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A nurse is reviewing lab reports. The nurse recalls blood plasma is located in
which of the following fluid compartments? - CORRECT ANSWER-
Intravascular fluid
A 35-year-old male weighs 70 kg. Approximately how much of this weight is
ICF? - CORRECT ANSWER-42 L- the total volume of body water for a 70 kg
person is about 42 L (60%)
While planning care for elderly individuals, the nurse remembers the elderly
are at a higher risk for developing dehydration because they have a(n): -
CORRECT ANSWER-decreased muscle mass
Which of the following patients should the nurse assess for a decreased oncotic
pressure in the capillaries? A patient with: - CORRECT ANSWER-liver failure
Water movement between the ICF and ECF compartments is determined by: -
CORRECT ANSWER-osmotic forces
An experiment was designed to test the effects of the Starling forces on fluid
movement. Which of the following alterations would result in fluid moving into
the interstitial space? - CORRECT ANSWER-Increased interstitial oncotic
pressure
,When planning care for a dehydrated patient, the nurse remembers the
principle of water balance is closely related to _____ balance. - CORRECT
ANSWER-Sodium
A 70-year-old male with chronic renal failure presents with edema. Which of
the following is the most likely cause of this condition? - CORRECT ANSWER-
Increased capillary hydrostatic pressure
A 10-year-old male is brought to the emergency room (ER) because he is
incoherent and semiconscious. CT scan reveals that he is suffering from
cerebral edema. This type of edema is referred to as: - CORRECT ANSWER-
localized edema
A nurse is teaching the staff about antidiuretic hormone (ADH). Which
information should the nurse include? Secretion of ADH is stimulated by: -
CORRECT ANSWER-increased plasma osmolality
Which statement by the staff indicates teaching was successful concerning
aldosterone? Secretion of aldosterone results in: - CORRECT ANSWER-
increased blood volume
A 25-year-old male is diagnosed with a hormone-secreting tumor of the
adrenal cortex. Which finding would the nurse expect to see in the lab results?
- CORRECT ANSWER-Decreased blood K+ levels
A patient has been searching on the Internet about natriuretic hormones.
When the patient asks the nurse what do these hormones do, how should the
nurse respond? Natriuretic hormones affect the balance of: - CORRECT
ANSWER-Sodium
,A 5-year-old male presents to the ER with delirium and sunken eyes. After
diagnosing him with severe dehydration, the primary care provider orders fluid
replacement. The nurse administers a hypertonic intravenous solution. Which
of the following would be expected? - CORRECT ANSWER-Intracellular
dehydration
Which of the following patients is the most at risk for developing
hypernatremia? A patient with: - CORRECT ANSWER-dehydration
The most common cause of pure water deficit is: - CORRECT ANSWER-A.
renal water loss
Hyperlipidemia and hyperglycemia are associated with: - CORRECT ANSWER-
Hypertonic hyponatremia
A 52-year-old diabetic male presents to the ER with lethargy, confusion, and
depressed reflexes. His wife indicates that he does not follow the prescribed
diet and takes his medication sporadically. Lab results indicate hyperglycemia.
Which assessment finding is most likely to occur? - CORRECT ANSWER-
decreased sodium
When taking care of a patient with hyperkalemia, which principle is priority?
Hyperkalemia causes a(n) _____ in resting membrane potential with _____
excitability of cardiac muscle. - CORRECT ANSWER-increase, increased
Which of the following patients is most prone to hypochloremia? A patient
with: - CORRECT ANSWER-Increased bicarbonate intake
, Which of the following conditions would cause the nurse to monitor for
hyperkalemia? - CORRECT ANSWER-Acute acidosis
Which organ system should the nurse monitor when the patient has long-term
potassium deficits? - CORRECT ANSWER-kidneys
A 42-year-old female presents to her primary care provider reporting muscle
weakness and cardiac abnormalities. Laboratory tests indicate that she is
hypokalemic. Which of the following could be the cause of her condition? -
CORRECT ANSWER-Primary hyperaldosteronism
A 19-year-old male presents to his primary care provider reporting restlessness,
muscle cramping, and diarrhea. Lab tests reveal that he is hyperkalemic. Which
of the following could have caused his condition? - CORRECT ANSWER-
acidosis
A 60-year-old female is diagnosed with hyperkalemia. Which assessment
finding should the nurse expect to observe? - CORRECT ANSWER-oliguria
Which of the following buffer pairs is considered the major plasma buffering
system? - CORRECT ANSWER-carbonic acid and bicarbonate
A nurse recalls regulation of acid-base balance through removal or retention of
volatile acids is accomplished by the: - CORRECT ANSWER-lungs
Physiologic pH is maintained around 7.4 because carbonic acid and bicarbonate
exist in a ratio of: - CORRECT ANSWER-20:1