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.
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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.
What is the method by which inhaled oxygen is moved into the intravascular compartment called?
- A. Active transport
- B. Oxygenation
- C. Passive transport
- D. Mass movement
Correct Answer: C
Rationale: Passive transport occurs when the patient inhales oxygen into the lungs, with the oxygen passing by diffusion into the intravascular compartment.
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.
Sodium is the most abundant electrolyte in the body. The location of electrolytes is important for maintaining homeostasis. Sodium is the major electrolyte in which fluid compartment?
- A. Intracellular
- B. Intravascular
- C. Extracellular
- D. Interstitial
Correct Answer: C
Rationale: Sodium is the major extracellular electrolyte.
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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