Esmeralda Espitia
Quiz by , created more than 1 year ago

patho 1 Quiz on Ch. 3 electrolytes , created by Esmeralda Espitia on 04/02/2022.

0
0
0
Esmeralda Espitia
Created by Esmeralda Espitia over 2 years ago
Close

Ch. 3 electrolytes

Question 1 of 41

1

1. Why are infants most susceptible to significant losses in total body water?

Select one of the following:

  • a. High body surface-to-body size ratio

  • b. Slow metabolic rate

  • c. Kidneys are not mature enough to counter fluid losses

  • d. Inability to communicate adequately when he or she is thirsty

Explanation

Question 2 of 41

1

2. Why does obesity create a greater risk for dehydration in people?

Select one of the following:

  • a. Adipose cells contain little water because fat is water repelling.

  • b. The metabolic rate of obese adults is slower than the rate of lean adults.

  • c. The rate of urine output of obese adults is higher than in lean adults.

  • d. The thirst receptors of the hypothalamus do not function effectively.

Explanation

Question 3 of 41

1

3. A patient’s blood gases reveal the following findings: pH 7.3; bicarbonate (HCO3) 27 mEq/L; carbon dioxide (CO2) 58 mm Hg. What is the interpretation of these gases?

Select one of the following:

  • a. Respiratory alkalosis

  • b. Metabolic acidosis

  • c. Respiratory acidosis

  • d. Metabolic alkalosis

Explanation

Question 4 of 41

1

4. Water movement between the intracellular fluid (ICF) compartment and the extracellular fluid (ECF) compartment is primarily a function of what?

Select one of the following:

  • a. Osmotic forces

  • b. Plasma oncotic pressure

  • c. Antidiuretic hormone

  • d. Hydrostatic forces

Explanation

Question 5 of 41

1

5. In addition to osmosis, what force is involved in the movement of water between the plasma and interstitial fluid spaces?

Select one of the following:

  • a. Oncotic pressure

  • b. Buffering

  • c. Net filtration

  • d. Hydrostatic pressure

Explanation

Question 6 of 41

1

6. Venous obstruction is a cause of edema because of an increase in which pressure?

Select one of the following:

  • a. Capillary hydrostatic

  • b. Interstitial hydrostatic

  • c. Capillary oncotic

  • d. Interstitial oncotic

Explanation

Question 7 of 41

1

7. At the arterial end of capillaries, why does fluid move from the intravascular space into the interstitial space?

Select one of the following:

  • a. Interstitial hydrostatic pressure is higher than the capillary hydrostatic pressure.

  • b. Capillary hydrostatic pressure is higher than the capillary oncotic pressure.

  • c. Interstitial oncotic pressure is higher than the interstitial hydrostatic pressure.

  • d. Capillary oncotic pressure is lower than the interstitial hydrostatic pressure.

Explanation

Question 8 of 41

1

8. Low plasma albumin causes edema as a result of a reduction in which pressure?

Select one of the following:

  • a. Capillary hydrostatic

  • b. Interstitial hydrostatic

  • c. Plasma oncotic

  • d. Interstitial oncotic

Explanation

Question 9 of 41

1

9. How are secretion of antidiuretic hormone (ADH) and the perception of thirst stimulated?

Select one of the following:

  • a. Decrease in serum sodium

  • b. Increase in plasma osmolality

  • c. Increase in glomerular filtration rate

  • d. Decrease in osmoreceptor stimulation

Explanation

Question 10 of 41

1

10. Thirst activates osmoreceptors following an increase in which blood plasma component?

Select one of the following:

  • a. Antidiuretic hormone

  • b. Aldosterone

  • c. Hydrostatic pressure

  • d. Osmotic pressure

Explanation

Question 11 of 41

1

11. A student asks about natriuretic peptides. Which statement by the professor is most accurate?

Select one of the following:

  • a. Decrease blood pressure and increase sodium and water excretion.

  • b. Increase blood pressure and decrease sodium and water excretion.

  • c. Increase heart rate and decrease potassium excretion.

  • d. Decrease heart rate and increase potassium excretion.

Explanation

Question 12 of 41

1

12. When changes in total body water are accompanied by proportional changes in electrolytes, what type of alteration occurs?

Select one of the following:

  • a. Isotonic

  • b. Hypertonic

  • c. Hypotonic

  • d. Normotonic

Explanation

Question 13 of 41

1

13. Which enzyme is secreted by the juxtaglomerular cells of the kidney when circulating blood volume is reduced?

Select one of the following:

  • a. Angiotensin I

  • b. Angiotensin II

  • c. Aldosterone

  • d. Renin

Explanation

Question 14 of 41

1

14. A patient in the hospital has hypernatremia. What condition should the healthcare professional assess for?

Select one of the following:

  • a. Syndrome of inappropriate antidiuretic hormone

  • b. Hypersecretion of aldosterone

  • c. Brief bouts of vomiting or diarrhea

  • d. Excessive diuretic therapy

Explanation

Question 15 of 41

1

15. A patient has a serum sodium level of 165 mEq/L. The healthcare professional explains that the clinical manifestations of confusion, convulsions, cerebral hemorrhage, and coma are caused by what mechanism?

Select one of the following:

  • a. High sodium in the blood vessels pulls water out of the brain cells into the blood
    vessels, causing brain cells to shrink.

  • b. High sodium in the brain cells pulls water out of the blood vessels into the brain
    cells, causing them to swell.

  • c. Low sodium in the blood vessels pulls potassium out of the brain cells, which
    slows the synapses in the brain.

  • d. Low sodium in the blood vessels draws chloride into the brain cells followed by
    water, causing the brain cells to swell.

Explanation

Question 16 of 41

1

16. What does vomiting-induced metabolic alkalosis cause?

Select one of the following:

  • a. Retained sodium to bind with the chloride

  • b. Hydrogen to move into the cell and exchange with potassium

  • c. Retention of bicarbonate to maintain the anion balance

  • d. Hypoventilation to compensate for the metabolic alkalosis

Explanation

Question 17 of 41

1

17. The pathophysiologic process of edema is related to which mechanism?

Select one of the following:

  • a. Sodium depletion

  • b. Decreased capillary hydrostatic pressure

  • c. Increased plasma oncotic pressure

  • d. Lymphatic obstruction

Explanation

Question 18 of 41

1

18. Why is insulin used to treat hyperkalemia?

Select one of the following:

  • a. Stimulates sodium to be removed from the cell in exchange for potassium

  • b. Binds to potassium to remove it through the kidneys

  • c. Transports potassium from the blood into the cell along with glucose

  • d. Breaks down the chemical components of potassium, inactivating it

Explanation

Question 19 of 41

1

19. A major determinant of the resting membrane potential necessary for the transmission of nerve impulses is the ratio between what?

Select one of the following:

  • a. Intracellular and extracellular Na+

  • b. Intracellular and extracellular K+

  • c. Intracellular Na+ and extracellular K+

  • d. Intracellular K+ and extracellular Na+

Explanation

Question 20 of 41

1

20. During acidosis, the body compensates for the increase in serum hydrogen ions by shifting hydrogen ions into the cell in exchange for which electrolyte?

Select one of the following:

  • a. Oxygen

  • b. Sodium

  • c. Potassium

  • d. Magnesium

Explanation

Question 21 of 41

1

21. A healthcare professional is caring for four patients. Which patient should the professional assess for hyperkalemia?

Select one of the following:

  • a. Hyperparathyroidism

  • b. Vomiting

  • c. Renal failure

  • d. Hyperaldosteronism

Explanation

Question 22 of 41

1

22. In hyperkalemia, what change occurs to the cells’ resting membrane potential?

Select one of the following:

  • a. Hypopolarization

  • b. Hyperexcitability

  • c. Depolarization

  • d. Repolarization

Explanation

Question 23 of 41

1

23. A patient’s chart indicates Kussmaul respirations. The student asks the healthcare professional what this is caused by. What response by the professional is most accurate?

Select one of the following:

  • a. Anxiety leads to Kussmaul respirations and is a cause of respiratory acidosis.

  • b. A compensatory measure is needed to correct metabolic acidosis.

  • c. Diabetic ketoacidosis is leading to metabolic acidosis.

  • d. More oxygen is necessary to compensate for respiratory acidosis.

Explanation

Question 24 of 41

1

24. A healthcare provider notes that tapping the patient’s facial nerve leads to lip twitching. What electrolyte value is correlated with this finding?

Select one of the following:

  • a. K+: 2.8 mEq/L

  • b. K+: 5.4 mEq/L

  • c. Ca++: 8.2 mg/dL

  • d. Ca++: 12.9 mg/dL

Explanation

Question 25 of 41

1

25. A patient has a history of excessive use of magnesium-containing antacids and aluminum- containing antacids. What lab value does the healthcare professional correlate to this behavior?

Select one of the following:

  • a. Magnesium 1.8 mg/dL

  • b. Phosphate 1.9 mg/dL

  • c. Sodium 149 mEq/L

  • d. Potassium 2.5 mEq/L

Explanation

Question 26 of 41

1

26. A healthcare professional is caring for four patients. Which patient should the professional assess for hypermagnesemia as a priority?

Select one of the following:

  • a. Hepatitis

  • b. Renal failure

  • c. Trauma to the hypothalamus

  • d. Pancreatitis

Explanation

Question 27 of 41

1

27. Physiologic pH is maintained at approximately 7.4 because bicarbonate (HCO3) and carbonic acid (H2CO3) exist in what ratio?

Select one of the following:

  • a. 20:1

  • b. 1:20

  • c. 10:2

  • d. 10:5

Explanation

Question 28 of 41

1

28. Where is two thirds of the body’s water found?

Select one of the following:

  • a. Interstitial fluid spaces

  • b. Vascular system

  • c. Intracellular fluid compartments

  • d. Intraocular fluids

Explanation

Question 29 of 41

1

29. A healthcare professional just administered a large dose of insulin to a patient. Which electrolyte value should the professional monitor as a priority?

Select one of the following:

  • a. Sodium

  • b. Potassium

  • c. Calcium

  • d. Magnesium

Explanation

Question 30 of 41

1

30. Why does increased capillary hydrostatic pressure result in edema?

Select one of the following:

  • a. Losses or diminished production of plasma albumin

  • b. Inflammation resulting from an immune response

  • c. Blockage within the lymphatic channel system

  • d. Sodium and water retention

Explanation

Question 31 of 41

1

31. A patient’s electrocardiogram (ECG) shows tall, peaked T waves. What lab value or assessment would the healthcare professional correlate with this finding?

Select one of the following:

  • a. Positive Chvostek sign

  • b. Serum potassium 6.7 mEq/L

  • c. Nausea and vomiting

  • d. Serum sodium 138 mEq/L

Explanation

Question 32 of 41

1

1. Which groups are at risk for fluid imbalance? (Select all that apply.)

Select one or more of the following:

  • a. Women

  • b. Infants

  • c. Men

  • d. Obese persons

  • e. Older adults

Explanation

Question 33 of 41

1

2. A patient is admitted to the hospital with dehydration. For which signs or symptoms would the healthcare professional assess? (Select all that apply.)

Select one or more of the following:

  • a. Moist mucous membranes

  • b. Weak pulses

  • c. Tachycardia

  • d. Polyuria

  • e. Weight loss

Explanation

Question 34 of 41

1

3. What are the causes of hypocalcemia? (Select all that apply.)

Select one or more of the following:

  • a. Repeated blood administration

  • b. Pancreatitis

  • c. Decreased reabsorption of calcium

  • d. Hyperparathyroidism

  • e. Kidney stones

Explanation

Question 35 of 41

1

4. A patient is admitted with hyponatremia. For which clinical manifestations would the healthcare professional assess? (Select all that apply.)

Select one or more of the following:

  • a. Headache

  • b. Seizures

  • c. Paranoia

  • d. Confusion

  • e. Lethargy

Explanation

Question 36 of 41

1

5. A patient has been diagnosed with hypercalcemia. Which manifestations does the healthcare professional assess for? (Select all that apply.)

Select one or more of the following:

  • a. Diarrhea

  • b. Calcium-based kidney stones

  • c. ECG showing narrow T waves

  • d. Lethargy

  • e. Bradycardia

Explanation

Question 37 of 41

1

6. A patient’s serum potassium level is 2.7 mEq/L. Which clinical manifestations does the healthcare professional assess for? (Select all that apply.

Select one or more of the following:

  • a. Paralytic ileus

  • b. Sinus bradycardia

  • c. Atrioventricular block

  • d. Dry mucous membranes

  • e. Tetany

Explanation

Question 38 of 41

1

7. A third of the body’s fluid is contained in the extracellular interstitial fluid spaces that include what? (Select all that apply.)

Select one or more of the following:

  • a. Urine

  • b. Intraocular fluids

  • c. Lymph

  • d. Blood plasma

  • e. Sweat

Explanation

Question 39 of 41

1

8. An imbalance of potassium can produce which dysfunctions? (Select all that apply.)

Select one or more of the following:

  • a. Weakness of skeletal muscles

  • b. Cardiac dysrhythmias

  • c. Smooth muscle atony

  • d. Visual impairment

  • e. Hearing loss

Explanation

Question 40 of 41

1

9. Which statements regarding total body water (TBW) are true? (Select all that apply.)

Select one or more of the following:

  • a. During childhood, TBW slowly decreases in relationship to body weight.

  • b. Gender has no influence on TBW until old age.

  • c. Men tend to have greater TBW as a result of their muscle mass.

  • d. Estrogen plays a role in female TBW.

  • e. Older adults experience a decrease in TBW as a result of decreased muscle mass.

Explanation

Question 41 of 41

1

10. The calcium and phosphate balance is influenced by which three substances? (Select all that apply.)

Select one or more of the following:

  • a. Parathyroid hormone

  • b. Vasopressin

  • c. Thyroid hormone

  • d. Calcitonin

  • e. Vitamin D

Explanation