Quiz
Fluid & Electrolyte Balance Quiz 1
Questions in this quiz (11)
1Which of the following are signs of hyperkalemia? SELECT ALL THAT APPLY.
- Apositive Chvostek's sign
- Btall, tented T waves
- Cabdominal cramping
- Dsoft, flabby muscles
- Eparesthesias
2Why do older adults generally have less total body water than younger adults?
- AAs functional cells die during the aging process, less water is needed.
- BThe muscle mass of older adults is smaller than the muscle mass of younger adults.
- C Older adults have a smaller extracellular fluid to intracellular fluid ratio than younger adults.
- DThe plasma volume of older adults is decreased to reduce the risk for excess fluid volume and heart failure.
3Which clinical manifestation supports the concept that filtration is directly related to hydrostatic pressure?
- ACapillary refill is faster in fingers than in toes.
- BCentral venous pressure is lowest in the right atrium.
- CPitting edema is usually detected first in dependent areas.
- DSystolic blood pressure is higher than diastolic blood pressure.
4When evaluating the hydration status, the nurse observes tenting of the skin on the back of the 87-year-old client’s hand when testing the skin turgor. What is the nurse’s best action?
- ANotify the physician.
- BExamine dependent body areas.
- CAssess turgor on the client's forehead.
- DDocument the finding as the only action.
5What effect would an infusion of 200 mL of albumin have on a healthy client's plasma osmotic and hydrostatic pressures?
- AIncreased osmotic pressure, increased hydrostatic pressure
- BIncreased osmotic pressure, decreased hydrostatic pressure
- CDecreased osmotic pressure, increased hydrostatic pressure
- DDecreased osmotic pressure, decreased hydrostatic pressure
6Why does pulmonary edema form in a client who has left-sided heart failure?
- AIncreased blood volume in pulmonary vessels, increased blood osmotic pressure
- BIncreased blood volume in pulmonary vessels, decreased blood osmotic pressure
- CIncreased blood volume in pulmonary vessels, increased blood hydrostatic pressure
- DIncreased blood volume in pulmonary vessels, decreased blood hydrostatic pressure
7What is the expected action when capillary pores increase in size?
- AIncreased filtration, increased plasma volume
- BIncreased filtration, decreased plasma volume
- C Decreased filtration, increased plasma volume
- DDecreased filtration, decreased plasma volume
8Which condition is most likely to cause formation of edema?
- A Increased plasma osmotic pressure, increased plasma hydrostatic pressure
- B Increased plasma osmotic pressure, decreased plasma hydrostatic pressure
- CDecreased plasma osmotic pressure, increased plasma hydrostatic pressure
- DDecreased plasma osmotic pressure, decreased plasma hydrostatic pressure
9Which assessment technique would be the best for the nurse to use to determine the adequacy of circulation in a client whose blood osmolarity is 250 mOsm/L?
- AChecking urine output
- BMeasuring abdominal girth
- CMonitoring fluid intake
- DComparing the radial pulse with the apical pulse
10Which community-dwelling healthy person has the greatest risk for dehydration when exposed to a hot, dry environment for several hours?
- A50-year-old man
- B50-year-old woman
- C80-year-old man
- D80-year-old woman
11How is the process of active transport beneficial to human living systems?
- AActive transport moves substances against a concentration gradient, allowing fluid compartment volume ionic differences to be maintained.
- BActive transport allows the fluid lost at the capillary–interstitial compartment interface to be returned by lymph flow to the systemic circulation.
- CWhen diffusion is limited by membrane impermeability, active transport maintains homeostasis of osmolarity across all body fluid compartments.
- DWhen osmosis cannot occur during periods of anoxia, active transport facilitates movement of glucose across cell membranes so that energy production is not disrupted.
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- http://intranet.tdmu.edu.ua/data/kafedra/internal/meds/metod_rozrobky/en/nurse/BSN%20%284year%29%20Program/3.Junior%20year/Fall%20Semester/Foundations%20of%20Nursing%20Practicum/17.%20%20Fluid%20and%20Electrolyte%20Balance.htm
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- Jessdwill
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