1.
The three main enzymes found in the heart are:
Correct Answer
A. Sodium, potassium, calcium
Explanation
Sodium, potassium and calcium are the three main enzymes found in the heart
2.
Sodium is a major _____ in the extracellular fluid.
Correct Answer
B. Cation
Explanation
Sodium (Na) is the major cation in the extracellur fluid and it has water retaining effects.
3.
Normal adult sodium levels are:
Correct Answer
A. 135-145
Explanation
The normal adult sodium levels range from 135 to 145. This range represents the typical amount of sodium found in the bloodstream of a healthy adult. Sodium is an essential electrolyte that helps maintain fluid balance in the body, supports nerve and muscle function, and regulates blood pressure. Deviations from this range can indicate certain medical conditions or imbalances in the body's fluid and electrolyte levels.
4.
Clinical findings with decreased levels of sodium include:
Correct Answer
vomiting, diarrhea, gastric suctioning, syndrome of inappropriate antidiuretic hormone secretion (SIDH)
Explanation
vomiting, diarrhea, gastric suctioning, syndrome of inappropriate antidiuretic hormone secretion (SIDH)
5.
Four (4) clinical findings associated with elevated sodium levels are:
Correct Answer
dehydration, severe vomiting, diarrhea, and congestive heart failure
dehydration, severe vomiting, and diarrhea, congestive heart failure
Explanation
dehydration, severe vomiting, diarrhea, and congestive heart failure
6.
Potassium is a mineral that the body needs to work normally. It helps_______ and ________ communicate
Correct Answer
nerves muscles
nerves and muscles
nerves, muscles
Explanation
Potassium is a mineral that the body needs to work normally. It helps nerves and muscles communicate
7.
Normal potassium levels for an adult is:
Correct Answer
A. 3.5-5.0 mEq/L
Explanation
The normal potassium levels for an adult are typically between 3.5-5.0 mEq/L. This range is considered to be within the normal limits for potassium levels in the blood. Potassium is an essential electrolyte that plays a crucial role in various bodily functions, including nerve and muscle cell function. Deviations from this normal range can indicate an imbalance in potassium levels, which may have implications for overall health and well-being.
8.
A very low potassium level (less than ____ mmol/L) can be life threatening and requires urgent medical attention.
Correct Answer
2.5
Explanation
A very low potassium level (less than 2.5 mmol/L) can be life threatening and requires urgent medical attention.
9.
Low potassium (hypokalemia) has many causes. The most common cause of low potassium is excessive potassium loss in_____ or from the ________.
Correct Answer
urine or from the digestive tract
urine digestive tract
urine, digestive tract
urine and digestive tract
Explanation
Low potassium (hypokalemia) has many causes. The most common cause of low potassium is excessive potassium loss in urine or from the digestive tract.
10.
The most common cause of genuinely high potassium (hyperkalemia) is related to your kidneys, such as: ________ and _______.
Correct Answer
acute renal failure, chronic renal failure
acute renal failure and chronic renal failure
acute renal failure chronic renal failure
Explanation
The most common cause of genuinely high potassium (hyperkalemia) is related to your kidneys, such as: acute kidney failure and chronic renal failure.
11.
Hyperkalemia is a serious and potentially life threatening disorder. It can cause:
Correct Answer
muscle fatigue, weakness, paralysis, abnormal heart rhythms (arrhythmias), nausea
Explanation
Hyperkalemia is a serious and potentially life threatening disorder. It can cause:muscle fatigue, weakness, paralysis, abnormal heart rhythms (arrhythmias), nausea
12.
Potassium goes ____ in acidosis
Correct Answer
up
increases
Explanation
Potassium goes up in acidosis
13.
In the human body calcium is found most abundtly in the _____ and _______.
Correct Answer
bones and teeth
Explanation
Calcium is found most abundtly in thebones and teeth.
14.
Patients with elevated calcium levels should be monitored for signs of :
Correct Answer
lethargy, headaches, nausea, and vomiting
lethargy, headaches, nausea,vomiting
Explanation
Patients with elevated calcium levels should be monitored for signs of : lethargy, headaches, nausea, and vomiting
15.
Normal calcium levels in an adult are
Correct Answer
A. 4.5-5.5 mEq/L
Explanation
The normal calcium levels in an adult are typically measured in terms of milliequivalents per liter (mEq/L). The correct answer is 4.5-5.5 mEq/L, which indicates the normal range of calcium levels in the blood for an adult. This range is considered to be within the normal limits and is used as a reference for diagnosing any abnormalities in calcium levels.
16.
Patient's with decreased levels of calcium should be monitored for signs of tetany which include _______ and ________.
Correct Answer
Chvostek's and Trousseau
Chvostek's,Trousseau
seizures and muscle spasms
seizures muscle spasms
seizures, muscle spasms
Explanation
Patient's with decreased levels of calcium should be monitored for signs of tetany which include Chvostek's and Trousseau.
17.
Monitor the pulse regularly if the patient is receiving a _______ and ________.
Correct Answer
digitalis preparation and supplement
digitalis preparation and supplement
pulse digitalis preparation supplement
pulse, digitalis preparation, supplement
Explanation
Monitor the pulse regularly if the patient is receiving a digitalis preperation and supplement.
18.
Monitor the ECG during hypocalcemia for prolonged _____ and lengthened ______.
Correct Answer
ST segmants, QT intervals
ST segmants and QT intervals
ST segmants QT intervals
Explanation
Monitor the ECG during hypocalcemia for prolonged ST segmants and lengthened QT intervals.
19.
Troponin is specific to the ______, even slight elevations may indicate some degree of damage to the ____.
Correct Answer
heart, heart
Explanation
Troponin is specific to the heart, even slight elevations may indicate some degree of damage to the heart.
20.
Troponin values remain high for _____ to ____ weeks after a heart attack.
Correct Answer
one, two
one to two
one two
Explanation
Troponin values remain high for one to two weeks after a heart attack.
21.
Urea is formed as an end product of protein metabolism and is excreted by the _____ .
Correct Answer
kidneys
KIDNEYS
Explanation
Urea is formed as an end product of protein metabolism and is excreted by the kidneys.
22.
Normal BUN levels for an adult are:
Correct Answer
A. 5-25 mg/dL
Explanation
The normal BUN levels for an adult are 5-25 mg/dL. BUN stands for blood urea nitrogen, which is a measure of the amount of urea nitrogen in the blood. Urea nitrogen is a waste product that is produced when the body breaks down proteins. The levels of BUN in the blood can indicate how well the kidneys are functioning, as the kidneys are responsible for filtering out and excreting urea nitrogen. The range of 5-25 mg/dL is considered normal, with levels below or above this range potentially indicating kidney dysfunction or other health issues.
23.
An elevated BUN level could be an indication of _______, _______, or ________.
Correct Answer
dehydration, prerenal failure, or renal failure
dehydration, prerenal failure, renal failure
Explanation
An elevated BUN level could be an indication of dehydration, prerenal failure, or renal failure.
24.
A low BUN value usually indicates ________.
Correct Answer
overhydration (hypovolemia)
Explanation
A low BUN value usually indicates overhydration (hypovolemia).
25.
Clinical presentations of elevated BUN levels may include _______, _______, ______ which can all be indicators for dehydration and if severe enough could lead to shock.
Correct Answer
tachycardia, hypotension, tachypnea
tachycardia hypotension tachypnea
Explanation
Clinical presentations of elevated BUN levels may include tachycardia, hypotension, tachypnea which can all be indicators for dehydration and if severe enough could lead to shock.
26.
Avoid overhydration with IV fluid. Rapid administration of IV fluids can overload the vascular system, especially in the aged, children, and in cardiac patients, resulting in hypervolemia. This can lead to ________.
Correct Answer
pulmonary edema
Explanation
Avoid overhydration with IV fluid. Rapid administration of IV fluids can overload the vascular system, especially in the aged, children, and in cardiac patients, resulting in hypervolemia. This can lead to pulmonary edema.
27.
Check the patient for signs of symptoms of overhydration (irritated cough, dyspnea, JVD, rales) when the BUN is decreased. Overhydration (hypervolemia) causes hemodilution, diluting the urea in the blood. IV fluids should be _______.
Correct Answer
withheld
Explanation
Check the patient for signs of symptoms of overhydration (irritated cough, dyspnea, JVD, rales) when the BUN is decreased. Overhydration (hypervolemia) causes hemodilution, diluting the urea in the blood. IV fluids should be withheld.
28.
Glucose is a ______, and is the most important simple sugar in human _____.
Correct Answer
carbohydrate metabolism
carbohydrate, metabolism
Explanation
Glucose is a carbohydrate, and is the most important simple sugar in human metabolism.
29.
Normal glucose levels are between:
Correct Answer
70-100
30.
Hypoglycemia is a condition characterized by abnormally low blood glucose levels, usually less than ____mg/dl
Correct Answer
60
Explanation
Hypoglycemia is a medical condition where the blood glucose levels drop below normal. The normal blood glucose level is usually around 70-100 mg/dl. Therefore, a blood glucose level of 60 mg/dl is considered abnormally low and falls within the range of hypoglycemia.
31.
Hyperglycemia is the technical term for ____ blood glucose.
Correct Answer
high
Explanation
Hyperglycemia is the technical term for high blood glucose
32.
_______ develops when your body doesn't have enough insulin.
Correct Answer
Ketoacidosis
Explanation
Ketoacidosis develops when your body doesn't have enough insulin.
33.
Ketoacidosis is life-threatening and needs immediate treatment. Symptoms include:_______,________,______ and______, _______.
Correct Answer
shortness of breath, breath that smells fruity, nausea and vomiting, very dry mouth
shortness of breath, breath that smells fruity, nausea , vomiting, very dry mouth
shortness of breath breath that smells fruity nausea vomiting very dry mouth
Explanation
Ketoacidosis is life-threatening and needs immediate treatment. Symptoms includeshortness of breath, breath that smells fruity, nausea and vomiting, very dry mouth.
34.
Diabetic ketoacidosis (DKA) is a serious condition that can lead to _____or even _____.
Correct Answer
diabetic coma or death
diabetic coma, death
Explanation
Diabetic ketoacidosis (DKA) is a serious condition that can lead to diabetic coma or even death.