Question

25 Chapter 6 Nursing Care of Patients with Fluid, Electrolyte, and Acid-Base Imbalances 3. The RN papes the health care provider while you return 4. How will you know when the problem has been to check on the patient. What nursing interventions resolved? can help until orders are received? REVIEW QUESTIONS-CONTENT REVIEW Choose the best answer unless directed otherwise 5. Which is the most reliable method for monitoring fluid balance? 1. Which of the following intravenous solutions is 1. Daily intake and output hypotonic? 2. Daily weight 1. Normal saline 3. Vital signs 2. 0.45% saline 4. Skin turgor 3. Ringer's lactate 4. 5% dextrose in normal saline 6. An older adult patient presents to the emergency 2. Which of the following hormones retains water in the department reporting severe vomiting and diarrhea, sweating, and rapid heartbeat but has a normal body? temperature. In continuing the assessment of the 1. Antidiuretic hormone patient, what should the nurse first suspect? 2. Thyroid hormone 1. Hypervolemia 3. Adenosine triphosphate 2. Dehydration 4. Insulin 3. Edema 4. Hyponatremia 3. Which food should be avoided by the patient on a low-sodium diet? 1. Applesauce 2. Deli turkey 3. Chicken 4. Broccoli 4. Which food is recommended for the patient who must increase intake of potassium? 1. Bread 2. Eggs 3. Potatoes 4. Cereal

Answer 1

1. Hypotonic solution is solution containing low concentration of salt comparing to cells in the body. Usually used in dehydration, diabetic ketoacidosis etc to increase body's fluid level.

Normal saline 0.9% - 9 % of salt in 1 liter

0.45% saline- 4.5% salt in 1 liter

Ringer lactate- sodium chloride 6 g/L, sodium lactate 3.1 g/L, potassium chloride 0.3 g/L, and calcium chloride 0.2 g/L

5% dextrose in normal saline- 50% dextrose in 1 liter

Among these, 0.45% saline is hypotonic.

Answer: 2.

2. Antidiuretic hormone retains water by giving signal to kidney and control water balance in the body.

Thyroid hormone stimulate metabolism, growth and development of the human body.

ATP adenosine triphosphate is not a hormone but an energy molecule .

Insulin produced from pancreas helps to control blood sugar level within normal.

Answer: 1

3. Potassium rich foods are banana, orange, dried fruits, broccoli, spinach, potato, sweet potato etc.

Answer: 3

4. Most reliable way to fluid balance is checking weight daily. Should be weigh on same scale,same amount of clothing at a same time every day.

Answer:2

5. Since patient have vomiting, diarrhoea,sweating can suspect dehydration.increased heart rate is due to reduced blood volume to pump. So heart has to work hard.

Hypervolemia increased blood volume

Edem:polling of fluid mainly on extremities.sometimes whole body

Hyponatremia reduced sodium in blood.

Answer: 2