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Exam (elaborations)

week 5:Pathophysiology Week 5 NR283: NR283

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week 5:Pathophysiology Week 5 NR283: NR283

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week 5:Pathophysiology Week 5 NR283: NR283

What occurs during osmosis?



Water moves from an area of lower solute concentration to area of higher solute concentration

Sodium ions move through a semipermeable membrane

Water moves from an area of higher solute concentration to an area of lower solute concentration

Chloride ions follow the movement of sodium ions to a region of low concentration - ANSWER:Water
moves from an area of lower solute concentration to area of higher solute concentration

What is the difference is osmotic pressure between the two bottles of cola below?



The osmotic pressure is the same between both bottles

The bottle on the right has higher osmotic pressure

There is no osmotic pressure

The bottle on the left has lower osmotic pressure - ANSWER:The osmotic pressure is the same between
both bottles

Which hormones will the body use when there is too much fluid (fluid overload) or too little fluid
(dehydration)? (Select all that apply.)



Atrial natriuretic peptide

Aldosterone

Anti-diuretic hormone

Oxytocin - ANSWER:Atrial natriuretic peptide

Aldosterone

Anti-diuretic hormone

The hormones aldosterone and ADH both have an important function in which aspect of homeostasis?



Stimulation of a conscious desire for water

The regulation of acid concentration in the body

,The activity of buffer systems

Fluid balance in the body - ANSWER:Fluid balance in the body

When the osmoreceptors detect a decreased blood volume and increased blood concentration of salt
what function increases in the body?



Secretion of saliva

Progesterone secretion

Kidney activity

Thirst - ANSWER:thirst

Other than measuring fluid intake and output, how can fluid changes be accurately measured in the
body? (Select all that apply.)



Urinary frequency

Weight

Blood pressure

EKG

Fluid challenge - ANSWER:Urinary frequency

weight

Identify whether the signs and symptoms below relate to mild/moderate, or severe dehydration.



Thirst

Dry, warm skin

Feeling dizzy

Muscle cramps

Sunken eyes

Dry or sticky mouth

Dry, cool skin

Fainting

Rapid heartbeat - ANSWER:Mild to Moderate:

, Thirst, muscle cramps, dry or sticky mouth, dry, cool skin



Severe:

Dry, warm skin, feeling dizzy, sunken eyes, fainting, rapid heartbeat

Match the type of dehydration with the correct definition below. - ANSWER:Isotonic - The interpretation
of the patient's lab work indicated they lose fluid and electrolytes equally.

Hypotonic - The interpretation of the patient's lab work indicated they lost more electrolytes than fluid
were lost.

Hypertonic - The interpretation of the patient's lab work indicated they lost more fluid than electrolytes
were lost.

Why are babies and older adults at higher risk of dehydration? Select all that apply.



Older adults are not focused

Both babies and older adults lack fluid reserves in the body

Babies cry a lot

Babies' inability to vocalize

Decreased thirst sensation in older adults - ANSWER:Both babies and older adults lack fluid reserves in
the body

Babies' inability to vocalize

Decreased thirst sensation in older adult

Based on what you know about - ANSWER:Hypertonic

Based on the assessment data below, what hypothesis can be made about her underlying condition?



She should eat at home more often.

Her diet contains too much sodium.

She has food poisoning.

She is dehydrated. - ANSWER:She is dehydrated

Which external signs of severe dehydration would you look for in this patient? (Select all that apply.)



Confusion
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