ELECTROLYTE QUESTIONS WITH
DETAILED VERIFIED ANSWERS
_______ solutions cause cell dehydration and help increase fluid
in the extracellular space.
A. Hypotonic
B. Osmosis
C. Isotonic
D. Hypertonic - correct answer- D. Hypertonic
________ fluids remove water from the extracellular space into
the intracellular space.
A. Hypotonic
B. Hypertonic
C. Isotonic - correct answer- A. Hypotonic
A patient comes in with intracranial pressure and a peer nurse
discusses administering a hypotonic solution and this raises
concern and room for further teaching? What do you explain to
the nurse about hypotonic solutions and the brain? - correct
,answer- Hypotonic solutions have the goal of getting
water into the cell. A hypotonic solution should not be
administered to a patient with intracranial pressure because you
will cause the brain to swell.
A patient has a potassium level of 2.0. What would you expect to
be ordered for this patient?
A. Potassium 30 meq IV push
B. Infusion of Potassium intravenously
C. An oral supplement of potassium
D. Intramuscular injection of Potassium - correct answer-
B. Infusion of Potassium intravenously
Infusion IV and oral are both appropriate for potassium intake,
but remember that IV is faster absorption (immediate)
A patient has a potassium level of 9.0. Which nursing
intervention is priority?
A. Prepare the patient for dialysis and place the patient on a
cardiac monitor
B. Administer Spironolactone
C. Place patient on a potassium restrictive diet
, D. Administer a laxative - correct answer- A. Prepare
the patient for dialysis and place the patient on a cardiac
monitor
A level of potassium at 9.0 is way past 5.0, meaning the patient
needs to be prepped for dialysis (as many hyperkalemic patients
are prepped for anyways) because this calls for immediate
action since patient can go into cardiac arrest.
Restricting the diet won't do anything for this patient right away,
administering a laxative will help electrolyte loss but it may
lower it too much.
A patient has a sodium level of 119. Which of the following is
NOT related to this finding?
A. Over secretion of ADH (antidiuretic hormone)
B. Low salt diet
C. Inadequate water intake
D. Hypotonic fluid infusion (overload) - correct answer-
C. Inadequate water intake