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Medical Surgical Nursing Concepts & Practice, 2nd Edition by Susan C. Test Bank
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Medical Surgical Nursing Concepts & Practice 2nd Edition by Susan C. – Test Bank

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Edition: 2nd Edition

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Resource Type: Test Bank

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Medical Surgical Nursing Concepts & Practice, 2nd Edition by Susan C. – Test Bank

Chapter 03: Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy

MULTIPLE CHOICE

1. The nurse uses a diagram to demonstrate how in dehydration the water is drawn into the plasma from the cells by the process of:

a.

distillation.

b.

diffusion.

c.

filtration.

d.

osmosis.

ANS: D

The process of osmosis accomplishes the movement of water from the cells into the plasma, causing dehydration.

DIF: Cognitive Level: Comprehension REF: 32-33 OBJ: 3 (theory)

TOP:DehydrationKEY: Nursing Process Step: Implementation

MSC:NCLEX: Physiological Integrity: Physiological Adaptation

2. The nurse assessing a patient with vomiting and diarrhea observes that the urine is scant and concentrated. The nurse explains that the compensatory reabsorption of water is controlled by:

a.

osmoreceptors in the hypothalamus.

b.

antidiuretic hormone in the posterior pituitary.

c.

baroreceptors in the carotid sinus.

d.

insulin from the pancreas.

ANS: B

The antidiuretic hormone controls how much water leaves the body by reabsorbing water in the renal tubules.

DIF: Cognitive Level: Knowledge REF: 31-32 OBJ: 2 (theory)

TOP: Regulation of Body Fluids KEY: Nursing Process Step: Implementation

MSC:NCLEX: Physiological Integrity: Physiological Adaptation

3. The nurse uses a picture to show how ions equalize their concentration by the passive transport process of:

a.

osmosis.

b.

filtration.

c.

titration.

d.

diffusion.

ANS: D

Diffusion is the process by which substances move back and forth across compartment membranes until they are equally divided.

DIF: Cognitive Level: Comprehension REF: 32 OBJ: 3 (theory)

TOP:DiffusionKEY: Nursing Process Step: Implementation

MSC:NCLEX: Physiological Integrity: Physiological Adaptation

4. The nurse explains that the active transport process that is able to move sodium and potassium into or out of cells is:

a.

filtration.

b.

sodium pump.

c.

diffusion.

d.

osmosis.

ANS: B

The sodium pump is the mechanism by which sodium and potassium are moved into or out of cells regardless of the concentration.

DIF: Cognitive Level: Comprehension REF: 33 OBJ: 3 (theory)

TOP: Active Transport KEY: Nursing Process Step: Implementation

MSC:NCLEX: Physiological Integrity: Physiological Adaptation

5. The patient taking furosemide (Lasix) to correct excess edema shows a weight loss of 5.5 pounds in 24 hours. The nurse calculates this weight loss to be the excretion of approximately _____ liters of fluid.

a.

1.0

b.

1.5

c.

2.0

d.

2.5

ANS: D

Each kilogram (2.2 pounds) of weight loss is equivalent to 1 liter of fluid. Therefore, 5.5 pounds ÷ 2.2 pounds = 2.5 liters.

DIF: Cognitive Level: Application REF: 35 OBJ: 1 (clinical)

TOP: Fluid LossKEY: Nursing Process Step: Assessment

MSC:NCLEX: Physiological Integrity: Physiological Adaptation

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