Fluid And Electrolyte Imbalance

42 Questions | Total Attempts: 4599

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Fluid And Electrolyte Imbalance

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Questions and Answers
  • 1. 
    Three reasons for IV fluid use is:
    • A. 

      Maintain daily body fluid requirements

    • B. 

      Restore with the anticipation of fluid loss

    • C. 

      Replace current body fluid losses

    • D. 

      All the above

    • E. 

      Restore previous body fluid losses

  • 2. 
    A solution that is similar to the osmolality of plasma that will cause no cell damage, it is called:
    • A. 

      Hypotonic

    • B. 

      Normal Saline

    • C. 

      Isotonic

    • D. 

      Hypertonic

  • 3. 
    Can the use of isotonic IV fluids cause problems?
    • A. 

      Yes

    • B. 

      No

  • 4. 
    A solution that is lower in osmolality of plasma that will cause a cell to swell, it is called:
    • A. 

      Hyportonic

    • B. 

      Normal Saline

    • C. 

      Isotonic

    • D. 

      Hypertonic

  • 5. 
    A nurse understands hypotonic solutions when the nurse states:
    • A. 

      Cells that need to be "dried" out are best served by this solution.

    • B. 

      A pt that has had diuretic therapy (DKA) will benefit from replacing cellular fluid.

    • C. 

      This type of fluid helps with renal problems of over drying cells.

    • D. 

      This type of fluid helps release more NA through the renal system by extracting excess water from the cells.

  • 6. 
    Which type of fluid can cause ICP and 3rd spacing problems along with water intoxication?
    • A. 

      Isotonic

    • B. 

      Hypertonic

    • C. 

      Normal Saline

    • D. 

      Hypotonic

  • 7. 
    A nurse understand hypertonic solutions when the nurse states:
    • A. 

      It has a higher osmolality than plasma

    • B. 

      It draws fluid out of the cells.

    • C. 

      It pushes fluid into the cells.

    • D. 

      It has a lower osmolality than plasma

  • 8. 
    Nick has had surgery and is having post op edema.  Which solution would you expect, as the nurse, to see being used for Nick?
    • A. 

      Isotonic

    • B. 

      Hypertonic

    • C. 

      Hypotonic

    • D. 

      Normal Saline

  • 9. 
    A nurse understand the use of hypertonic solutions to be used in surgery when the nurse states:
    • A. 

      It is used to keep BP lower during surgery.

    • B. 

      It is used to when there is slight to moderate loss of blood volume.

    • C. 

      It is used when there is substantial loss of blood and BP needs to be raised.

    • D. 

      All patients are put on hypertonic IV solutions when in surgery.

  • 10. 
    Nancy is having a low output of urine.  The doctor orders an hypotonic solution.  Should you question the order?
    • A. 

      Yes

    • B. 

      No

  • 11. 
    A nurse understands the danger or hypertonic solutions and hypernatremia when the nurse states:
    • A. 

      Hypertonic solutions could rob the cells of Na.

    • B. 

      Hypertonic solutions could increase the level of Na even more.

    • C. 

      Hypertonic solutions will not affect the Na in cells.

  • 12. 
    Which condition needs extra assessment when considering hypertonic solutions?
    • A. 

      Respiratory

    • B. 

      Renal

    • C. 

      Heart

    • D. 

      Liver

  • 13. 
    Concentrations of electrolytes are similar in ICF and ECF.
    • A. 

      True

    • B. 

      False

  • 14. 
    Serum Na is what?
    • A. 

      Regulated by BP and kidney perfusion

    • B. 

      Regulated by hormones such as aldosterone and ADH

    • C. 

      Reflects the blood osmolality

    • D. 

      Not affected by K pumps.

    • E. 

      All the above

  • 15. 
    Hypernatremia can be caused by:
    • A. 

      Diabetes insipidous

    • B. 

      Diarrhea

    • C. 

      Excess sweating

    • D. 

      High fever

    • E. 

      Heatstroke

  • 16. 
      Hyponatremia GI losses include:
    • A. 

      Emisis

    • B. 

      NG suctioning

    • C. 

      Burns

    • D. 

      Diarrhea

    • E. 

      Diuretics

  • 17. 
    When giving an enema or tube feeding with tap water, what concern is there?
    • A. 

      Hyponatremia

    • B. 

      Hypernatremia

    • C. 

      Caridovascular overload

    • D. 

      It is preferable to use tap water.

  • 18. 
    K is important for what functions?
    • A. 

      Renal function

    • B. 

      Muscle function

    • C. 

      Insulin

    • D. 

      Fat regulation

    • E. 

      Protein regulation

  • 19. 
    A nurse understand K and IV infusion when the nurse states:
    • A. 

      Improperly mixed bags can cause K problems.

    • B. 

      Should never be infused into a pt.

    • C. 

      To fast an infusion can cause problems.

    • D. 

      Every K IV order should be double checked with the MD.

  • 20. 
    Why is old blood and injuries like burns important to K monitoring?
    • A. 

      K is used to heal damaged cells.

    • B. 

      K is horded by cells that are damaged.

    • C. 

      K is released from damaged blood cells.

    • D. 

      K is not important to blood cells but the tissue needs it to function under stress.

  • 21. 
    A nurse understands K and renal function when the nurse states:
    • A. 

      The use of non sparring diuretics helps promote K health.

    • B. 

      Urine promotion helps to clear K.

    • C. 

      Renal failure decreases the amount of K.

    • D. 

      K is vital to renal function.

  • 22. 
    Why is insulin good for K regulation?
    • A. 

      Keeps K from being moved out of the cells.

    • B. 

      Insulin neutralizes K.

    • C. 

      K promotes diabetes.

    • D. 

      K binds with insulin lowering the available K, keeping the cells healthy.

  • 23. 
    A patient is hyperkalemic, which foods are best for this patient?
    • A. 

      Whole grain bread.

    • B. 

      Low Na broth.

    • C. 

      Beans and chicken.

    • D. 

      Pudding

  • 24. 
    A nurse understand hypokalermia when the nurse states:
    • A. 

      Hypokalemia can lead to bracycardia/arrythmias.

    • B. 

      Hypokalemia can cause muscle twitching and paralysis.

    • C. 

      Hypokalemia can decrease BT.

    • D. 

      Hypokalemia will cause an increase in serum K.

  • 25. 
    In pt teaching about hypokalemia, what is the most important education to be done?
    • A. 

      Decreased consumption of bananas.

    • B. 

      Bowel management care.

    • C. 

      Use of rapid weight loss programs.

    • D. 

      Increased insulin in diabetics.