What percentage of body water can be as high as in a newborn?
- A. 80%.
- B. 70%.
- C. 60%.
- D. 90%.
Correct Answer: A
Rationale: The correct answer is A: 80%. Newborns can have a body water content as high as 80% due to their higher total body water compared to adults. Choice B (70%) is incorrect because newborns typically have a higher body water percentage. Choice C (60%) is also incorrect as it underestimates the body water content in newborns. Choice D (90%) is incorrect as it overestimates the body water percentage in newborns.
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Which organ has the greatest effect on fluid output?
- A. Kidneys
- B. Lungs
- C. Skin
- D. Intestines
Correct Answer: A
Rationale: The correct answer is the kidneys. The kidneys are primarily responsible for regulating fluid balance by filtering blood and adjusting the volume and concentration of urine. The lungs primarily regulate gas exchange, not fluid balance. The skin plays a role in temperature regulation and protection but is not the primary organ for fluid output. The intestines are mainly involved in the absorption of nutrients and water, rather than fluid output.
When does dehydration begin to occur?
- A. the body reduces fluid output to zero.
- B. the body increases the release of ANH.
- C. the salivary secretions decrease.
- D. the salivary secretions increase.
Correct Answer: C
Rationale: Dehydration leads to a decrease in the body's fluid levels, causing the salivary glands to produce less saliva, resulting in a dry mouth. Therefore, when dehydration begins to occur, salivary secretions decrease. Choice A is incorrect because the body does not reduce fluid output to zero during dehydration; it tries to conserve fluids. Choice B is incorrect as dehydration does not directly increase the release of ANH (Atrial Natriuretic Hormone). Choice D is incorrect because salivary secretions do not increase but decrease during dehydration.
A patient with a longstanding diagnosis of generalized anxiety disorder presents to the emergency room. The triage nurse notes upon assessment that the patient is hyperventilating. The triage nurse is aware that hyperventilation is the most common cause of which acid-base imbalance?
- A. Respiratory acidosis
- B. Respiratory alkalosis
- C. Increased PaCO2
- D. CNS disturbances
Correct Answer: B
Rationale: The correct answer is B: Respiratory alkalosis. Hyperventilation, which can be caused by extreme anxiety, is the most common cause of acute respiratory alkalosis. This leads to a decrease in PaCO2 levels. Respiratory acidosis, choice A, occurs in conditions like hypoventilation, leading to an increase in PaCO2 levels. Choice C, Increased PaCO2, is not the correct term for an acid-base imbalance related to hyperventilation. Choice D, CNS disturbances, is not directly related to the acid-base imbalance caused by hyperventilation.
Which of the following statements is correct?
- A. People with less body fat have more body water.
- B. Infants have more water per pound than adults.
- C. Females have more body water per pound than males.
- D. Infants have the same water content per pound as adults.
Correct Answer: A
Rationale: The correct statement is that people with less body fat have more body water. This is because fat tissue contains less water compared to lean tissue, so individuals with less body fat generally have a higher percentage of body water. Choice B is incorrect as infants actually have more water per pound than adults due to their higher body water content. Choice C is incorrect as males typically have more body water per pound than females. Choice D is incorrect as infants have a higher water content per pound compared to adults.
Who would have the greatest percentage of body water?
- A. an obese male
- B. a nonobese male
- C. a nonobese female
- D. a newborn
Correct Answer: D
Rationale: Newborns have a higher percentage of body water compared to adults due to their higher body fluid content. Factors such as the higher ratio of body surface area to body volume and lower body fat content contribute to this. This is why a newborn would have the greatest percentage of body water. Choices A, B, and C are incorrect because obesity and gender do not determine the percentage of body water in individuals. Therefore, the correct answer is a newborn.