Chapter 8 review questions

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What is the purpose of the exchange of like charged ions between cellular compartments?
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What is the purpose of the exchange of like charged ions between cellular compartments?
A: provides a homeostatic mechanism to maintain electrolyte and acid-base balance.
which cation is the most abundant in the extracellular compartment and serves as the primary determinant of blood osmolality?
A. Potassium
B. Sodium
D. Calcium
E. Phosphate
B
1. Patient X is diagnosed with constipation. As a knowledgeable nurse, which nursing intervention is appropriate for maintaining normal bowel function
A. Assessing dietary intake
B. Decreasing fluid intake
C. Providing limited physical activity
D. Turning coughing and deep breathing
A
Lee Angela's lab test just revealed that her chloride level is 96 mEq/L. As a nurse, you would interpret this serum chloride level as:
A. high
B. low
C. within normal range
D. high normal
B
which of the following conditions is associated with elevated serum chloride levels
A. cystitis
B. diabetes
C. eclampsia
D. hypertension
C
In the extracellular fluid, chloride is a major
A. compound
B. ion
C. anion
D, cation
C
Nursing intervention for the patient with hyperphosphatemia include encouraging intake of:
A. amphogel
B. Fleets phospho-soda
C. milk
D. Vitamin D
A
Etiologies associated with hypocalcemia may include all of the following except:
A. renal failure
B. inadequate intake calcium
C. metastatic bone lesions
D. vitamin D deficiency
C
which of the following findings would the nurse expect to assess in hypercalcemia?
A. prolonged QRS complex
B. tetany
C. petechiae
D. urinary calculi
D
Which of the following is not an appropriate nursing intervention for a patient with hypercalcemia?
A. administering calcitonin
B. administering calcium gluconate
C. administering loop diuretics
D. encouraging ambulation
B
A patient in which of the following disorders is at high risk to develop hypermagnesemia?
A. insulin shock
B. hyperadrenalism
C. nausea and vomiting
D. renal failure
D
Nursing interventions for a patient with hypermagnesemia include administering calcium gluconate to:
A. increase calcium levels
B. antagonize the cardiac effect of magnesium
C. lower calcium levels
D. lower magnesium levels
B
For a patient with hypomagnesemia, which of the following medications may become toxic?
A. Lasix
B. digoxin
C. calcium gluconate
D. CAPD
B
Which of the following is the most important physical assessment parameter the nurse would consider when assessing fluid and electrolyte imbalance?
A. skin turgor
B. intake and output
C. osmotic pressure
D. cardiac rate and rhythm
D
Insensible fluid losses include:
A. urine
B. gastric drainage
C. bleeding
D. perspiration
D