Fluid, Electrolyte And Acid-base Balance Part 1

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  • 1/89 Questions

    People at risk for dehydration include the elder and infirm clients with decreased thirst  response and kidney ability.

    • True
    • False
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Fluid, Electrolyte And Acid-base Balance Part 1 - Quiz
About This Quiz

Explore the fundamentals of fluid, electrolyte, and acid-base balance in this engaging quiz. Key topics include hydrostatic pressure, osmosis, and the filtration process, crucial for understanding bodily fluid movements and their impacts on health.

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  • 2. 

    Potassium is found in many fruits and vegetables

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Potassium is an essential mineral that plays a crucial role in various bodily functions, including maintaining fluid balance, regulating blood pressure, and supporting proper muscle and nerve function. Fruits and vegetables are excellent sources of potassium, with many containing high levels of this mineral. Therefore, it is true that potassium is found in many fruits and vegetables.

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  • 3. 

    Stress increases ADH production.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Stress can trigger the release of the hormone ADH (antidiuretic hormone) from the pituitary gland. ADH helps regulate water balance in the body by reducing the amount of water excreted in urine. Therefore, when stress levels increase, ADH production also increases to conserve water and maintain fluid balance. Hence, the statement "Stress increases ADH production" is true.

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  • 4. 

    This electrolyte is found in most body secretions.

    Correct Answer
    Sodium
    Explanation
    Sodium is an electrolyte that is found in most body secretions. It plays a crucial role in maintaining fluid balance, nerve function, and muscle contractions. Sodium is present in sweat, tears, saliva, urine, and other bodily fluids. It helps regulate blood pressure, pH levels, and the transmission of nerve impulses. Therefore, sodium is an essential electrolyte that is widely distributed throughout the body.

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  • 5. 

    Stress increases blood glucose concentration.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Stress triggers the release of stress hormones such as cortisol, which can increase blood glucose levels. This is part of the body's natural fight-or-flight response, where it prepares for increased energy needs. The release of stress hormones can cause the liver to produce more glucose, while at the same time, insulin production may be reduced, leading to higher blood glucose concentration. Therefore, it is true that stress can increase blood glucose concentration.

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  • 6. 

    When the hyrdrostatic pressure is greater than the osmotic pressure, the fluid filters out of the blood vessels.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    When the hydrostatic pressure is greater than the osmotic pressure, it means that there is a higher pressure pushing the fluid out of the blood vessels than the pressure pulling it back in. This creates a net force that causes the fluid to filter out of the blood vessels. Therefore, the statement is true.

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  • 7. 

    Is the movement of pure solvent across cell membranes from the less concentrated solution to the more concentrated solution

    Correct Answer
    Osmosis
    Explanation
    Osmosis is the movement of pure solvent across cell membranes from the less concentrated solution to the more concentrated solution. This process occurs in order to equalize the concentration of solutes on both sides of the membrane. Water molecules move through the semipermeable membrane from an area of lower solute concentration to an area of higher solute concentration, resulting in the dilution of the more concentrated solution and the concentration of the less concentrated solution.

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  • 8. 

    Sodium are in higher concentration in the ECF and potassium concentrations are higher in ICF

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The statement is true because sodium ions are primarily found in higher concentrations in the extracellular fluid (ECF), which includes the fluid surrounding cells and in the blood. On the other hand, potassium ions are predominantly found in higher concentrations in the intracellular fluid (ICF), which is the fluid inside the cells. This concentration gradient is essential for various cellular processes, such as maintaining cell membrane potential and regulating fluid balance.

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  • 9. 

    This is the potassium deficit in the blood plasma

    Correct Answer
    Hypokalemia
    Explanation
    Hypokalemia refers to a condition characterized by low levels of potassium in the blood plasma. Potassium is an essential electrolyte that plays a crucial role in various bodily functions, including muscle contraction, nerve signaling, and maintaining proper fluid balance. When there is a deficit of potassium in the blood plasma, it can lead to symptoms such as muscle weakness, fatigue, irregular heartbeat, and even paralysis in severe cases. Therefore, the answer "Hypokalemia" accurately describes the condition of potassium deficit in the blood plasma.

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  • 10. 

    This is the major cation of intracellular fluid.

    Correct Answer
    Potassium
    Explanation
    Potassium is the major cation of intracellular fluid because it is the most abundant positively charged ion inside the cells. It plays a crucial role in maintaining the cell's electrical potential, regulating cell volume, and participating in various cellular processes such as protein synthesis and enzyme activity. Potassium also helps in nerve impulse transmission and muscle contraction. Therefore, it is essential for the proper functioning of cells and maintaining overall cellular health.

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  • 11. 

    Dependent edema is found in the lowest body parts such as in the feet and legs

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Dependent edema refers to the accumulation of fluid in the lowest parts of the body, typically the feet and legs. This occurs due to gravity, which causes fluid to pool in these areas. Therefore, the statement that dependent edema is found in the lowest body parts, such as the feet and legs, is true.

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  • 12. 

    Which electrolyte is most essential for the production of hydrochloric acid in the stomach.

    Correct Answer
    Chloride
    Explanation
    Chloride is the most essential electrolyte for the production of hydrochloric acid in the stomach. Hydrochloric acid is formed by combining hydrogen ions (H+) and chloride ions (Cl-). Chloride ions are actively transported from the blood into the stomach lining cells, where they combine with hydrogen ions to form hydrochloric acid. This acid is crucial for the digestion of food, as it helps break down proteins and kill bacteria in the stomach. Therefore, chloride is necessary for the production of hydrochloric acid and proper digestion.

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  • 13. 

    Serum albumin draws fluid from the interstitial into the blood through osmosis.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Serum albumin is a protein found in the blood that helps maintain the balance of fluids between the blood and the tissues. It has a high concentration in the blood, which creates an osmotic pressure that draws fluid from the interstitial space (the space between cells) into the blood vessels. This process, known as osmosis, helps to regulate the fluid balance in the body and ensure that the tissues are properly hydrated. Therefore, the statement that serum albumin draws fluid from the interstitial into the blood through osmosis is true.

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  • 14. 

    Older women experience accelerated bone loss because of decreased calcium absorption from the intestines and increased calcium loss in the urine.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    As women age, their bodies undergo hormonal changes that can lead to accelerated bone loss. One of the main factors contributing to this is decreased calcium absorption from the intestines. This means that the body is not able to effectively absorb the necessary amount of calcium from the diet, leading to a deficiency. Additionally, older women also experience increased calcium loss in the urine. This combination of decreased absorption and increased loss ultimately results in accelerated bone loss, making the statement true.

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  • 15. 

    Presence of large solutes such as protein or glucose can result in high urine specific gravity

    • True

    • False

    Correct Answer
    A. True
    Explanation
    The presence of large solutes such as protein or glucose in urine can increase its specific gravity. Specific gravity is a measure of the concentration of solutes in urine, and large solutes like protein or glucose can significantly increase this concentration. Therefore, it is true that the presence of large solutes can result in high urine specific gravity.

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  • 16. 

    Edema that leaves a small depression or pit after finger pressure is applied to the swollen area.

    Correct Answer
    Pitting edema
    Explanation
    Pitting edema refers to the swelling of a body part, usually due to fluid retention, that leaves a small depression or pit when pressure is applied. This occurs because the excess fluid is displaced and causes the indentation. Pitting edema is commonly seen in conditions such as heart failure, kidney disease, or liver disease, where there is an imbalance in fluid regulation. Treatment for pitting edema involves addressing the underlying cause and may include medication, lifestyle changes, or medical procedures to reduce fluid retention.

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  • 17. 

    Which electrolyte has particular importance in transmitting electrical impuses to the heart and other muscles?

    Correct Answer
    Potassium
    Explanation
    Potassium is an essential electrolyte that plays a crucial role in transmitting electrical impulses to the heart and other muscles. It helps maintain the proper functioning of the heart by regulating the electrical signals that control the heart's rhythm. Potassium is involved in the process of depolarization and repolarization of cardiac cells, which allows the heart to contract and relax in a coordinated manner. Imbalances in potassium levels can lead to disruptions in the electrical activity of the heart, potentially causing arrhythmias and other heart-related issues.

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  • 18. 

    Is the pressure exerted by a fluid within a closed system on the walls of a container in which it is contained.

    Correct Answer
    Hydrostatic pressure
    Explanation
    Hydrostatic pressure refers to the pressure exerted by a fluid within a closed system on the walls of the container in which it is contained. This pressure is caused by the weight of the fluid above it and is dependent on the density of the fluid and the depth at which it is located. The deeper the fluid is, the higher the hydrostatic pressure will be. Therefore, the correct answer is hydrostatic pressure.

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  • 19. 

    Sodium is NOT involved in transmitting nerve impulses and contracting muscles.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    Sodium is actually involved in transmitting nerve impulses and contracting muscles. It plays a crucial role in generating electrical signals that allow nerve cells to communicate with each other and control muscle contractions. When a nerve impulse is transmitted, sodium ions move into the nerve cell, causing a change in the cell's electrical charge and triggering the impulse. In muscle contraction, sodium ions also play a role in initiating the release of calcium ions, which is necessary for muscle fibers to contract. Therefore, the statement that sodium is not involved in transmitting nerve impulses and contracting muscles is false.

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  • 20. 

    What is the major anion in the ECF?

    Correct Answer
    Chloride
    Explanation
    Chloride is the major anion in the extracellular fluid (ECF). It is an essential electrolyte that helps maintain the balance of fluids in the body. Chloride ions are primarily found in the ECF and play a crucial role in regulating blood pressure, maintaining pH balance, and transmitting nerve signals. They also assist in the transportation of carbon dioxide from tissues to the lungs for elimination. Overall, chloride is a vital component of the ECF and is necessary for various physiological functions in the body.

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  • 21. 

    This is the excess serum chloride.

    Correct Answer
    Hyperchloremia
    Explanation
    Hyperchloremia refers to an elevated level of chloride in the blood. Chloride is an electrolyte that helps maintain the balance of fluids in the body. Excess serum chloride can occur due to various reasons such as dehydration, kidney problems, certain medications, or metabolic acidosis. Hyperchloremia can lead to symptoms like weakness, fatigue, excessive thirst, and can also indicate underlying health conditions. It is important to identify the cause of hyperchloremia and treat it accordingly to restore the electrolyte balance in the body.

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  • 22. 

    The GI secretions are high in potassium?

    • True

    • False

    Correct Answer
    A. True
    Explanation
    GI secretions, including saliva, gastric juices, and intestinal fluids, contain a high concentration of potassium ions. These secretions help in various digestive processes, such as breaking down food and maintaining pH balance. Therefore, it is true that GI secretions are high in potassium.

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  • 23. 

    Is the component of a solution that can dissolve a solute.

    Correct Answer
    Solvent
    Explanation
    A solvent is the component of a solution that has the ability to dissolve a solute. This means that the solvent has the capability to break down the solute particles and disperse them evenly throughout the solution. The solute particles become surrounded by the solvent molecules, forming a homogenous mixture. The solvent plays a crucial role in the dissolution process and determines the physical properties of the solution.

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  • 24. 

    The response of the body to stress is increase in blood volume.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    During a stressful situation, the body activates the "fight or flight" response, which triggers the release of stress hormones like adrenaline and cortisol. These hormones cause an increase in heart rate and blood pressure, leading to an increase in blood volume. This is a natural response designed to prepare the body for physical action and ensure that enough oxygen and nutrients reach the muscles and organs to deal with the stressor effectively. Therefore, the statement that the response of the body to stress is an increase in blood volume is true.

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  • 25. 

    Hormone  that acts to maintain sodium concentrations that is also produced in the adrenal cortex.

    Correct Answer
    Aldosterone
    Explanation
    Aldosterone is a hormone produced in the adrenal cortex that plays a crucial role in maintaining sodium concentrations in the body. It acts on the kidneys to increase the reabsorption of sodium and the excretion of potassium, which helps regulate fluid balance and blood pressure. By maintaining sodium concentrations, aldosterone helps ensure proper functioning of various bodily processes and helps maintain overall homeostasis.

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  • 26. 

    This is the deficit in serum chloride.

    Correct Answer
    Hypochloremia
    Explanation
    Hypochloremia refers to a deficiency or lower than normal levels of chloride in the serum. Chloride is an essential electrolyte that helps maintain the balance of fluids in the body, along with sodium and potassium. It plays a crucial role in maintaining proper pH levels, nerve function, and fluid balance. Hypochloremia can occur due to various reasons, such as excessive vomiting, diarrhea, kidney problems, or certain medications. Symptoms may include weakness, muscle cramps, dehydration, and irregular heart rhythms. Treatment involves addressing the underlying cause and restoring chloride levels through oral or intravenous supplementation.

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  • 27. 

    Elderly clients who have a higher proportion fo body fat have more limited reserves when there is a water deficit.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Elderly clients with a higher proportion of body fat have more limited reserves when there is a water deficit because body fat does not contain water. Therefore, individuals with higher body fat percentages have less water available to them during times of water scarcity, making their reserves more limited compared to those with lower body fat percentages.

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  • 28. 

    Sodium is chiefly excreted in?

    Correct Answer
    Urine
    Explanation
    Sodium is primarily excreted in urine. The kidneys play a crucial role in maintaining sodium balance in the body. They filter the blood, reabsorb the necessary amount of sodium, and excrete the excess through urine. This process helps regulate blood pressure and maintain proper fluid balance. Other routes of sodium excretion include sweat and feces, but urine is the main route through which sodium is eliminated from the body.

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  • 29. 

    This is required for vitamin B12 absorption.

    Correct Answer
    Calcium
    Explanation
    Calcium is required for vitamin B12 absorption. Vitamin B12 is absorbed in the small intestine with the help of a protein called intrinsic factor. Calcium plays a crucial role in the production and release of intrinsic factor. Without sufficient calcium, the production and function of intrinsic factor may be impaired, leading to decreased absorption of vitamin B12. Therefore, calcium is necessary for the proper absorption of vitamin B12 in the body.

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  • 30. 

    This occurs when the body retains both water and electrolyte in the ECF in similar proportions.

    Correct Answer
    Fluid volume excess
    Explanation
    Fluid volume excess occurs when the body retains both water and electrolytes in the extracellular fluid (ECF) in similar proportions. This can happen due to various reasons such as excessive fluid intake, impaired kidney function, heart failure, or certain medications. When there is an excess of fluid in the body, it can lead to symptoms like edema, weight gain, high blood pressure, and shortness of breath. Treatment for fluid volume excess may include diuretics to promote fluid excretion, restriction of fluid and sodium intake, and addressing the underlying cause of the condition.

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  • 31. 

    Are substances dissolved in liquids.

    Correct Answer
    Solutes
    Explanation
    Solutes are substances that are dissolved in liquids. They can be solid, liquid, or gas, and when added to a solvent, they form a homogeneous mixture called a solution. The solute particles disperse evenly throughout the solvent, resulting in a uniform distribution. Examples of solutes include salt dissolved in water, sugar dissolved in tea, or carbon dioxide dissolved in soda. Solutes play a crucial role in various chemical and biological processes, such as digestion, osmosis, and transportation of nutrients in the body.

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  • 32. 

    Edema related to sodium retention.

    Correct Answer
    Pitting edema
    Explanation
    Pitting edema refers to the swelling of body tissues that leaves an indentation (or pit) when pressure is applied. This condition is commonly caused by the retention of sodium in the body, leading to an imbalance of fluid levels. Sodium retention can occur due to various reasons such as heart failure, kidney disease, or liver disease. When excess sodium is present, it causes an increase in fluid volume, resulting in the characteristic pitting edema.

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  • 33. 

    It is the standard of unit of osmotic pressure.

    Correct Answer
    Osmol
    Explanation
    Osmol is the standard unit of osmotic pressure. Osmotic pressure is the pressure exerted by a solvent to prevent the flow of solvent molecules across a semipermeable membrane. The osmol unit is used to measure the concentration of solute particles in a solution, taking into account the number of particles rather than their size or weight. It helps in understanding the osmotic properties and behavior of different solutions, making it a standard unit for osmotic pressure measurement.

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  • 34. 

    This sign is ellicited by placing a bp cuff on the area and inflates the cuff above the systolic pressure for2 to 3 min causing tetany or carpal tunnel syndrome.

    Correct Answer
    Trousseau's sign
    Explanation
    Trousseau's sign is a clinical indicator of hypocalcemia, which is elicited by inflating a blood pressure cuff above the systolic pressure for 2 to 3 minutes. This prolonged pressure on the nerves and blood vessels of the arm can cause tetany or carpal tunnel syndrome-like symptoms. This sign is often used as a diagnostic tool to assess for low calcium levels in the body.

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  • 35. 

    Is the result from water loss without the proportionate loss of electrolytes, particularly sodium.

    Correct Answer
    Dehydration
    Explanation
    Dehydration refers to the condition where there is a loss of water from the body without a proportionate loss of electrolytes, especially sodium. This can occur due to various reasons such as excessive sweating, inadequate fluid intake, or certain medical conditions. When the body lacks sufficient water, it can lead to symptoms like dry mouth, thirst, fatigue, dizziness, and dark-colored urine. Therefore, the given answer accurately describes the concept of dehydration.

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  • 36. 

    This reduces the concentrationof calcium ions in the blood.

    Correct Answer
    Calcitonin
    Explanation
    Calcitonin is a hormone produced by the thyroid gland that helps regulate calcium levels in the blood. It does this by reducing the concentration of calcium ions in the blood. This is achieved by inhibiting the activity of osteoclasts, which are cells responsible for breaking down bone tissue and releasing calcium into the bloodstream. By inhibiting osteoclast activity, calcitonin helps to decrease the amount of calcium being released into the blood, thereby reducing its concentration.

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  • 37. 

    The concentration of a solution is expressed as?

    Correct Answer
    Osmolality
    Explanation
    The concentration of a solution is expressed as osmolality. Osmolality is a measure of the concentration of solute particles in a solution per unit of solvent. It is usually expressed in milliosmoles per kilogram of solvent (mOsm/kg). Osmolality takes into account all solute particles, regardless of their size or charge, and provides a more accurate representation of the concentration of a solution compared to other measures such as molarity or molality.

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  • 38. 

    Is the drawing power of solvent such as water

    Correct Answer
    Osmotic pressure
    Explanation
    Osmotic pressure is the correct answer because it is directly related to the drawing power of solvents such as water. Osmotic pressure is the pressure required to prevent the flow of solvent into a solution through a semipermeable membrane. This pressure is a result of the solvent molecules being drawn towards the higher concentration of solute molecules, causing the movement of solvent from a region of lower solute concentration to a region of higher solute concentration. Therefore, osmotic pressure is a measure of the drawing power of solvents, specifically water in this case.

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  • 39. 

    This sign is elicited by the nurse percussing the facial nerve about 2 cm anterior to the earlobe.

    Correct Answer
    Chvostek's sign
    Explanation
    Chvostek's sign is a clinical sign that indicates hyperexcitability of the facial nerve. It is elicited by tapping or percussing the facial nerve, specifically about 2 cm anterior to the earlobe. When this sign is positive, it causes a twitching or spasm of the facial muscles on the same side of the face. This sign is often associated with hypocalcemia, as the facial nerve becomes more excitable due to low calcium levels. Therefore, the correct answer is Chvostek's sign.

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  • 40. 

    Which body mechanism is the primary regulator of fluid intake  in the body?

    Correct Answer
    Thirst mechanism
    Explanation
    The primary regulator of fluid intake in the body is the thirst mechanism. When the body is in need of fluids, such as when it is dehydrated, the thirst mechanism is activated. This mechanism is controlled by the hypothalamus in the brain, which detects changes in the body's fluid levels and triggers the sensation of thirst. Thirst serves as a signal for the individual to drink fluids, helping to maintain proper hydration levels in the body.

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  • 41. 

    Other common name for FVE.

    Correct Answer
    Hypervolemia
    Explanation
    Hypervolemia is the correct answer because it is another common name for FVE, which stands for fluid volume excess. Hypervolemia refers to an abnormal increase in the volume of blood plasma in the body, leading to an excess of fluid in the circulatory system. This condition can occur due to various factors such as kidney dysfunction, heart failure, or excessive fluid intake. Therefore, hypervolemia accurately describes the condition of fluid volume excess.

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  • 42. 

    This results from water gain without the proportionate gain of electrolytes, particularly sodium.

    Correct Answer
    Overhydration
    Explanation
    Overhydration refers to a condition where there is an excessive intake of water without a corresponding increase in electrolytes, especially sodium. This can lead to an imbalance in the body's fluid levels, causing various symptoms such as swelling, nausea, headache, and in severe cases, even seizures or coma. It is important to maintain a balance between water and electrolyte intake to prevent overhydration and maintain proper bodily functions.

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  • 43. 

    In hypervolemia serum sodium concentration remains essentially normal.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    Hypervolemia refers to a condition where there is an excessive increase in the volume of blood plasma in the body. In this condition, the concentration of sodium remains essentially normal because the excess fluid is primarily water, which does not affect the sodium levels. Therefore, the statement that serum sodium concentration remains essentially normal in hypervolemia is true.

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  • 44. 

    The principle involved in this method of fluid movement is that fluids move from the area of greater pressure to the area of lesser pressure.

    Correct Answer
    Hydrostatic pressure
    Explanation
    Fluids move from areas of greater pressure to areas of lesser pressure. This principle is known as hydrostatic pressure. It explains the movement of fluids in various systems, such as water flowing through pipes or blood circulating in the body. Hydrostatic pressure is responsible for the flow of fluids and can be utilized in various applications, such as hydraulic systems. It is important to understand this principle when studying fluid dynamics and designing systems that involve fluid movement.

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  • 45. 

    Substances that does not readily dissolve into true solutions.

    Correct Answer
    Colloid
    Explanation
    Colloids are substances that do not readily dissolve into true solutions. Unlike true solutions where the solute particles are uniformly dispersed and cannot be seen with the naked eye, colloids have larger particles that are dispersed throughout a medium, such as a liquid or a gas, and can be seen under a microscope. These particles do not settle down easily and tend to remain suspended in the medium. Examples of colloids include milk, gelatin, and fog.

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  • 46. 

    Another name for dehydration.

    Correct Answer
    Hyperosmolar imbalance
    Explanation
    Hyperosmolar imbalance refers to a condition where there is an imbalance in the concentration of solutes in the body fluids, leading to an increased osmolarity. Dehydration is a common cause of hyperosmolar imbalance, as it results in a decrease in the amount of water in the body, causing the concentration of solutes to become more concentrated. Therefore, hyperosmolar imbalance can be considered as another name for dehydration.

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  • 47. 

    Each kilogram of fluid lost or gained is equivalent to how many liter of fluid?

    Correct Answer
    1 liter
    Explanation
    Each kilogram of fluid lost or gained is equivalent to 1 liter of fluid. This means that if someone loses or gains 1 kilogram of fluid, it is equivalent to losing or gaining 1 liter of fluid. This indicates a direct correlation between the weight and volume of the fluid, with 1 kilogram being equal to 1 liter.

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  • 48. 

    Substances or salts that readily dissolve in true solutions.

    Correct Answer
    Crystalloids
    Explanation
    Crystalloids are substances or salts that readily dissolve in true solutions. This means that when crystalloids are added to a solvent, such as water, they dissolve completely and form a homogeneous mixture. This is in contrast to colloids or suspensions, where the particles do not dissolve but instead remain suspended in the solvent. Crystalloids are commonly used in medical settings, such as intravenous fluids, to provide hydration and restore electrolyte balance in the body.

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  • 49. 

    What is the normal range for serum potassium?

    Correct Answer
    3.5 to 5.0 mEq/L
    Explanation
    The normal range for serum potassium is 3.5 to 5.0 mEq/L. This range indicates the typical levels of potassium in the bloodstream. Potassium is an essential electrolyte that plays a crucial role in various bodily functions, including nerve and muscle cell function. Maintaining the correct balance of potassium is important for overall health. Levels below or above this range can indicate an imbalance and may require medical attention.

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  • Mar 19, 2023
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