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NURS 232 FLUID & ELECTROLYTES QUESTIONS WITH 100% CORRECT ANSWERS

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NURS 232 FLUID & ELECTROLYTES QUESTIONS WITH 100% CORRECT ANSWERS

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Total body water is __% of body weight, and formed components are __% of body
weight


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60, 40




Crystalloids


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, -Solutions containing fluid and electrolytes that are normally found in the
body
-Do not contain proteins (colloids)
-No risk for viral transmission, anaphylaxis, or alteration in coagulation
profile
-Better for treating dehydration rather than expanding plasma volume




Parts of a nephron


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Renal corpuscle → proximal convoluted tubule → nephron loop (aka, loop
of Henle) → distal convoluted tubule → collecting duct




Relationship of hydrogen and potassium ions


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-Buffering mechanism:
1. High H+ concentration in blood
2. More H+ enter ISF
3. More H+ enter cell and displace K+ from cell
4. More K+ diffuse into blood
5. High K+ concentration in blood
(Acidosis → hyperkalemia)


-Conversely, alkalosis tends to move more potassium into the cells →
hypokalemia




Causes of hypocalcemia

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-PTH deficiency
-Intestinal malabsorption
-Chronic renal failure
-Vitamin D deficiency
-Medications (diuretics, antacids)




Tonicity


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The osmotic pressure or tension of a solution




Atrial natriuretic peptide role in the kidneys


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-Increases GFR by altering pressure in the glomerular capillaries
-Reduces the reabsorption of sodium in the distal convoluted tubules
through inhibition of ADH
-Reduces renin secretion, inhibiting the RAAS
◦Result = fluid loss from the extra cellular compartment and lowered blood
pressure




Hyperchloremia


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, Excessive sodium chloride intake




Treatment of dehydration


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-Depends on cause
◦Rehydration
◦Assessments
◦Daily weights
◦I & O
◦Lab values
◦Increased fluids




If hyponatremia is dilutional from excess water (hypervolemic hyponatremia),
manifestations include...


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weight gain, edema, ascites, and jugular vein distension




Isotonic solutions


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Same osmolality both in and out of the cell so there is no movement of
water

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