The nurse uses a diagram to show that fluids in the interstitial and intravascular compartments are combined. What do they combine to form?
- A. Intercellular compartment
- B. Circulating compartment
- C. Vertical compartment
- D. Extracellular compartment
Correct Answer: D
Rationale: The fluids in the interstitial and intravascular compartments are combined to form the extracellular compartment.
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What is the nurse closely assessing for in a patient with hypokalemia?
- A. Systemic edema
- B. Cardiac complications
- C. Muscle cramping
- D. Impaired kidney function
Correct Answer: B
Rationale: Hypokalemia can affect cardiac function.
The nurse must keep an accurate intake and output record to assess kidney efficiency. In order for the kidneys to remove waste what is the least amount of hourly urine output the kidneys must produce to remove waste?
- A. 10 mL
- B. 20 mL
- C. 30 mL
- D. 40 mL
Correct Answer: C
Rationale: The kidneys must excrete a minimum of 30 mL/h to eliminate waste products.
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.
What should the nurse expect when assessing a patient with respiratory alkalosis?
- A. Slow respirations
- B. Muscle weakness
- C. Strong even heart rate
- D. Flushed face
Correct Answer: B
Rationale: Tetany and muscle weakness, tachypnea, and cardiac arrhythmias are symptomatic of respiratory alkalosis.
Homeostasis of the hydrogen ion concentration in body fluids depends on the ratio of carbonic acid to bicarbonate in the extracellular fluid. What is this ratio?
- A. 1:5
- B. 1:10
- C. 1:15
- D. 1:20
Correct Answer: D
Rationale: The ratio needed for homeostasis is 1 part carbonic acid to 20 parts bicarbonate.
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