Ch. 17 - Fluid, Electrolyte, and Acid-Base Imbalances Flashcards

1
Q

T or F: A patient with consistent dietary intake who loses 1 kg of weight in 1 day has lost 500 mL of fluid.

A

F 1000 mL

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2
Q

T or F: A man who weight 90 kg has a total body water content of approximately 60L.

A

F: 90 x 60% = 54L

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3
Q

T or F: Major tissue damage that causes release of intracellular electrolytes into extracellular fluid will cause hypernatremia.

A

F: hyperkalemia

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4
Q

T or F: The primary difference in the electrolyte composition of intravascular fluid and interstitial fluid is the higher content of protein in plasma.

A

T

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5
Q

T of F: The different concentrations of sodium and potassium between interstitial fluid and intracellular fluid are maintained by the sodium-potassium pump.

A

T

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6
Q

T of F: A cell surrounded by a hypoosmolar fluid will shrink and die as water moves out of the cell.

A

F: swell and burse, into

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7
Q

T or F: Third spacing refers to the abnormal movement of fluid into interstitial spaces.

A

F: spaces that normally have little or no fluid

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8
Q

T or F: The primary hypothalamic mechanism of water intake is thirst.

A

T

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9
Q

What is the mechanism of F/E movement: pressure exerted by proteins

A

oncotic pressure

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10
Q

What is the mechanism of F/E movement: ATP required

A

active transport

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11
Q

What is the mechanism of F/E movement: Flow of water from low-solute conentration to high-solute

A

osmosis

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12
Q

What is the mechanism of F/E movement: force exerted by a fluid

A

hydrostatic pressure

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13
Q

What is the mechanism of F/E movement: passive movement of molecules from a high concentration to a low concentration

A

diffusion

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14
Q

What is the mechanism of F/E movement: uses a carrier molecule

A

facilitated diffusion

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15
Q

What is the mechanism of F/E movement: force determined by osmolality of a fluid

A

osmotic pressure

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16
Q

Aldosterone is secreted by teh adrenal cortex in response to:

A

loss of sodium and water

17
Q

While caring for an 84-year old patient, the nurse monitors the patient’s fluid and electrolyte balance, recognizing that normal changes of aging are likely to cause

A

hyponatremia

18
Q

While obtaiing an assessment and health history from a patient, which of the following statements by the patient will alert the nurse to a possible fluid volume excess?

A

I have been taking some salt tablets while working outdooors in the summer, but they sure make me thristy.

19
Q

A patient at risk for hypernatremia is one who

A

has impaired consciousness and decreased thirst sensitivity

20
Q

Sypmptoms of sodium imbalances are primarily manifested through altered

A

CNS functioning

21
Q

alcohol withdrawal

A

hypophosphatemia

22
Q

metabolic alkalosis

A

hypokalemia

23
Q

parathyroidectomy

A

hypocalcemia

24
Q

diabetes inspididus

A

hypernatremia

25
Q

fleet enemas

A

hyperphosphatemia

26
Q

primary polydipsia

A

hyponatremia

27
Q

milk of magnesia use in renal failure

A

hypermagnesemia

28
Q

early burn state

A

hyperkalemia

29
Q

chronic alcoholism

A

hypocalcemia, hypomagnesemia

30
Q

vitamin d deficiency

A

hypocalcemia

31
Q

osmotic diuresis

A

hypernatremia

32
Q

prolonged immobilization

A

hypercalcemia