Fluids 1 quiz assesses nursing skills in managing fluid-related conditions and interpreting lab results. It covers topics like SIADH, renal failure, burn care, respiratory conditions, and IV therapy, crucial for patient care and safety.
A) Diminished deep tendon reflexes
B) Tachycardia
C) Cool, clammy skin
D) Increased serum magnesium
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A) Hypertension
B) Bradycardia
C) Hypervolemia
D) Hypovolemia
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A) Respiratory acidosis
B) Respiratory alkalosis
C) Increased PaCO2
D) CNS disturbances
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A) Respiratory acidosis with no compensation
B) Metabolic alkalosis with a compensatory alkalosis
C) Metabolic acidosis with no compensation
D) Metabolic acidosis with a compensatory respiratory alkalosis
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A) Air emboli
B) Phlebitis
C) Infiltration
D) Fluid overload
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A) Overhydration causes the skin to tent.
B) Dehydration causes the skin to appear edematous and spongy.
C) Inelastic skin turgor is a normal part of aging.
D) Normal skin turgor is moist and boggy.
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A) Choose a proximal site
B) Choose a distal site
C) Have the patient hold his arm over his head
D) Leave the tourniquet on for at least 5 minutes
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A) Hydrostatic pressure
B) Osmosis and osmolality
C) Diffusion
D) Active transport
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A) Hypophosphatemia
B) Hypocalcemia
C) Hypermagnesemia
D) Hyperkalemia
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A) The kidneys regulate and reabsorb carbonic acid to change and maintain pH.
B) The kidneys buffer acids through electrolyte changes.
C) The kidneys regenerate and reabsorb bicarbonate to maintain a stable pH.
D) The kidneys combine carbonic acid and bicarbonate to maintain a stable pH.
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A) Hypercalcemia
B) Metabolic acidosis
C) Metabolic alkalosis
D) Respiratory acidosis
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A) Leave one hand ungloved to assess the site
B) Prepare the skin with an iodine solution
C) Ask the patient if he is allergic to latex or iodine
D) Remove excessive hair at the selected site
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A) Respiratory acidosis
B) Metabolic alkalosis
C) Respiratory alkalosis
D) Metabolic acidosis
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A) Help distinguish hyponatremia from hypernatremia
B) Help evaluate pituitary gland function
C) Help distinguish reduced renal blood flow from decreased renal function
D) Help provide an effective treatment for hypertension-induced oliguria
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A) “I will need to have your medications adjusted so you will need to be readmitted to the hospital for a complete workup.”
B) “Limiting your fluids can create imbalances in your body that can result in confusion. Maybe we need to adjust the timing of you fluids.”
C) “It is normal to be a little confused following surgery, and it's safe not to urinate a night.”
D) “Confusion following surgery is common in the elderly due to a loss of sleep. “
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A) The man urinated prior to his arrival to the ED and will probably not need to have the Foley catheter kept in place.
B) The man has a brain injury, lacks ADH, and needs vasopressin.
C) The man is in heart failure and is releasing atrial natriuretic peptide that results in decreased urine output.
D) He is having a sympathetic reaction, which has stimulated the renin-angiotensin-aldosterone system that results in diminished urine output.
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A) Leave the hair intact
B) Shave the area
C) Clip the hair in the area
D) Remove the hair with a depilatory
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A) Increased serum sodium
B) Decreased serum sodium
C) Decrease in serum osmolality
D) Decrease in thirst
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A) The patient's calcium will rise dramatically due to pituitary stimulation.
B) The oxygen will increase the patient's intracranial pressure and create confusion.
C) The oxygen may cause the patient to hyperventilate and become acidotic.
D) Using oxygen may result in the patient developing carbon dioxide narcosis and hypoxemia.
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A) Diffusion
B) Osmosis
C) Active transport
D) Filtration
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A) The active transport of hydrogen ions across the capillary walls
B) The pressure of the blood in the renal capillaries
C) The number of dissolved particles contained in a unit of blood
D) The hydrostatic pressure resulting from the pumping action of the heart
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A) Decrease in the release of aldosterone
B) Increase of filtration in the Loop of Henle
C) Decrease in the reabsorption of sodium
D) Decrease in glomerular filtration
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A) Substantially reduced renal function
B) Reduced respiratory function
C) Increased cardiac function
D) Alterations in ratio of body fluids to muscle mass
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A) Extravasation of the medication
B) Discomfort to the patient
C) Blanching at the site
D) Reaction to the medication
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A) Increased bowel motility
B) Dilute urine
C) Increased muscle strength
D) Excessive thirst
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A) Hypernatremia
B) Hypomagnesemia
C) Hypophosphatemia
D) Hypercalcemia
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A) The bicarbonate-carbonic acid buffer system
B) The patient's oxygen status
C) The patient's intracellular buffer systems
D) Metabolic acidosis status
A) The kidneys retain hydrogen ions and excrete bicarbonate ions to help restore balance.
B) The kidneys excrete hydrogen ions and conserve bicarbonate ions to help restore balance.
C) The kidneys react rapidly to compensate for imbalances in the body.
D) The kidneys regulate the bicarbonate level in the ICF.
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A) Insomnia
B) Multiple myloma
C) Guillain-Barré syndrome
D) Overdose of amphetamines
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A) Respiratory acidosis
B) Metabolic alkalosis
C) Respiratory alkalosis
D) Mixed acid-base disorder
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A) Never, it rapidly enters red blood cells, causing them to rupture.
B) When the patient is severely dehydrated
C) When the patient is in an excess of an electrolyte, i.e. hypercalcemia
D) When the patient is in a deficit of an electrolyte, i.e. hypocalcemia
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A) Decreased kidney mass
B) Increased conservation of sodium
C) Increased total body water
D) Decreased renal blood flow
E) Decreased excretion of potassium
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A) Hypercalcemia
B) Hyponatremia
C) Hyperchloremia
D) Hypophosphatemia
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A) Constipation
B) Small bowel fistulas
C) Late renal insufficiency
D) Excessive administration of chloride
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A) Cimetidine
B) Maalox
C) KCl
D) Fursosemide
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A) Patients receiving TPN are at risk for hypercalcemia if calories are started too rapidly.
B) Malnourished patients receiving parenteral nutrition are at risk for hypophosphatemia if calories are started too aggressively.
C) Malnourished patients who receive fluids too rapidly are at risk for hypernatremia.
D) Patients receiving TPN are at risk for hypochloremia if fluids are introduced too rapidly.
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A) Milk
B) Beef
C) Poultry
D) Green vegetables
E) Liver
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A) Hypertension
B) Kussmaul respirations
C) Increased DTRs
D) Shallow respirations
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A) Apples
B) Asparagus
C) Carrots
D) Bananas
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A) Hypermagnesemia
B) Hypercalcemia
C) Hypocalcemia
D) Hyperkalemia
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