Exam 4 review questions Flashcards
Which is not a primary organ of homeostasis?
Liver
The Lungs and Kidneys are the organs mainly responsible for regulating acid base balance: T/F
True
What is not a function of body fluids?
Break down electrolytes
What is the best method for assessing fluid status:
Weight
Which diagnostic test is non-invasive and is able to assess the blood flow and valves of the heart?
Echocardiogram
Your patient has fluid volume excess and pitting edema. Which lab finding would you expect?
Low albumin (it keeps fluid in the intravascular areas)
Why should the electrolyte level K of 6.8 be reported to the physician immediately?
- Potassium should be 3.5-5.0
- Can cause cardiovascular issues
Your patient has a calcium level of 14.5. What is the patient at highest risk for?
Bone fracture (because it is pulling the calcium out of the bones)
Which electrolyte disturbance causes tingling of hands and fingers?
HYPOCALCEMIA
The nurse recognizes that a patient’s peripheral IV has symptoms of infiltration, the nurse should:
discontinue the IV
Blood transfusions require a 18-20 gauge IV catheter. T/F
True
The patient has a 120 mEq/L serum sodium level. What would the nurse assess for?
Neurological changes and seizure activity
On average, a healthy adult produces how much urine in a 24 hour period?
1.5 L
Polyuria is a sign of significant infection of the urinary tract? T/F
False
Anuria is defined as how much urinary output in 24 hours?
50-100 mls
Post renal kidney failure is related to a mechanical or functional obstruction of the flow of urine. T/F
TRUE (if its renal its more related to the kidney, if its pre renal its before the kidneys blood flow)
A patient that is prescribed furosemide (Lasix) should be monitored for what electrolyte imbalance?
K (potassium) (this is a diuretic and affects K)
Which respiratory organ is the site of gas exchange?
Alveoli
What physiological factor places an older adult at the greatest risk during surgery?
Respiratory excursion
Which is the best assessment to determine that pain medicine was effective to relieve pain?
PT reports 0 on the pain scale
Which type of IV device does not need radiographic confirmation prior to use?
Peripheral IV (PICC, Implanted port, Central venous catheter require sterile technique and DO REQUIRE radiographic confirmation).
Which term is used to describe intestinal gas?
Flatus
Which of the following laxative increases muscle contractions that move stool, and is more likely to cause side effects?
Stimulant laxative
What diagnostic study is a visual examination of the large intestine from the anus to the ileocecal valve?
Colonoscopy
If a patient is facing a terminal illness, ___ is a priority
Spirituality
__ml in 1 oz.
30
