Fluid Electrolyte and Acid-Base Imbalances
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The number of the question corresponds to the same-numbered
outcome at the beginning of the chapter.
1. During the postoperative care of a 76-year-old patient, the nurse
monitors the patient’s intake and output carefully, knowing that
the patient is at risk for fluid and electrolyte imbalances primarily
because
a. older adults have an impaired thirst mechanism and need
reminding to drink fluids.
b. water accounts for a greater percentage of body weight in the
older adult than in younger adults.
c. older adults are more likely than younger adults to lose extracellular fluid during surgical procedures.
d. small losses of fluid are more significant because body fluids
account for only about 50% of body weight in older adults.
2. During administration of a hypertonic IV solution, the mechanism involved in equalizing the fluid concentration between ECF
and the cells is
a. osmosis.
b. diffusion.
c. active transport.
d. facilitated diffusion.
3a. An older woman was admitted to the medical unit with dehydration. Clinical indications of this problem are (select all that apply)
a. weight loss.
b. dry oral mucosa.
c. full bounding pulse.
d. engorged neck veins.
e. decreased central venous pressure.
3b. The nursing care for a patient with hyponatremia includes
a. fluid restriction.
b. administration of hypotonic IV fluids.
c. administration of a cation-exchange resin.
d. increased water intake for patients on nasogastric suction.
3c. The nurse should be alert for which manifestations in a patient
receiving a loop diuretic?
a. Restlessness and agitation
b. Paresthesias and irritability
c. Weak, irregular pulse and poor muscle tone
d. Increased blood pressure and muscle spasms
3d. Which patient would be at greatest risk for the potential development of hypermagnesemia?
a. 83-year-old man with lung cancer and hypertension
b. 65-year-old woman with hypertension taking β-adrenergic
blockers
c. 42-year-old woman with systemic lupus erythematosus and
renal failure
d. 50-year-old man with benign prostatic hyperplasia and a
urinary tract infection
3e. It is especially important for the nurse to assess for which clinical
manifestation(s) in a patient who has just undergone a total thyroidectomy (select all that apply)?
a. Confusion
b. Weight gain
c. Depressed reflexes
d. Circumoral numbness
e. Positive Chvostek’s sign
3f. The nurse anticipates that treatment of the patient with hyperphosphatemia secondary to renal failure will include
a. fluid restriction.
b. calcium supplements.
c. loop diuretic therapy.
d. magnesium supplem
Fluid Electrolyte and Acid-Base Imbalances Essay
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