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Questions and Answers
Which of the following pH values indicates an alkaline solution?
Which of the following pH values indicates an alkaline solution?
Which of the following is the fastest mechanism used by the body to control acid-base balance?
Which of the following is the fastest mechanism used by the body to control acid-base balance?
A patient with severe diarrhea is at risk of developing which acid-base imbalance?
A patient with severe diarrhea is at risk of developing which acid-base imbalance?
Which of the following sets of values indicates respiratory acidosis?
Which of the following sets of values indicates respiratory acidosis?
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Which of the following clinical manifestations is associated with metabolic acidosis?
Which of the following clinical manifestations is associated with metabolic acidosis?
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A patient's lab results show a magnesium level of 1.2 mEq/L. Which of the following signs and symptoms would the nurse expect to find?
A patient's lab results show a magnesium level of 1.2 mEq/L. Which of the following signs and symptoms would the nurse expect to find?
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Which of the following is a common cause of hypomagnesemia?
Which of the following is a common cause of hypomagnesemia?
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A patient is experiencing hypermagnesemia. Which of the following interventions should the nurse anticipate?
A patient is experiencing hypermagnesemia. Which of the following interventions should the nurse anticipate?
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Which of the following is a sign or symptom associated with hypermagnesemia?
Which of the following is a sign or symptom associated with hypermagnesemia?
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A patient’s magnesium level is 3.0 mEq/L. What should the nurse monitor most closely in this patient?
A patient’s magnesium level is 3.0 mEq/L. What should the nurse monitor most closely in this patient?
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What is the primary function of a base in the body?
What is the primary function of a base in the body?
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Which of the following is considered a common base found in the human body?
Which of the following is considered a common base found in the human body?
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Fixed acids are formed as end products of which metabolic processes?
Fixed acids are formed as end products of which metabolic processes?
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What is the typical symptom associated with pleural friction rub during auscultation?
What is the typical symptom associated with pleural friction rub during auscultation?
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Which diagnostic test is indicated for confirming the presence of pleural effusion?
Which diagnostic test is indicated for confirming the presence of pleural effusion?
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What intervention might be performed for severe symptoms of pleural effusion?
What intervention might be performed for severe symptoms of pleural effusion?
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What underlying condition is most commonly associated with empyema?
What underlying condition is most commonly associated with empyema?
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Which of the following is NOT a sign or symptom of pulmonary fibrosis?
Which of the following is NOT a sign or symptom of pulmonary fibrosis?
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Which of the following is NOT considered a cause of pulmonary fibrosis?
Which of the following is NOT considered a cause of pulmonary fibrosis?
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Which symptom is most commonly associated with pulmonary fibrosis?
Which symptom is most commonly associated with pulmonary fibrosis?
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What diagnostic test is primarily used to confirm pulmonary fibrosis?
What diagnostic test is primarily used to confirm pulmonary fibrosis?
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Which medication type is primarily used to treat pulmonary fibrosis?
Which medication type is primarily used to treat pulmonary fibrosis?
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What is a key focus in the nursing management of atelectasis?
What is a key focus in the nursing management of atelectasis?
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Which symptom is characteristic of chronic bronchitis?
Which symptom is characteristic of chronic bronchitis?
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Which complication may develop in patients with emphysema?
Which complication may develop in patients with emphysema?
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What respiratory condition involves the loss of elasticity in the alveoli?
What respiratory condition involves the loss of elasticity in the alveoli?
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What is the most notable complication for the nurse to monitor with a patient that has an altered potassium level?
What is the most notable complication for the nurse to monitor with a patient that has an altered potassium level?
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What type of precautions would be necessary for a patient with the Flu?
What type of precautions would be necessary for a patient with the Flu?
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What disease process would the nurse suspect with chronic inflammation of the airways and hyper-responsiveness of bronchial smooth muscles?
What disease process would the nurse suspect with chronic inflammation of the airways and hyper-responsiveness of bronchial smooth muscles?
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What is the best determinant of a patient's fluid volume status?
What is the best determinant of a patient's fluid volume status?
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What is indicated by an increased level of specific gravity of urine?
What is indicated by an increased level of specific gravity of urine?
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How long should a patient with hoarseness in their voice wait before seeking healthcare provider guidance?
How long should a patient with hoarseness in their voice wait before seeking healthcare provider guidance?
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What type of diuretic is furosemide?
What type of diuretic is furosemide?
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What symptom could indicate bleeding after a tonsillectomy?
What symptom could indicate bleeding after a tonsillectomy?
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Which of the following clinical manifestations is associated with hypernatremia?
Which of the following clinical manifestations is associated with hypernatremia?
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A patient is diagnosed with hypernatremia. Which of the following laboratory results would be most consistent with this diagnosis?
A patient is diagnosed with hypernatremia. Which of the following laboratory results would be most consistent with this diagnosis?
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Which of the following is a key intervention for a patient with hypernatremia?
Which of the following is a key intervention for a patient with hypernatremia?
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A patient is taking a potassium-wasting diuretic. Which of the following electrolyte imbalances is the patient at risk of developing?
A patient is taking a potassium-wasting diuretic. Which of the following electrolyte imbalances is the patient at risk of developing?
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What is a critical action that must be taken before administering potassium to a patient?
What is a critical action that must be taken before administering potassium to a patient?
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Which of the following is an unsafe method of administering potassium?
Which of the following is an unsafe method of administering potassium?
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A patient experiencing hyponatremia is most likely to exhibit which of the following symptoms?
A patient experiencing hyponatremia is most likely to exhibit which of the following symptoms?
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Which of these is a diagnostic test to identify Hypernatremia?
Which of these is a diagnostic test to identify Hypernatremia?
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Flashcards
Pleural friction rub
Pleural friction rub
A sound heard during auscultation indicating inflammation of pleural membranes.
Pleural effusion
Pleural effusion
Excess fluid accumulation in the pleural space, more than 25ml is abnormal.
Empyema
Empyema
Collection of pus in the pleural space, often a complication of pneumonia.
Pulmonary fibrosis
Pulmonary fibrosis
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Chest X-Ray
Chest X-Ray
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pH Scale
pH Scale
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Cellular Buffers
Cellular Buffers
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Respiratory Acidosis
Respiratory Acidosis
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Metabolic Acidosis
Metabolic Acidosis
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Acidosis Symptoms
Acidosis Symptoms
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Normal Magnesium Levels
Normal Magnesium Levels
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Hypomagnesemia Causes
Hypomagnesemia Causes
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Signs of Hypomagnesemia
Signs of Hypomagnesemia
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Hypermagnesemia Definition
Hypermagnesemia Definition
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Causes of Hypermagnesemia
Causes of Hypermagnesemia
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Signs of Hypermagnesemia
Signs of Hypermagnesemia
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Acids and Bases
Acids and Bases
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Sources of Acids
Sources of Acids
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Hyponatremia Symptoms
Hyponatremia Symptoms
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Hypernatremia Symptoms
Hypernatremia Symptoms
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Hypernatremia Causes
Hypernatremia Causes
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Diagnostic Tests for Hypernatremia
Diagnostic Tests for Hypernatremia
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Hypokalemia Definition
Hypokalemia Definition
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Causes of Hypokalemia
Causes of Hypokalemia
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Interventions for Hypokalemia
Interventions for Hypokalemia
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Potassium Administration Caution
Potassium Administration Caution
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Hypokalemia Symptoms
Hypokalemia Symptoms
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Asthma Education
Asthma Education
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Fluid Volume Status
Fluid Volume Status
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Signs of Bleeding Post Tonsillectomy
Signs of Bleeding Post Tonsillectomy
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Patient with Epistaxis Care
Patient with Epistaxis Care
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Hyperphosphatemia Complications
Hyperphosphatemia Complications
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Narcotics and Electrolyte Imbalance
Narcotics and Electrolyte Imbalance
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Causes of PF
Causes of PF
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S/S of PF
S/S of PF
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Diagnostic Tests for PF
Diagnostic Tests for PF
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COPD
COPD
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Chronic Bronchitis
Chronic Bronchitis
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Atelectasis
Atelectasis
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Interventions for PF
Interventions for PF
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Study Notes
Fluid and Electrolyte Imbalance Study Notes
- Fluid Balance:
- Intracellular fluid (ICF): Fluid inside body cells
- Extracellular fluid (ECF): Fluid outside body cells
- Interstitial fluid: Surrounds cells, includes lymph
- Intravascular fluid: Blood plasma in arteries, veins, capillaries
- Transcellular fluid: Specialized compartments (cerebrospinal, digestive, synovial)
- Movement of Fluids & Electrolytes:
- Active transport: Requires energy (ATP)
- Passive transport: No energy required
- Diffusion: Movement from high to low concentration
- Filtration: Movement from high to low pressure across a semipermeable membrane
- Osmosis: Movement of water across a semipermeable membrane from low to high solute concentration
- Tonicity/Osmolarity:
- Isotonic: Same osmolarity as blood (e.g., normal saline 0.9%)
- Hypertonic: Higher osmolarity than blood (water leaves cells)
- Hypotonic: Lower osmolarity than blood (water enters cells)
- Fluid Imbalances:
- Dehydration/Hypovolemia: Loss of fluid, decreased blood volume
- Causes: Hemorrhage, vomiting, diarrhea, excessive sweating, NPO status
- Diagnostic tests: Elevated BUN, hematocrit, decreased skin turgor, cap refill
- Interventions: Fluid replacement, address underlying cause
- Fluid Overload/Fluid Excess/Hypervolemia: Too much fluid in the body
- Causes: Poorly controlled IV therapy, excessive fluid intake, adrenal gland dysfunction, corticosteroid use
- Diagnostic tests: Decreased BUN
- Interventions: Replace fluids & resolve dehydration cause, encouraging fluid intake, daily weight monitoring, monitoring I&O.
- Dehydration/Hypovolemia: Loss of fluid, decreased blood volume
Electrolyte Imbalances
- Electrolytes: substances carrying electrical charge in body fluids (dividied into cations and anions)
- Sodium (Na+): Normal range = 135-145 mEq/L
- Hyponatremia: Sodium level < 135 mEq/L causes cellular swelling
- Hypernatremia: Sodium level > 145 mEq/L causes cellular dehydration
- Potassium (K+): Important for cardiac muscles, normal range is 3.5-5.0 mEq/L
- Hypokalemia: Potassium level < 3.5 mEq/L (muscle weakness, cardiac arrhythmias)
- Hyperkalemia: Potassium level > 5.0 mEq/L (cardiac arrest)
- Calcium (Ca2+): Normal range 9-11 mg/dL
- Hypocalcemia: Calcium level <9 mg/dL (muscle cramps, tetany, seizures)
- Hypercalcemia: Calcium level > 11 mg/dL (weakness, constipation, cardiac arrhythmias)
- Magnesium(Mg2+): Normal range =1.5 to 2.5 mg/dl
- Hypomagnesemia: Muscle weakness, tremors, lethargy
- Hypermagnesemia: Decreased reflexes, bradycardia, lethargy.
- Sodium (Na+): Normal range = 135-145 mEq/L
Acid-Base Balance
- Acids and Bases: Acids release hydrogen ions; bases bind hydrogen ions
- Maintaining blood pH: essential for body functions via buffers, lungs, and kidneys
- Respiratory Acidosis: Decreased blood pH and increased CO2 levels (Hypoventilation)
- Respiratory Alkalosis: Increased blood pH and decreased CO2 levels (Hyperventilation)
- Metabolic Acidosis: Decreased blood pH and bicarbonate levels
- Metabolic Alkalosis: Increased blood pH and bicarbonate levels
Other Fluid and Electrolyte Related Topics
- Pneumonia (Bacterial/Viral/Aspiration/Ventilator-associated): Infection of the lungs
- Tuberculosis (TB): Infectious bacterial disease
- Bronchiectasis: Dilation of the airways
- Pulmonary Fibrosis: Scarring and thickening of lung tissues
- Pleural Effusion/Empyema: Fluid buildup in the pleural cavity
- Pulmonary Embolism: Blood clot traveling to the lungs
- Pneumothorax: Air in the pleural space
- Acute Respiratory Distress Syndrome (ARDS): Lung injury leading to fluid buildup in alveoli, most commonly caused by widespread sepsis
General Notes
- Lab values: Know normal ranges and implications of abnormal values.
- Signs and symptoms: Understand clinical manifestations of imbalances.
- Interventions: Recognize proper treatment strategies.
- Patient education: Understand the importance of patient self-management.
- Diagnostic tests: Recognize their role in assessing and treating imbalances.
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Description
Dive into the essential concepts of fluid and electrolyte balance within the body. This study guide covers key topics like intracellular and extracellular fluid, methods of fluid movement, and the significance of tonicity and osmolarity. Perfect for students in health and medical sciences.