COLLEGE OF NURSINGFluids & Electrolytes #1 1. The average daily urine output in an adult is: A. Fluid volume deficit A. 0.5 L B. Fluid volume excess B. 1.0 L C. Normal C. 1.5 L D. None of the above D. 2.5 L 9. All of the ff assessment parameters are 2. A febrile patient’s fluid output is in excess of significant for monitoring the patient’s consition, normal because of diaphoresis. The nurse should EXCEPT: plan fluid replacement based on the knowledge A. I & O C. Level of consciousness that insensible losses in an afebrile person are B. Weight D. skin color normally not greater than: A. 300 mL/ 24 h 10. I & O monitoring is important. Normal urine out B. 600 mL/ 24 h per hour is: C. 900 mL/ 24 h A. 20mL C. 40mL D. 1200 mL/ 24 h B. 30mL D. 50mL 3. A person’s serum sodium concentration is within 11. The nurse expects that the patient’s urine output normal range. The nurse estimates that the is: serum osmolality should be: A. Decreased C. normal A. Less than 136 mOsm/kg B. Increased D. none of the above B. 275 to 300 mOsm/kg C. Greater than 408 mOsm/kg 12. Important health teaching for the patient includes: D. 350 to 344 mOsm/kg A. Limit water intake B. Exercise everyday 4. The nurse expects that a decrease in serum C. Sun exposure is necessary osmolality would occur with: D. Increase water intake A. Diabetes insipidus B. Hyperglycemia 13. All of the ff are involved in the regulation of fluid C. Renal failure balance in the body, EXCEPT: D. Uremia A. Renin-angiotensin C. ADH B. Thirst reflex D. hunger reflex 5. A nurse can estimate that a patient has a serum osmolality of ___________ if the patient’s serum 14. All of the ff are classified as fluid sensible loss, sodium is 140 mEq/L EXCEPT: A. 70 mOsm/kg A. Vomitus C. sweat B. 140 mOsm/kg B. Urine D. water vapor C. 210 mOsm/kg D. 280 mOsm/kg 15. All of the ff are classified as hypertonic solution, EXCEPT: 6. The nurse notes that a patient’s urine osmolality A. D5LR C. D5Water is 90 mOsm/kg. The nurse knows to assess for B. D5NSS D. D10water the possible cause of: A. Acidosis 16. All of the ff are classified as hypotonic solution, B. Fluid volume excess EXCEPT: C. Diabetes insipidus A. D5water C. 30%NSS D. Hyponatremia B. D5 NSS D.45% NSS 7. One of the best indicators of the renal function is: 17. All of the ff are classified as isotonic solution, A. Blood urea nitrogen EXCEPT: B. Serum creatinine A. Blood C. LR C. Specific gravity B. Albumin plasma D. PNSS D. Urine osmolality A man with Diabetes Mellitus is rushed to the ER due Water is the most abundant compound found inside to elevated temp, flushed skin, rapid and thready the human body. It accounts to about 2/3 of body pulse. weight and plays important roles to sustain life. 8. Laboratory result indicates elevated hematocrit level. The nurse suspects that the patient may be 18. All of the following are properties that make water suffering: vital EXCEPT: 1|Page iii. All of the following are Lipids EXCEPT: A. Starch d. Specific heat capacity A. Sodium c. Synovial fluid ii. iv d. Amniotic fluid iv. Electrolytes B. Triglycerides d. Water mixed with specialized molecules provide lubrication for organs in the body in the form of: i. steroid B. ii c. All of the following are classified as organic compounds EXCEPT: A. 23. Hormones c. iv B. enzymes 26. Absorb & release large amount of heat crushing leg wound should be alert for signs of: D. Solvent c.All of the following are Proteins EXCEPT: A. Gastric juice ii. iii. Serves as an important reactant 29. Hypertension C. the resulting mixture is 30. Carbohydrates C. amino acid 25. the resulting mixture is classified as: A. Steroid d. Urine A. iv 22. Antibodies c. When monitoring fluid and electrolytes the nurse classified as: should realize that the major cation regulating A. All of the following are Carbohydrates EXCEPT: A. ii. Cerebrospinal fluid iii. Water provides cushioning effects to important organs in the body in the form of : i. Tachycardia c. iv Compounds are determined by the presence or absence of carbon and classified as organic and inorganic. Calcium B. ii. iii c. Potassium d. suspension extracellular osmolality is: B. Nucleic acid D. iv B. Glucose c. serous fluid iv. Hyperkalemia 19. i. The following contains carbon and substantial amount of nitrogen EXCEPT: A. i. Electrolytes A. Hypernatremia d. enzymes 28. Hypercalcemia B. Inhibits chemical reaction to occur. Specific heat capacity 21. Solvent c. iii. Lipids 24. suspension B. i.A patient is hemorrhaging from multiple trauma sites. Solution d. ii. ii. lipids B. mucus iii. When solute particles are fairly large when mixed with water. Solution d. cholesterol 27. A. i. Magnesium 20. A. Serves as protective function B. ii. Protein C. Tachypnea 2|Page . When solute particles are exceedingly minute mixed with water. ii. hemoglobin B. iii. Tachycardia B. sugarcane B. The nurse monitoring a trauma patient who has a C. Oliguria D. The nurse expects that compensatory mechanisms associated with hypovolemia would cause all of the ff symptoms except: A. iii d. Protein D.