The nurse expects an adult with normal __ function to void a minimum of 120 mL of urine in 4 hours.
Correct Answer: kidney
Rationale: The norm is to excrete at least 30 mL/h. In 4 hours, the urine output is expected to be 120 mL.
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The lactating mother is counseled by the nurse to eat adequate amounts of meat and legumes. What level will this help to increase?
- A. Potassium
- B. Chloride
- C. Magnesium
- D. Phosphorus
Correct Answer: D
Rationale: Phosphorus should be increased during pregnancy and lactation.
The nurse explains to a patient that the drug Lasix reduces edema by drawing water from the interstitial space into the intravascular space. What is this process called?
- A. Diffusion
- B. Filtration
- C. Osmosis
- D. Homeostasis
Correct Answer: C
Rationale: Osmosis is the movement of water from an area of lower concentration to an area of higher concentration.
Three body systems work at different speeds to keep the pH in the narrow range of normal. What is the order of effectiveness for these three systems?
- A. Blood buffers kidneys and lungs
- B. Kidneys lungs and blood buffers
- C. Blood buffers lungs and kidneys
- D. Lungs kidneys and blood buffers
Correct Answer: C
Rationale: The three systems are blood buffers, lungs, and kidneys. The blood buffers' speed is a fraction of a second, the lungs take minutes, and the kidneys take hours to days.
A child has been having an asthma attack for the last 8 hours. Because of the child's inability to exhale effectively the nurse assesses for respiratory __.
Correct Answer: acidosis
Rationale: Retained CO2 will lead to respiratory acidosis.
What should the nurse focus on when creating a nursing care plan for a patient with metabolic acidosis?
- A. Frequent periods of ambulation
- B. Increasing fluid intake
- C. Decreasing fluid intake
- D. Deep-breathing exercises
Correct Answer: D
Rationale: Deep breathing will cause the patient to blow off CO2 and assist in increasing the pH and reduce the acidity.
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