulmonary, renal

p.11
Acid-Base Balance

The pulmonary system adjusts pH by ___ dioxide.

carbon

p.11
Acid-Base Balance

The renal system affects pH by reabsorbing ___ and excreting acids.

bicarbonate

p.12
Acid-Base Balance

The main buffer system in the body is the ___ – ___ acid system.

Bicarbonate, carbonic

p.12
Acid-Base Balance

The reaction involving carbonic acid and bicarbonate is represented as ___ + ___ ↔ H₂CO₃ ↔ H⁺ + HCO₃⁻.

CO₂, H₂O

p.12
Acid-Base Balance

The enzyme that facilitates the acid-base balance mechanism is ___ anhydrase.

Carbonic

p.13
Acid-Base Balance

The level of PaCO₂ is primarily controlled by the ___.

lungs

p.13
Acid-Base Balance

During exhalation, carbon dioxide is exhaled into the ___.

environment

p.18
Metabolic and Respiratory Disorders

Signs of respiratory distress to observe include restlessness, anxiety, confusion, and ___.

tachycardia

p.18
Integrative Nursing Care

To assist a patient with ventilation in respiratory acidosis, it is important to elevate the head of the bed in ___ position if no contraindication.

high Flower's

p.18
Metabolic and Respiratory Disorders

In respiratory acidosis, the patient may experience muscle weakness and ___.

hyperreflexia

p.18
Acid-Base Balance

In respiratory acidosis, the HCO3 level is typically indicated as ___.

N

p.19
Acid-Base Balance

In respiratory alkalosis, excessive ___ is blown off due to hyperventilation.

CO2

p.19
Metabolic and Respiratory Disorders

A clinical manifestation of respiratory alkalosis includes ___ of extremities.

numbness and tingling

p.19
Acid-Base Balance

In respiratory alkalosis, the rate and depth of breathing are ___ (increased/decreased).

increased

p.19
Integrative Nursing Care

One of the nursing management strategies for respiratory alkalosis is to encourage the client to breathe ___.

slowly

p.19
Arterial Blood Gas (ABG) Interpretation

In respiratory alkalosis, the PaCO2 level is typically ___ (increased/decreased).

decreased

p.19
Metabolic and Respiratory Disorders

A common symptom of respiratory alkalosis is ___, which can lead to muscle cramping and seizures.

anxiety

p.19
Acid-Base Balance

The pH level in respiratory alkalosis is typically ___ (normal/increased).

increased

p.19
Integrative Nursing Care

Nursing management for respiratory alkalosis includes monitoring the client's ___ signs.

vital

p.19
Arterial Blood Gas (ABG) Interpretation

In respiratory alkalosis, the HCO3 level is typically ___ (normal/increased).

normal

p.19
Metabolic and Respiratory Disorders

A patient with respiratory alkalosis may experience ___ due to hyperventilation.

tachycardia

p.20
Metabolic and Respiratory Disorders

Tissue hypoperfusion produces ___ acid in metabolic acidosis.

lactic

p.20
Metabolic and Respiratory Disorders

Common clinical manifestation of metabolic acidosis includes ___ and ___ near the stomach.

Nausea, Vomiting

p.20
Acid-Base Balance

In severe acidosis, the body may exhibit ___ respirations as a compensatory mechanism.

Kussmaul

p.20
Metabolic and Respiratory Disorders

Monitoring the client's ___ status is crucial in managing metabolic acidosis.

neurological

p.20
Arterial Blood Gas (ABG) Interpretation

In metabolic acidosis, the pH level is expected to be ___ according to ABG values.

decreased

p.20
Metabolic and Respiratory Disorders

The nursing management for metabolic acidosis includes monitoring the client's ___ and output.

fluid intake

p.20
Acid-Base Balance

Deep and laborious respiratory compensation is a response to ___ in metabolic acidosis.

acidosis

p.20
Arterial Blood Gas (ABG) Interpretation

In metabolic acidosis, the HCO3 level is expected to show a ___ trend.

decrease

p.20
Metabolic and Respiratory Disorders

The presence of ___ is common in diabetic ketoacidosis (DKA), leading to metabolic acidosis.

hyperglycemia

p.36
Coagulation Tests

Activated partial thromboplastin time (aPTT) is a more sensitive version of the PTT and is used to monitor the patient's response to ___ therapy.

heparin

p.37
Coagulation Tests

The International Normalized Ratio (___) is the patient's prothrombin time (PT) ratio and the normal mean PT time raised to the power of the international sensitivity index.

INR

p.37
Coagulation Tests

The INR is a measure of the sensitivity of the specific tissue factor used in the test, as compared with a ___ standard.

World Health Organization

p.37
Coagulation Tests

INR is the preferred reporting to monitor patients on ___ antagonist therapy.

vitamin K

p.38
Coagulation Tests

The reference value for aPTT is ___ seconds.

28.2 - 37.4

p.38
Coagulation Tests

The reference value for PT is ___ seconds.

9.5 - 12

p.38
Coagulation Tests

The reference value for INR is ___ to ___.

0.8 - 1.1

p.39
Coagulation Tests

Increased levels of aPTT can indicate ___ factor deficiencies, such as von Willebrand disease.

congenital clotting

p.39
Coagulation Tests

Cirrhosis of the liver can lead to an ___ level of aPTT.

increased

p.39
Coagulation Tests

Vitamin K deficiency is associated with an ___ level of aPTT.

increased

p.39
Coagulation Tests

Heparin administration can result in ___ levels of aPTT.

increased

p.26
Metabolic and Respiratory Disorders

Type 1 respiratory failure occurs due to ___ mismatch, where the volume of air flowing in and out of the lungs is not matched with the flow of blood to the lung tissue.

ventilation/perfusion (V/Q)

p.26
Metabolic and Respiratory Disorders

In Type 1 respiratory failure, the rise in PaCO2 triggers an increase in a patient's overall ___ ventilation.

alveolar

p.27
Metabolic and Respiratory Disorders

Type 2 respiratory failure is characterized by ___ (PaO2 < 8 kPa) and ___ (PaCO2 > 6.0 kPa).

hypoxaemia, hypercapnia

p.27
Metabolic and Respiratory Disorders

Type 2 respiratory failure occurs due to ___ hypoventilation, which affects oxygenation and CO2 elimination.

alveolar

p.27
Metabolic and Respiratory Disorders

Increased resistance from airway obstruction, such as ___, can lead to hypoventilation in Type 2 respiratory failure.

COPD

p.27
Metabolic and Respiratory Disorders

Reduced compliance of lung tissue can be caused by conditions like ___ or rib fractures.

pneumonia

p.27
Metabolic and Respiratory Disorders

A condition that can reduce the strength of respiratory muscles, contributing to Type 2 respiratory failure, is ___ disease.

motor neuron

p.27
Metabolic and Respiratory Disorders

Drugs that act on the respiratory center, such as ___, can reduce overall ventilation and lead to Type 2 respiratory failure.

opiates

p.29
Haematologic Studies

Haematology is the study of ___ and ___ in health and in disease.

blood, blood-forming organs

p.29
Haematologic Studies

The most common tests used in haematology are the complete blood count (CBC), the ___, and ___ profile.

peripheral blood smear, clotting

p.30
Haematologic Studies

The WBC test in a CBC is used to help diagnose ___, certain cancers of the blood, and inflammatory diseases.

infection

p.30
Haematologic Studies

The RBC test in a CBC is used to watch for ___ and infection.

blood loss

p.30
Haematologic Studies

The platelet count in a CBC is used to diagnose or to watch certain types of ___ and clotting disorders.

bleeding

p.30
Haematologic Studies

The PT test in a clotting profile is used to evaluate ___ and clotting disorders.

bleeding

p.30
Haematologic Studies

The PTT test in a clotting profile is used to watch ___ therapies.

anticoagulation

p.30
Haematologic Studies

The INR is used in conjunction with PT and PTT to monitor ___ therapies.

anticoagulation

p.31
Haematologic Studies

The CBC identifies the total number of blood ___, WBC and Platelets (Plt), Haemoglobin (Hb), and Haematocrit (Hct).

RBC

p.31
Haematologic Studies

RBCs are filled with ___, which has a strong affinity for oxygen.

Hb

p.31
Haematologic Studies

The composition of blood includes ___% plasma, ___% white blood cells and platelets, and ___% red blood cells.

55, 4, 41

p.32
Haematologic Studies

WBC counts involve the numerical reporting of the total number of ___.

WBCs

p.32
Haematologic Studies

The WBC differential cell count describes and classifies the white cell components including ___, lymphocytes, monocytes, eosinophils, and basophils.

neutrophil

p.32
Haematologic Studies

Eosinophils are associated with ___ mechanisms.

allergic and parasitic response

p.32
Haematologic Studies

Basophils contain ___ and ___.

histamine, heparin

p.32
Haematologic Studies

Monocytes are primarily involved in ___.

phagocytosis

p.32
Haematologic Studies

Lymphocytes are responsible for the secretion of ___.

antibodies

p.33
Haematologic Studies

The reference value for Hemoglobin (Hb) in males is ___ g/dL.

14.0 - 18.0

p.33
Haematologic Studies

The reference value for Hemoglobin (Hb) in females is ___ g/dL.

11.5 - 15.5

p.33
Haematologic Studies

The reference value for White Blood Cells (WBC) in adults is ___ x 10^9/L.

4.3 - 10.3

p.33
Haematologic Studies

The reference value for Neutrophils is ___ x 10^9/L.

1.6 - 7.5

p.33
Haematologic Studies

The reference value for Eosinophils is ___ x 10^9/L.

0.0 - 0.6

p.33
Haematologic Studies

The reference value for Basophils is ___ x 10^9/L.

0.0 - 0.3

p.33
Haematologic Studies

The reference value for Monocytes is ___ x 10^9/L.

0.0 - 1.2

p.34
Haematologic Studies

An increase in Platelet count may be associated with ___ tumors or a temporary increase after splenectomy.

Malignant

p.34
Haematologic Studies

Possible disorders associated with a decrease in Hb include anemia, cirrhosis, and ___ disease.

Renal

p.34
Haematologic Studies

Increased WBC count can be a sign of ___, leukemic neoplasia, or trauma.

Infection

p.34
Haematologic Studies

A decrease in Platelet count can occur after viral infections, AIDS, or ___ disorders.

haemolytic

p.34
Haematologic Studies

Severe dehydration can lead to an increase in ___ levels.

Hb

p.34
Haematologic Studies

Bone marrow failure may result in a decrease in both ___ and WBC counts.

Hb

p.34
Haematologic Studies

Trauma can cause an increase in ___ count.

WBC

p.34
Haematologic Studies

Taking heparin may lead to a decrease in ___ count.

Platelet

p.35
Haematologic Studies

An increase in neutrophils may indicate a ___ infection or ___.

bacterial, trauma

p.35
Haematologic Studies

A decrease in neutrophils can be associated with ___ diseases such as Hepatitis or ___.

viral, Influenza

p.35
Haematologic Studies

An increase in basophils is often linked to ___.

Leukaemia

p.35
Haematologic Studies

A decrease in basophils may result from ___ therapy or an ___ reaction.

corticosteroid, allergic

p.35
Haematologic Studies

Eosinophils increase in response to ___ reactions or ___ infestations.

allergic, parasitic

p.35
Haematologic Studies

A decrease in eosinophils can be caused by ___ therapy.

corticosteroid

p.35
Haematologic Studies

An increase in lymphocytes is commonly seen in ___ infections or chronic ___ infections.

viral, bacterial

p.35
Haematologic Studies

A decrease in lymphocytes can be indicative of ___ infection, particularly affecting the CD4 count.

HIV

p.35
Haematologic Studies

Monocytes may increase due to chronic ___ disease or ___.

inflammatory, Malaria

p.35
Haematologic Studies

A decrease in monocytes can occur due to injuries or infections such as ___ virus.

Epstein-Barr

p.36
Coagulation Tests

Coagulation tests are used to determine why a patient is ___, ___, or forming clots abnormally.

bleeding, bruising

p.36
Coagulation Tests

Prothrombin time (PT) measures the clotting ability of factors ___, ___, ___, ___, and ___.

I (fibrinogen), II (prothrombin), V, VII, X

p.36
Coagulation Tests

Partial thromboplastin time (PPT) is a nonspecific test that demonstrates a lack of any of the various clotting factors except factor ___.

VII

p.70
68
69
71
Metabolic and Respiratory Disorders

One cause of hypercalcemia is ___ disease.

Hyperparathyroidism

p.70
68
69
71
Metabolic and Respiratory Disorders

A symptom of hypercalcemia includes ___ weakness.

Muscular

p.70
68
69
71
Metabolic and Respiratory Disorders

Prolonged immobilization can lead to ___ levels of calcium in the blood.

high

p.70
68
69
71
Metabolic and Respiratory Disorders

Overuse of calcium supplements can result in ___.

hypercalcemia

p.70
68
69
71
Metabolic and Respiratory Disorders

A symptom of hypercalcemia is ___ and vomiting.

nausea

p.70
68
69
71
Metabolic and Respiratory Disorders

In hypercalcemia, patients may experience ___ deep tendon reflexes.

hypoactive

p.70
68
69
71
Metabolic and Respiratory Disorders

Lethargy is a sign of ___ levels of calcium in the blood.

high

p.70
68
69
71
Metabolic and Respiratory Disorders

Deep bone pain can be a symptom of ___ disease.

malignant neoplastic

p.70
68
69
71
Metabolic and Respiratory Disorders

ECG changes in hypercalcemia may include a shortened ST segment and ___ interval.

QT

p.70
68
69
71
Metabolic and Respiratory Disorders

Bradycardia and heart block can occur in patients with ___ levels of calcium.

high

p.71
68
69
70
Metabolic and Respiratory Disorders

Hypocalcemia can be caused by ___ deficiency.

Vitamin D

p.71
68
69
70
Metabolic and Respiratory Disorders

A sign of hypocalcemia includes ___ of fingers, toes, and circumoral region.

tingling

p.71
68
69
70
Metabolic and Respiratory Disorders

A positive ___ sign is associated with hypocalcemia.

Trousseau

p.46
47
49
Liver Function Tests

The highest concentrations of alkaline phosphatase (ALP) are found in the liver, biliary tract epithelium, and ___.

bone

p.46
47
49
Liver Function Tests

Extra- and intrahepatic cholestasis can occur with or without raised ___.

bilirubin

p.46
47
49
Liver Function Tests

The highest levels of alkaline phosphatase (ALP) result from primary biliary cirrhosis and hepatic ___.

metastases

p.47
46
49
Liver Function Tests

Total protein in liver function tests measures ___ and ___.

albumin, globulin

p.47
46
49
Liver Function Tests

Albumin helps maintain ___ osmotic pressure.

colloidal

p.47
46
49
Liver Function Tests

Globulin is classified into ___, ___, and ___.

alpha, beta, gamma

p.47
46
49
Liver Function Tests

One of the functions of albumin is to transport important blood constituents such as ___, ___, and ___.

drugs, hormones, enzymes

p.47
46
49
Liver Function Tests

Globulin helps fight ___ and move nutrients throughout the body.

infection

p.47
46
49
Liver Function Tests

Total protein is an important measure of ___.

nutrition

p.48
50
Laboratory Result Analysis

A low total protein level may indicate ___ disease.

Liver

p.48
50
Laboratory Result Analysis

Malnutrition can lead to ___ total protein levels.

low

p.48
50
Laboratory Result Analysis

High total protein levels may be associated with ___ myeloma.

Multiple

p.48
50
Laboratory Result Analysis

Celiac disease is an example of a condition that can cause ___ total protein levels.

low

p.48
50
Laboratory Result Analysis

An infection such as ___ can result in high total protein levels.

HIV

p.48
50
Laboratory Result Analysis

___ disease is a potential cause of low total protein levels due to malabsorption.

Crohn's

p.49
46
47
Liver Function Tests

There are ___ forms of bilirubin: prehepatic bilirubin and conjugated bilirubin.

2

p.49
46
47
Liver Function Tests

Prehepatic bilirubin is also known as ___ bilirubin.

unconjugated/indirect

p.49
46
47
Liver Function Tests

Bilirubin metabolism starts with the breakdown of ___ in the reticuloendothelial system.

RBCs

p.49
46
47
Liver Function Tests

Hemoglobin is released from RBCs and broken down into ___ and ___ molecules.

heme, globin

p.49
46
47
Liver Function Tests

Heme is catabolized to form biliverdin and then transforms into ___ bilirubin.

unconjugated (indirect)

p.49
46
47
Liver Function Tests

In the liver, indirect bilirubin is conjugated with a ___, resulting in conjugated bilirubin.

glucuronide

p.49
46
47
Liver Function Tests

Conjugated bilirubin is excreted from the liver cells into the ___ ducts.

bile

p.49
46
47
Liver Function Tests

After conjugation in the liver, bilirubin is transformed into ___ bilirubin.

conjugated (direct)

p.49
46
47
Liver Function Tests

Indirect bilirubin travels to the liver where it conjugates with glucuronide to form ___ bilirubin.

direct (conjugated)

p.49
46
47
Liver Function Tests

The final product of bilirubin metabolism is urobilinogen, which is excreted through ___ and ___.

stool, urine

p.50
48
Laboratory Result Analysis

Increased levels of conjugated (direct) bilirubin can be caused by ___, extrahepatic duct obstruction, and extensive liver metastasis.

Gallstones

p.50
48
Laboratory Result Analysis

Common disorders associated with increased levels of unconjugated (indirect) bilirubin include ___ disease of the newborn and haemolytic jaundice.

Haemolytic

p.50
48
Laboratory Result Analysis

A condition that can lead to increased levels of unconjugated bilirubin is ___-volume blood transfusion.

Large

p.50
48
Laboratory Result Analysis

Increased levels of conjugated bilirubin can result from ___ from drugs.

Cholestasis

p.50
Laboratory Result Analysis

One of the causes of increased unconjugated bilirubin is ___; it can also be seen in cases of sepsis.

Hepatitis

p.50
Laboratory Result Analysis

Neonatal ___ is a common disorder associated with increased levels of unconjugated bilirubin.

hyperbilirubinemia

p.61
62
Laboratory Result Analysis

Major electrolytes in the intracellular fluid (ICF) are ___ and ___.

potassium (K+), phosphate (PO4^3-)

p.61
62
Laboratory Result Analysis

The body expends a great deal of energy maintaining the high extracellular concentration of ___.

sodium (Na+)

p.61
62
Laboratory Result Analysis

More than 99% of the body calcium (Ca2+) is located in the ___; a small amount of Ca2+ is located outside in the serum.

skeletal system

p.61
62
Laboratory Result Analysis

Laboratories may report phosphorus level as ___ or ___ level.

phosphorus (P), phosphate (PO4^3-)

p.61
62
Laboratory Result Analysis

P is mainly an intracellular ___.

anion

p.62
61
Laboratory Result Analysis

The reference range for potassium is ___ to ___ mmol/L.

3.5 to 5.1 mmol/L

p.62
Laboratory Result Analysis

Sodium levels should be between ___ and ___ mmol/L.

135, 145

p.62
Laboratory Result Analysis

The normal range for calcium is ___ to ___ mmol/L.

2.20, 2.6

p.62
Laboratory Result Analysis

Phosphate reference values range from ___ to ___ mmol/L.

0.8, 1.60

p.63
64
65
Metabolic and Respiratory Disorders

Potassium (K+) is a major ___ within the cell.

cation

p.63
64
65
Metabolic and Respiratory Disorders

Potassium (K+) is important to ___ function.

cardiac

p.63
64
65
Metabolic and Respiratory Disorders

Routine evaluations of potassium levels are important for patients taking ___ or heart medication.

diuretics

p.63
64
65
Metabolic and Respiratory Disorders

Potassium has a profound effect on heart rate and ___.

contractility

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65
Metabolic and Respiratory Disorders

Minor changes in potassium concentration can have ___ consequences.

significant

p.63
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65
Metabolic and Respiratory Disorders

IV potassium is infused at a ___ rate to prevent irritation to the vein.

slow

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65
Metabolic and Respiratory Disorders

Serum K+ levels are affected by - balance.

acid-base

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65
Metabolic and Respiratory Disorders

In alkalotic states, potassium (K+) levels are ___ .

lower

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65
Metabolic and Respiratory Disorders

In acidotic states, potassium (K+) levels are ___.

raised

p.64
63
65
Metabolic and Respiratory Disorders

Hyperkalaemia can be caused by ___ or chronic renal failure.

acute

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65
Metabolic and Respiratory Disorders

One of the causes of hyperkalaemia is ___ injury to tissue.

crush

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63
65
Metabolic and Respiratory Disorders

Aldosterone-inhibiting diuretics, such as ___, can lead to hyperkalaemia.

spironolactone

p.64
Acid-Base Balance

During acidosis, H+ are driven from the blood into the cell, causing K+ to be expelled from the ___.

cell

p.64
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65
Metabolic and Respiratory Disorders

In dehydration, K+ becomes more ___ in the bloodstream.

concentrated

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65
Metabolic and Respiratory Disorders

A common sign of hyperkalaemia is ___ weakness.

muscle

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65
Metabolic and Respiratory Disorders

Tachycardia can progress to ___ in hyperkalaemia.

bradycardia

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65
Metabolic and Respiratory Disorders

Tall T waves in an ECG indicate possible ___ levels.

potassium

p.64
63
65
Metabolic and Respiratory Disorders

One symptom of hyperkalaemia is ___ paralysis.

flaccid

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63
65
Metabolic and Respiratory Disorders

Anxiety can be a sign of ___ levels in the body.

potassium

p.64
63
65
Metabolic and Respiratory Disorders

ECG changes in hyperkalaemia may include prolonged PR interval and ___ duration.

QRS

p.64
63
65
Metabolic and Respiratory Disorders

Ventricular dysrhythmias and cardiac arrest can occur due to ___ levels of potassium.

elevated

p.65
63
64
Metabolic and Respiratory Disorders

Hypokalemia can be caused by ___, which leads to increased potassium excretion.

renal artery stenosis

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63
64
Metabolic and Respiratory Disorders

One of the signs of hypokalemia is ___, which can lead to muscle weakness.

fatigue

p.65
68
Metabolic and Respiratory Disorders

One of the causes of hypokalemia is the administration of ___, which can lead to potassium loss.

diuretics

p.65
Metabolic and Respiratory Disorders

In hypokalemia, the presence of prominent ___ waves can be observed on an ECG.

U

p.65
Metabolic and Respiratory Disorders

Hypokalemia can be caused by ___ administration, which affects potassium levels.

insulin

p.65
Metabolic and Respiratory Disorders

A decrease in renal blood flow due to ascites stimulates the secretion of ___, increasing potassium excretion.

aldosterone

p.66
Electrolyte Balance

Sodium (Na+) is the major ___ in the extracellular space.

cation

p.66
Electrolyte Balance

Sodium salts are the major determinants of extracellular ___.

osmolality

p.66
Electrolyte Balance

An increase in serum Na+ pulls water into the vascular system from the ___ space and the ___.

interstitial, cell

p.66
Electrolyte Balance

Physiologically, water and sodium are closely ___.

interrelated

p.66
Electrolyte Balance

An increase in free body water leads to a dilution of serum Na+ and a ___ concentration.

decreased

p.66
Electrolyte Balance

When free body water decreases, serum Na+ concentration ___.

increases

p.66
Electrolyte Balance

The kidney compensates for increased serum Na+ concentration by conserving free ___.

water

p.66
Electrolyte Balance

A rise in serum Na+ level above normal indicates a serious deficit of ___.

water

p.67
Metabolic and Respiratory Disorders

Hypernatremia can occur due to ___ at high quantities of salt without adequate free water.

ingested

p.67
Metabolic and Respiratory Disorders

One sign of hypernatremia is ___, which indicates a lack of adequate hydration.

thirst

p.67
Metabolic and Respiratory Disorders

A symptom of hypernatremia includes a ___ body temperature.

elevated

p.67
Metabolic and Respiratory Disorders

Hypernatremia may lead to a ___ dry tongue and sticky mucous membranes.

swollen

p.67
Metabolic and Respiratory Disorders

One of the signs of hypernatremia is ___, which can indicate severe neurological effects.

hallucination

p.67
Metabolic and Respiratory Disorders

A common symptom of hypernatremia is ___, which can affect the patient's alertness.

lethargy

p.67
Metabolic and Respiratory Disorders

Restlessness can be a sign of ___ in patients with hypernatremia.

hypernatremia

p.67
Metabolic and Respiratory Disorders

Tonic-clonic seizures can occur as a severe symptom of ___.

hypernatremia

p.67
Metabolic and Respiratory Disorders

Nausea and vomiting are symptoms associated with ___.

hypernatremia

p.68
Metabolic and Respiratory Disorders

Hyponatremia can be caused by ___ diet Na+ intake.

Deficient

p.68
Metabolic and Respiratory Disorders

A sign of hyponatremia includes ___ skin.

Dry

p.68
Metabolic and Respiratory Disorders

Diarrhoea and ___ can lead to hyponatremia.

vomiting

p.68
65
Metabolic and Respiratory Disorders

Administration of ___ can cause hyponatremia.

Diuretics

p.68
Metabolic and Respiratory Disorders

Large-volume aspiration of pleural or peritoneal fluid can lead to ___ .

Hyponatremia

p.68
Metabolic and Respiratory Disorders

Excessive oral water intake is a cause of ___ .

Hyponatremia

p.68
Metabolic and Respiratory Disorders

Syndrome of Inappropriate Anti-diuretic hormone (SIADH) is associated with ___ .

Hyponatremia

p.68
Metabolic and Respiratory Disorders

A symptom of hyponatremia is ___ and vomiting.

Nausea

p.68
Metabolic and Respiratory Disorders

___ is a sign of hyponatremia that indicates a possible neurological issue.

Confusion

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70
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Metabolic and Respiratory Disorders

Muscle cramps and ___ can occur due to hyponatremia.

weakness

p.68
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70
71
Metabolic and Respiratory Disorders

A severe symptom of hyponatremia can be ___.

Seizures

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Metabolic and Respiratory Disorders

___ is a common symptom of hyponatremia that can affect daily activities.

Lethargy

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69
70
71
Metabolic and Respiratory Disorders

Dizziness can be a sign of ___ .

Hyponatremia

p.90
Integrative Nursing Care

Soft-tissue structures such as the heart and liver are more likely to be accurately characterized by MRI than other ___ methods.

imaging

p.90
Integrative Nursing Care

Implanted metal devices, like a ___, cannot undergo MRI due to the strong magnetic field.

pacemaker

p.90
Integrative Nursing Care

Transdermal patches containing foil should be ___ before undergoing MRI to prevent injury.

removed

p.90
Integrative Nursing Care

MRI provides ___ images of the body.

3D

p.92
Integrative Nursing Care

Ultrasonograms use high-frequency sound waves to create images of ___ and ___.

internal organs, tissues

p.92
Integrative Nursing Care

The echoes produced during an ultrasonogram are used by the computer to create ___.

sonograms

p.93
Laboratory Result Analysis

Contrast medium studies use ___ or ___ materials to improve visibility of internal structures.

dyes, contrast

p.93
Laboratory Result Analysis

Contrast materials help to ___, ___, or ___ parts of the body for clearer imaging.

outline, highlight, fill in

p.93
Laboratory Result Analysis

Contrast material can be administered by mouth, as an enema, as an injection, or through a ___.

catheter

p.93
Laboratory Result Analysis

Images from contrast medium studies can be captured on x-ray film or by a ___.

computer

p.94
Laboratory Result Analysis

In a T1 MRI without contrast, the lesion appears ___ compared to the surrounding brain tissue.

darker

p.94
Laboratory Result Analysis

After the administration of contrast in a T1 MRI, the lesion appears ___ and more defined.

brighter

p.94
Laboratory Result Analysis

The brain scans compare a T1 MRI with and without ___ for detecting lesions.

contrast

p.94
Laboratory Result Analysis

The images illustrate a single brain metastasis from ___ cancer.

breast

p.95
Laboratory Result Analysis

A ___ dye is injected into the blood vessels during an angiogram.

radiopaque

p.95
Laboratory Result Analysis

Fluoroscopy and ___ are used to assess the flow through the vessels in an angiogram.

x-ray

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Study Smarter, Not Harder