CMSRN Exam(question n answers)2023

CMSRN ExamExamples of third spacing - correct answer Ascites, edema, burn Dilutional Hyponatremia - correct answer Excessive fluid intake Edema, confusion, weight gain Treatment: decrease fluid intake "swells, rings tight" True Hyponatremia - correct answer Loss of fluid and Na Weight loss, DRY, hypotensive, tachy, DEHYDRATED Tx: replace both sodium and water Hypernatremia Causes - correct answer Fevern unresponsive to traditional interventions, Na IV fluids, DI, tube feeds Hypernatremia Symptoms - correct answer DRY, thirst, tachy, oliguria(compensating) Hypernatremia treatment - correct answer Decrease Na and replace fluids Cl - correct answer Acts like Na Buffer to maintain pH Hyperkalemia Causes - correct answer Cell wall destruction Increased intake K sparing diuretics Renal failure Acidosis Hyperkalemia symptoms - correct answer Irritable muscles Dysrhythmias Hyperactive bowels/bladder- diarrhea, frequency, urgency Hyperkalemia tx - correct answer Limit intake Kayexalate Ca gluconate IV glucose Dialysis Hypokalemia Causes - correct answer Vomiting Diarrhea NG suction Decreased PO Burns K wasting diuretics Hypokalemia Symptoms - correct answer Muscle flaccidity- not there to stimulate Weakness Constipation Alkalosis-resps Shallow Resps Cardiac arrest