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NUR 370 Final Exam 2 Questions and Verified Answers Updated.

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What is the difference between the factors responsible for fluid and electrolyte imbalances for adults and children? - Answer In children, a larger part of their total body weight is made up of fluid. Also, a larger part of their fluid is in the ECF. What is insensible fluid loss? - Answer Loss of fluid through the skin (2/3) and the respiratory tract (1/3) Influenced by heat and humidity, body temp, and RR What causes hyponatremia and what are its symptoms? - Answer It's associated with increased GI output (vomiting, diarrhea, etc), diuretics, sweating and renal disease. S/S: headache, muscle weakness, abdominal cramps, lethargy, oliguria, and cerebral edema What causes hypernatremia and what are its symptoms? - Answer It's associated with excess intake or an increased water loss related to sodium loss (watery diarrhea). S/S: edema, flushed skin, dry mucous membranes, elevated temp, intense thirst, **risk for seizures What causes hypokalemia and what are its symptoms? - Answer It's associated with loss of GI fluids or hydration with IV fluids that don't adequately replace body fluid losses. S/S: lethargy, confusion, dizziness, arrhythmias, diarrhea, hypotension and EKG chages What causes hyperkalemia and what are its symptoms? - Answer It's associated with tissue necrosis, hemolysis, renal failure, or rapid infusion of IV potassium. S/S: abdominal cramps, muscle weakness, arrhythmias, EKG changes, and potential cardiac arrest. What should you ALWAYS check is occurring before administering potassium? - Answer Urinary output Chloride Imbalances - Answer Directly mimics hypernatremia What does Antidiuretic hormone (ADH) cause? - Answer ADH causes renal tubules to reabsorb water

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NUR 370 Final Exam 2 Questions and
Verified Answers 2025-2026 Updated.
What is the difference between the factors responsible for fluid and electrolyte imbalances for
adults and children? - Answer In children, a larger part of their total body weight is made up of
fluid. Also, a larger part of their fluid is in the ECF.



What is insensible fluid loss? - Answer Loss of fluid through the skin (2/3) and the respiratory
tract (1/3)

Influenced by heat and humidity, body temp, and RR



What causes hyponatremia and what are its symptoms? - Answer It's associated with
increased GI output (vomiting, diarrhea, etc), diuretics, sweating and renal disease.

S/S: headache, muscle weakness, abdominal cramps, lethargy, oliguria, and cerebral edema



What causes hypernatremia and what are its symptoms? - Answer It's associated with excess
intake or an increased water loss related to sodium loss (watery diarrhea).

S/S: edema, flushed skin, dry mucous membranes, elevated temp, intense thirst, **risk for
seizures



What causes hypokalemia and what are its symptoms? - Answer It's associated with loss of GI
fluids or hydration with IV fluids that don't adequately replace body fluid losses.

S/S: lethargy, confusion, dizziness, arrhythmias, diarrhea, hypotension and EKG chages



What causes hyperkalemia and what are its symptoms? - Answer It's associated with tissue
necrosis, hemolysis, renal failure, or rapid infusion of IV potassium.

S/S: abdominal cramps, muscle weakness, arrhythmias, EKG changes, and potential cardiac
arrest.



What should you ALWAYS check is occurring before administering potassium? - Answer
Urinary output



Chloride Imbalances - Answer Directly mimics hypernatremia

, What does Aldosterone hormone cause? - Answer Aldosterone causes distal renal tubules to
reabsorb sodium and excrete potassium.



What are the ABG values for kids? - Answer pH: 7.37-7.49

PaCO2: 32-48

HCO3: 18-25



What causes respiratory acidosis? - Answer Inadequate ventilation

CNS or neuromuscular issues

Pnumothorox



What causes respiratory alkalosis? - Answer Hyperventilation

HF

Hepatic failure

Fever



What causes metabolic acidosis? - Answer DKA

Diarrhea

Renal Failure

Shock



What causes metabolic alkalosis? - Answer Vomiting

Prolonged NG suction

Hypokalemia

Diuretics



What happens during isotonic dehydration? - Answer - Loss of electrolytes and loss of water
are approximately equal

- Sodium remain within normal limits

- Increased heart rate that becomes thready and weak

- Increased BP

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