Hypotonic, Isotonic, Hypertonic Solutions Quiz
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Questions and Answers

What effect does a hypertonic solution have on red blood cells?

  • Causes bursting of the cell membrane
  • Has no effect on the cell size
  • Causes shrinkage (crenation) as water moves out of the cell (correct)
  • Causes swelling as water moves into the cell

What is the purpose of intravenous fluids?

  • To keep cells hydrated (correct)
  • To shrink cells
  • To prevent cell expansion
  • To dehydrate cells

What does osmolarity measure?

  • The weight of water pressing against walls
  • The amount of pull or drawing power of a solution
  • The number of osmoles/kg of water
  • The number of osmoles/L of water (correct)

What is the normal osmolality range in the body?

<p>275-295 mOsm/L (B)</p> Signup and view all the answers

What exerts the oncotic pressure in the body?

<p>Non-diffusable plasma proteins (C)</p> Signup and view all the answers

What is the primary function of hydrostatic pressure?

<p>Force of water pressing against walls (B)</p> Signup and view all the answers

Which type of solution would cause cell expansion?

<p>Hypotonic solution (B)</p> Signup and view all the answers

What happens to red blood cells in a hypotonic solution?

<p>Swelling (hemolysis) as water moves into the cell (B)</p> Signup and view all the answers

'Drawing power' is a term associated with which measurement?

<p>-osmolarity- (B)</p> Signup and view all the answers

What is one of the indicators used to assess fluid status in patients?

<p>Daily weights (B)</p> Signup and view all the answers

What is considered significant in terms of daily weight change for a patient?

<p>More than 2.2 lbs in 24 hours (D)</p> Signup and view all the answers

What type of output is included in the calculation of a patient's intake and output (I&O)?

<p>Diarrhea (C)</p> Signup and view all the answers

Why is it important to measure urine output in patients?

<p>To assess for oliguric renal disease (C)</p> Signup and view all the answers

Which condition does a daily weight change of more than 2.2 lbs in 24 hours suggest?

<p>Heart failure (C)</p> Signup and view all the answers

Which of the following is NOT typically included in a patient's intake calculation for I&O monitoring?

<p>Sweat produced (D)</p> Signup and view all the answers

What should be done if a patient's urine output is less than 30cc/hr?

<p>Refer the patient immediately (B)</p> Signup and view all the answers

Which of the following is an example of output that should be considered when calculating a patient's I&O?

<p>Wound drainage (C)</p> Signup and view all the answers

"Indicator of fluid status" is associated with which method of assessment?

<p>&quot;Physical Assessment&quot; (D)</p> Signup and view all the answers

Which of the following is NOT a component of central venous pressure assessment?

<p>Skin turgor assessment (D)</p> Signup and view all the answers

What is the normal range for serum sodium values?

<p>135-145 mEq/L (D)</p> Signup and view all the answers

Which electrolyte is known for its role in neuromuscular irritability?

<p>Potassium (A)</p> Signup and view all the answers

What is the normal range for serum potassium values?

<p>3.5-5.0 mEq/L (C)</p> Signup and view all the answers

Which of the following is NOT an anion among the mentioned electrolytes?

<p>Sodium (Na+) (B)</p> Signup and view all the answers

What is the pH range for maintaining normal arterial blood in the body?

<p>7.35 to 7.45 (B)</p> Signup and view all the answers

Respiratory acidosis is a type of acid-base imbalance that results from:

<p>High levels of carbon dioxide in the blood (C)</p> Signup and view all the answers

What does a pH value of 1.0 indicate on the pH scale?

<p><strong>Very acidic</strong> (A)</p> Signup and view all the answers

What equipment is used in intravenous therapy?

<p>Vascular access devices, tourniquets, clean gloves (A)</p> Signup and view all the answers

What is the purpose of an electronic infusion device (EID) in IV therapy?

<p>To regulate the flow of IV fluids (C)</p> Signup and view all the answers

Which of the following is a complication associated with IV therapy?

<p>Fluid overload (C)</p> Signup and view all the answers

What is autologous transfusion?

<p>Transfusing blood back to the same patient that donated it (B)</p> Signup and view all the answers

What is the main function of maintaining the IV system sterile and intact?

<p>To avoid complications like infections (C)</p> Signup and view all the answers

Which of the following is NOT a component used in blood component therapy?

<p>Surgical tools (D)</p> Signup and view all the answers

What is a common adverse effect of transfusion reactions?

<p>Allergic reactions (B)</p> Signup and view all the answers

What does phlebitis refer to in IV therapy?

<p>Inflammation of a vein (C)</p> Signup and view all the answers

What action is taken when discontinuing peripheral IV access?

<p>Removing the IV catheter from the vein (B)</p> Signup and view all the answers

What is the definition of the pH scale?

<p>It ranges from 0 to 14 and measures the concentration of hydronium ions. (C)</p> Signup and view all the answers

What is the purpose of acid buffering in the body?

<p>To maintain the normal pH of body fluids. (C)</p> Signup and view all the answers

How is carbonic acid excreted from the body?

<p>Through the lungs. (B)</p> Signup and view all the answers

What is the main cause of respiratory acidosis?

<p>Excess carbon dioxide in the blood. (A)</p> Signup and view all the answers

Which component is responsible for maintaining a balance between hydrogen ions and bicarbonate in the body?

<p>Buffers. (A)</p> Signup and view all the answers

What are the two types of acidosis mentioned in the text?

<p>Respiratory acidosis and metabolic acidosis. (C)</p> Signup and view all the answers

How do kidneys excrete metabolic acids?

<p>Through urine excretion. (B)</p> Signup and view all the answers

When is there excess carbonic acid in the blood?

<p>During respiratory acidosis. (B)</p> Signup and view all the answers

Flashcards

Hypertonic solution effect on RBCs

Causes red blood cells to shrink.

Intravenous fluids purpose

Replace lost fluids, electrolytes, and medications.

Osmolality measurement

Measures solute concentration in a solution.

Normal body osmolality range

275-295 mOsm/kg.

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Oncotic pressure origin

Exerted by proteins in the blood.

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Hydrostatic pressure action

Pushes fluid out of capillaries.

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Hypotonic solution effect on cells

Causes cell expansion.

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Osmotic pressure term

'Drawing power' is associated with it.

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Hypotonic solution and cell swelling

Hypotonic solution causes cell swelling.

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Fluid status indicator - Daily weight

Change in weight indicates fluid balance.

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Significant daily weight change

More than 2.2 lbs in 24 hours suggests fluid imbalance.

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Fluid status indicator

Urine output is an important indicator of fluid status.

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Low urine output concern

Less than 30cc/hr requires attention.

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I&O intake components

Includes oral fluids, IV fluids, and medications.

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I&O output components

Includes urine, stool, and other bodily fluids.

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Urine output in I&O

Urine output is a part of the overall I&O.

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Normal serum sodium value range

135-145 mmol/L.

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Potassium's role in the body

Essential for neuromuscular function.

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Normal serum potassium value range

3.5-5.5 mmol/L.

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Chloride in electrolytes

An anion among the mentioned electrolytes.

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Normal arterial blood pH range

7.35-7.45.

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Respiratory acidosis cause

Inadequate exhalation of CO2.

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IV Therapy method

Administering fluids and medications through a vein.

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Study Notes

Fluid Balance and Electrolytes

  • A hypertonic solution causes red blood cells to shrink.
  • Intravenous fluids are used to replace lost fluids, electrolytes, and medications.
  • Osmolality measures the concentration of solutes in a solution.
  • Normal osmolality range in the body is 275-295 mOsm/kg.
  • Oncotic pressure is exerted by proteins in the blood.
  • Hydrostatic pressure pushes fluid out of capillaries.

Solutions and Osmosis

  • A hypotonic solution causes cell expansion.
  • 'Drawing power' is a term associated with osmotic pressure.
  • A hypotonic solution would cause cell swelling.

Fluid Status Assessment

  • Daily weight change is an indicator of fluid status.
  • A daily weight change of more than 2.2 lbs in 24 hours suggests fluid imbalance.
  • Urine output is an important indicator of fluid status.
  • A urine output of less than 30cc/hr requires attention.

Intake and Output (I&O) Monitoring

  • Intake includes oral fluids, IV fluids, and medications.
  • Output includes urine, stool, and other bodily fluids.
  • Urine output is included in the calculation of I&O.

Electrolytes and pH Balance

  • Normal serum sodium values are 135-145 mmol/L.
  • Potassium is essential for neuromuscular function.
  • Normal serum potassium values are 3.5-5.5 mmol/L.
  • Chloride is an anion among the mentioned electrolytes.
  • pH range for maintaining normal arterial blood is 7.35-7.45.
  • Respiratory acidosis results from inadequate exhalation of CO2.

IV Therapy and Blood Component Therapy

  • IV therapy involves administering fluids and medications through a vein.
  • An electronic infusion device (EID) regulates IV flow rates.
  • Phlebitis is an inflammation of a vein.
  • Autologous transfusion is the transfusion of a patient's own blood.
  • Maintaining the IV system sterile and intact prevents infection.

Acid-Base Balance

  • The pH scale measures acidity and basicity.
  • Acid buffering maintains the body's acid-base balance.
  • Carbonic acid is excreted through the lungs.
  • Respiratory acidosis is caused by inadequate exhalation of CO2.
  • Metabolic acidosis is caused by excess metabolic acids.
  • Kidneys excrete metabolic acids by increasing urine production.

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Test your knowledge on hypertonic, hypotonic, and isotonic solutions and their effects on cells. Learn about the movement of water by osmosis and how different solutions affect cell volume.

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