Medical Surgical Nursing Test #2
Questions and Correct Answers the
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A client has a history of alcoholism, has been vomiting large amounts and has diarrhea. He
has ECG changes, dysrhythmias, tremors and neuromuscular hyperirritability with hyperactive
deep tendon reflexes. This client has __________________ electrolyte imbalance.
✓ hypomagnesaemia
An elderly client has recently been prescribed a loop diuretic for the management of CHF and
is experiencing polyuria and diaphoresis. She is weak and fatigued with N&V, has
paresthesia, decreased deep tendon reflexes and dysrhythmias. This client has
__________________________ electrolyte imbalance.
✓ hypokalemia
A client has a diagnosis of multiple myeloma. Upon med review, the client has found to be
taking thiazide diuretics and excessive amounts of vitamin D. Signs and symptoms are bone
pain, N&V, depressed (hypoactive) reflexes and lethargy. This client has
_______________________ electrolyte imbalance.
✓ hypercalcemia
A client has a history of alcoholism and anorexia nervosa. She is assessed and found to be
weak and confused with shallow respirations. She reports muscular and bone pain making
ambulation difficult. This client has ____________________ electrolyte imbalance
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✓ hypophosphatemia
A client's fluid status is easily best determined by monitoring daily weight - True or False
✓ True
A patient has hypernatremia and will require a(n) ____________ solution for management.
✓ Hypotonic
A patient has cerebral edema. A(n) _________________ solution will be given.
✓ Hypertonic
A patient is diagnosed with dehydration. A(n) _____________ solution will be given to
maintain fluid & electrolyte balance
✓ Isotonic
Normal Values for: Potassium
✓ 3.5-5 mmol/l
Normal Values for: Calcium
✓ 2.5-2.74 mmol/l
Normal Values for: Sodium
✓ 135-145 mmol/l
Normal Values for: Phosphate
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✓ 0.8-1.5 mmol/l
Normal Values for: Magnesium
✓ 0.75-1.25 mmol/l
Normal Values for: Chloride
✓ 110-114 mmol/l
Trousseau's sign is a sign/symptom of ______________ and is described as
______________________________________________________
✓ hypocalcemia
✓ carpopedal spasms that result from ischemia
Chovstek's sign is a sign/symptom of _______________ and is described as
__________________________________________________
✓ hypocalcemia
✓ contraction of facial muscle in response to a light tap over the facial nerve in front of the
ear.
What are the major cations + and anions- in the ECF and the ICF?
✓ Cation: calcium, potassium, sodium, and magnesium
✓ Anion: chloride, carbonates, aminoacetates, phosphates, and iodide
What is ICF?
✓ intracellular fluid, fluid inside a cell
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