care Of Clients With Fluid-electrolyte, Acid-base Imbalances

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| By Cindy Michele
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Cindy Michele
Community Contributor
Quizzes Created: 3 | Total Attempts: 10,145
| Attempts: 176
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About This Quiz

This quiz covers key concepts in managing fluid-electrolyte and acid-base imbalances, focusing on body fluid composition, hormonal influences, and major organ functions related to fluid balance.

care Of Clients With Fluid-electrolyte, Acid-base Imbalances - Quiz

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  • 2. 

    Promotes neuromuscular irritability. For bone and teeth development and blood clotting. 

    • Sodium

    • Potassium

    • Calcium

    • Vitamin D

    Correct Answer
    A. Calcium
    Explanation
    Calcium is essential for promoting neuromuscular irritability, which means it helps with the transmission of nerve impulses and muscle contractions. It is also crucial for bone and teeth development, as it is a major component of these structures. Additionally, calcium plays a vital role in blood clotting, helping to prevent excessive bleeding. Therefore, calcium is the correct answer as it fulfills all the mentioned functions.

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  • 3. 

    Major organs in controlling output.

    • Lungs

    • Kidneys

    • Heart

    • Liver

    Correct Answer
    A. Kidneys
    Explanation
    The kidneys play a major role in controlling the output of various substances in the body. They are responsible for filtering waste products, excess water, and electrolytes from the blood to form urine. By regulating the amount of water and electrolytes excreted, the kidneys help maintain the body's fluid balance and electrolyte levels. Additionally, the kidneys also play a crucial role in regulating blood pressure by releasing hormones that control the constriction and dilation of blood vessels. Therefore, the kidneys are essential organs in controlling the output of waste products and maintaining overall homeostasis in the body.

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  • 4. 

    What is the management for Hypernatremia?

    • Administer NaCl

    • Promote safety

    • Restrict sodium in the diet

    • Mouth care

    Correct Answer
    A. Restrict sodium in the diet
    Explanation
    Restricting sodium in the diet is the appropriate management for hypernatremia. Hypernatremia is a condition characterized by high levels of sodium in the blood. Restricting sodium intake helps to lower the sodium levels in the body, which is essential for managing this condition. This can be achieved by avoiding foods that are high in sodium and opting for a low-sodium diet. By restricting sodium in the diet, the body's sodium levels can be brought back to normal, thus effectively managing hypernatremia.

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  • 5. 

    What is the rationale in elevating the edematous body part?

    • To promote mucus drainage

    • To liquefy blood

    • For hydration

    • To promote venous return

    Correct Answer
    A. To promote venous return
    Explanation
    Elevating an edematous body part helps to promote venous return. When a body part becomes edematous, it means there is an accumulation of excess fluid in the tissues. By elevating the edematous body part, gravity assists in reducing the pooling of blood and fluid in the area, allowing it to flow back towards the heart more easily. This helps to improve circulation, reduce swelling, and promote healing.

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  • 6. 

    This causes shifting of fluids from the ICF to ECF. The cells shrink.

    • Dehydration

    • Hypotension

    • Weight gain

    • Oliguria

    Correct Answer
    A. Dehydration
    Explanation
    Dehydration is the correct answer because when there is a lack of fluid intake or excessive fluid loss, the body becomes dehydrated. This leads to a shift of fluids from the intracellular fluid (ICF) to the extracellular fluid (ECF) in an attempt to maintain proper fluid balance. As a result, the cells shrink due to the loss of water. Symptoms of dehydration may include dry mouth, increased thirst, fatigue, dizziness, and decreased urine output (oliguria).

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  • 7. 

    The percentage of water in an infant is?

    • 80%

    • 60%

    • 40%

    • 20%

    Correct Answer
    A. 80%
    Explanation
    The correct answer is 80%. This is because infants have a higher percentage of water in their bodies compared to adults. Water is essential for the proper functioning of the body, and infants have a higher water content to support their rapid growth and development.

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  • 8. 

    The best indicator for edema.

    • Weight loss

    • Weight gain

    • Hypertension

    • Dehydration

    Correct Answer
    A. Weight gain
    Explanation
    Weight gain is the best indicator for edema because edema is the accumulation of excess fluid in the body's tissues, leading to swelling. When a person experiences edema, their body retains fluid, resulting in an increase in weight. Therefore, weight gain is a clear indication of edema as it reflects the accumulation of fluid in the body.

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  • 9. 

    The accumulation of fluids in the interstitial spaces.

    • Hypoalbuminea

    • Edema

    • Water intoxication

    • Dehydration

    Correct Answer
    A. Edema
    Explanation
    Edema refers to the accumulation of fluids in the interstitial spaces, which are the spaces between cells in the body. This can occur due to various reasons, such as an increase in capillary permeability, impaired lymphatic drainage, or increased fluid retention. Hypoalbuminemia, which is a low level of albumin in the blood, can contribute to the development of edema. Edema can also be caused by other factors like heart failure, kidney disease, or certain medications. Therefore, edema is the correct answer in this case.

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  • 10. 

    Comprises 70% of the body fluid

    • Interstitial fluid

    • Intracellular fluid compartment

    • Intravascular fluid

    • Extracellular Fluid compartment

    Correct Answer
    A. Intracellular fluid compartment
    Explanation
    The intracellular fluid compartment refers to the fluid found inside the cells of the body. It is the largest compartment and makes up approximately 70% of the body fluid. This fluid is essential for maintaining cell function and carrying out various cellular processes. It contains important electrolytes and nutrients that are necessary for cell survival and proper functioning. The intracellular fluid compartment is separate from the extracellular fluid compartment, which includes interstitial fluid and intravascular fluid.

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  • 11. 

    It is caused by failure of the respiratory system to remove carbon dioxide from the body fluid produced in the tissues.

    Correct Answer
    Respiratory Acidosis
    Explanation
    Respiratory acidosis occurs when the respiratory system fails to effectively remove carbon dioxide from the body fluids produced in the tissues. This can happen due to various reasons such as lung diseases, airway obstruction, or respiratory muscle weakness. When carbon dioxide builds up in the body, it combines with water to form carbonic acid, leading to an increase in acidity in the blood. This condition can cause symptoms like shortness of breath, confusion, and fatigue. Treatment usually involves addressing the underlying cause and improving respiratory function to remove excess carbon dioxide from the body.

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  • 12. 

    It is caused by loss of carbon dioxide from the lungs at a faster rate that it is produced in the tissues.

    Correct Answer
    Respiratory Alkalosis
    Explanation
    Respiratory alkalosis occurs when there is excessive elimination of carbon dioxide from the lungs, leading to a decrease in carbon dioxide levels in the blood. This can be caused by hyperventilation, which results in rapid breathing and a higher rate of carbon dioxide removal from the body. As a result, the pH of the blood increases, becoming more alkaline. Symptoms of respiratory alkalosis may include dizziness, lightheadedness, tingling in the extremities, and muscle spasms.

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  • 13. 

    Results from abnormal accumulation of fixed acids or loss of base.

    Correct Answer
    Metabolic Acidosis
    Explanation
    Metabolic acidosis refers to a condition characterized by an abnormal buildup of fixed acids or loss of base in the body, leading to an imbalance in the acid-base levels. This can occur due to various factors such as excessive production of acids, impaired elimination of acids by the kidneys, or loss of bicarbonate, a base that helps regulate acidity. Metabolic acidosis can result in symptoms like rapid breathing, confusion, fatigue, and can be caused by conditions like kidney disease, diabetes, or certain medications. Therefore, the given answer, "Metabolic Acidosis," accurately describes the condition resulting from abnormal accumulation of fixed acids or loss of base.

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  • 14. 

    Results from loss of hydrogen ions or addition of base to body fluids.

    Correct Answer
    Metabolic Alkalosis
    Explanation
    Metabolic alkalosis is a condition characterized by an increase in the pH of body fluids, caused by either a loss of hydrogen ions or an excess of base in the body. This can occur due to various factors such as vomiting, excessive use of diuretics, or excessive intake of antacids. When hydrogen ions are lost or when base is added to the body fluids, the balance of acids and bases is disrupted, leading to an alkaline pH. This condition can have various symptoms such as muscle twitching, nausea, and confusion. Treatment involves addressing the underlying cause and restoring the acid-base balance.

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  • 15. 

    What is the management for water intoxication?

    • Fluid restriction

    • Administer fluids with sodium

    • Fluid replacement

    • Oral care

    Correct Answer
    A. Fluid restriction
    Explanation
    Fluid restriction is the management for water intoxication because it involves limiting the intake of fluids to prevent further dilution of electrolytes in the body. Water intoxication occurs when there is an excessive intake of water, leading to an imbalance of electrolytes and potentially dangerous symptoms. By restricting fluid intake, the body can gradually restore the electrolyte balance and prevent further complications. This management approach is crucial in treating water intoxication and ensuring the patient's safety.

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  • 16. 

    Controls the actual fluid intake

    • Kidneys

    • Hunger

    • Thirst

    • Feces

    Correct Answer
    A. Thirst
    Explanation
    Thirst is the sensation that prompts an individual to drink fluids. It is the body's way of signaling that it needs more water. When the body becomes dehydrated or needs to regulate its fluid balance, the brain triggers the sensation of thirst, prompting the person to drink water or other fluids. This mechanism helps to control the actual fluid intake in the body and maintain proper hydration levels. The kidneys, hunger, and feces do not directly control fluid intake, making them incorrect options.

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  • 17. 

    All of the following are functions of water, EXCEPT

    • Regulate acid-base balance

    • Maintains blood volume

    • Eliminates waste products from the cells

    • Promotes cellular chemical function

    Correct Answer
    A. Eliminates waste products from the cells
    Explanation
    The function of water listed as an exception is:
    Eliminates waste products from the cells
    Water does indeed play a crucial role in regulating acid-base balance, maintaining blood volume, and promoting cellular chemical function. However, the elimination of waste products from cells is primarily carried out by the lymphatic system, the kidneys, and various other bodily processes, with water serving as a medium through which waste can be transported but not as the primary mechanism for waste elimination.

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  • 18. 

    Select the clinical manifestations of edema

    • Cool, pale skin

    • Weeping edema

    • Neck vein engorgement

    • Weight loss

    Correct Answer(s)
    A. Cool, pale skin
    A. Weeping edema
    A. Neck vein engorgement
    Explanation
    The clinical manifestations of edema include cool, pale skin, weeping edema, and neck vein engorgement. Cool, pale skin can be a sign of poor circulation due to fluid accumulation. Weeping edema refers to the excessive fluid leaking from the skin. Neck vein engorgement occurs when the veins in the neck become swollen due to increased fluid volume. Weight loss, on the other hand, is not typically associated with edema but may be a symptom of other conditions.

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  • 19. 

    Necessary in the conduction of nerve impulses and promotion of skeletal and cardiac activity.

    • Calcium

    • Magnesium

    • Potassium

    • Sodium

    Correct Answer
    A. Potassium
    Explanation
    Potassium is necessary in the conduction of nerve impulses and promotion of skeletal and cardiac activity. It plays a crucial role in maintaining the electrical potential across cell membranes, allowing nerve cells to transmit signals and muscles to contract. Potassium also helps regulate the heartbeat and ensures proper functioning of the skeletal muscles. Deficiency or excess of potassium can lead to various health issues, including muscle weakness, irregular heartbeat, and impaired nerve function. Therefore, potassium is essential for the proper functioning of the nervous system and the promotion of skeletal and cardiac activity.

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  • 20. 

    Select the vital signs during dehydration

    • Increased body temperature

    • Decreased pulse rate

    • Increased respiratory rate

    • Decreased blood pressure

    Correct Answer(s)
    A. Increased body temperature
    A. Increased respiratory rate
    A. Decreased blood pressure
    Explanation
    During dehydration, the body tries to compensate for the lack of fluids by increasing its temperature. This is because sweating, which helps regulate body temperature, becomes less effective when there is a lack of water. Additionally, dehydration can lead to an increased respiratory rate as the body tries to compensate for the reduced oxygen levels. Lastly, dehydration causes a decrease in blood volume, leading to a decrease in blood pressure. Therefore, the vital signs during dehydration include increased body temperature, increased respiratory rate, and decreased blood pressure.

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  • 21. 

    This hormone lowers serum calcium by depositing calcium into the bones.

    • Thyrocalcitonin

    • Parathormone

    • Vitamin D

    • Progesterone

    Correct Answer
    A. Thyrocalcitonin
    Explanation
    Thyrocalcitonin is a hormone that is responsible for regulating calcium levels in the body. It works by depositing calcium into the bones, which helps to lower the amount of calcium in the bloodstream. This hormone is produced by the thyroid gland and plays a crucial role in maintaining the balance of calcium in the body.

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  • 22. 

    Select all the manifestations for Hyperkalemia

    • Irritability

    • Flaccid paralysis

    • Ventricular fibrillation

    • Hypotension

    Correct Answer(s)
    A. Irritability
    A. Flaccid paralysis
    A. Ventricular fibrillation
    Explanation
    Hyperkalemia is a condition characterized by high levels of potassium in the blood. Manifestations of hyperkalemia include irritability, flaccid paralysis, and ventricular fibrillation. Irritability is a common symptom and is often the first sign of hyperkalemia. Flaccid paralysis can occur due to the effect of high potassium levels on muscle function. Ventricular fibrillation is a life-threatening arrhythmia that can result from severe hyperkalemia. Hypotension, or low blood pressure, is not typically associated with hyperkalemia and is therefore not a manifestation of this condition.

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  • 23. 

    This hormone elevates serum calcium through withdrawal of calcium from the bones.

    • Estrogen

    • Parathormone

    • Progesterone

    • Thryocalcitonin

    Correct Answer
    A. Parathormone
    Explanation
    Parathormone is the correct answer because it is a hormone that regulates calcium levels in the body. It increases serum calcium levels by promoting the release of calcium from the bones. This process is known as bone resorption, where calcium is withdrawn from the bones and released into the bloodstream. Parathormone also enhances the absorption of calcium from the intestines and reduces its excretion through the kidneys. Overall, parathormone plays a crucial role in maintaining calcium homeostasis in the body.

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  • 24. 

    Select all that results to Respiratory and Metabolic Acidosis

    • Hyperkalemia

    • Peripheral vasodilation

    • Increased BP

    • CNS depression

    Correct Answer(s)
    A. Hyperkalemia
    A. Increased BP
    A. CNS depression
    Explanation
    Hyperkalemia, increased blood pressure, and CNS depression can all result in respiratory and metabolic acidosis. Hyperkalemia, an increased level of potassium in the blood, can cause acidosis by impairing kidney function and reducing the excretion of acid. Increased blood pressure can lead to acidosis by causing vasoconstriction and reducing blood flow to the kidneys, impairing their ability to excrete acid. CNS depression can also contribute to acidosis by reducing the respiratory drive and causing hypoventilation, leading to an accumulation of carbon dioxide and subsequent acidosis.

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  • 25. 

    Select all that results to Respiratory and Metabolic Alkalosis

    • Increased ICP

    • Hyperkalemia

    • Hypotension

    • Seizures

    Correct Answer(s)
    A. Increased ICP
    A. Hypotension
    A. Seizures
    Explanation
    Increased intracranial pressure (ICP) can lead to respiratory alkalosis due to hyperventilation caused by brainstem compression. Hypotension can cause decreased perfusion to the brain, leading to cerebral hypoxia and subsequent respiratory alkalosis. Seizures can also cause hyperventilation and respiratory alkalosis. Therefore, all three options (Increased ICP, hypotension, seizures) can result in both respiratory and metabolic alkalosis. Hyperkalemia, on the other hand, is not directly related to alkalosis and does not cause hyperventilation.

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  • 26. 

    What is the rationale in allowing the client breath into the plastic bag or brown paper bag?

    • To save energy

    • To reinhale the exhaled carbon dioxide

    • To exhale excess carbon dioxide

    • To assist in postural drainage

    Correct Answer
    A. To reinhale the exhaled carbon dioxide
    Explanation
    Allowing the client to breathe into a plastic bag or brown paper bag is done to reinhale the exhaled carbon dioxide. When a person breathes into a bag, they are inhaling the carbon dioxide they just exhaled. This can help increase the levels of carbon dioxide in the body, which can be beneficial in certain medical situations. It is important to note that this technique should only be used under the guidance of a healthcare professional.

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Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Sep 26, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Oct 13, 2017
    Quiz Created by
    Cindy Michele
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