
Patho Quiz Chapters 8 & 9
Quiz by Danna Morris
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20 questions
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- Q1A nurse is caring for a client with hypoparathyroidism. Which imbalance is a major concern for the client?HypokalemiaHypernatremiaHypocalcemiaHyponatremia30s
- Q2Your friend was recently diagnosed with hypoparathyroidism. Which of the following electrolytes would you expect to be decreased in your friend's lab results?chloridecalciumsodiumpotassium30s
- Q3Which of the following is a clinical manifestation of hypoparathyroidism?tingling in the extremities30s
- Q4The nurse should anticipate that a client who collapsed while running his or her first marathon and has a urine specific gravity of 1.035 is experiencing:DehydrationExhaustionFrostbiteSun stroke30s
- Q5An 86-year-old female client has been admitted to the hospital for the treatment of dehydration and hyponatremia after she curtailed her fluid intake to minimize urinary incontinence. The client's admitting laboratory results are suggestive of prerenal failure. The nurse should be assessing this client for which early sign of prerenal injury?Excessive voiding of clear urineSharp decrease in urine outputIntermittent periods of confusionAcute hypertensive crisis30s
- Q6An 86-year-old client is being treated for dehydration and hyponatremia after curtailing fluid intake to prevent urinary incontinence. Given these findings, the nurse recognizes that this client is likely in what phase of acute kidney injury?PrerenalIntrinsicIntrarenalPostrenal30s
- Q7A 77-year-old female hospital client has contracted Clostridium difficile during her stay and is experiencing severe diarrhea. Which statement best conveys a risk that this woman faces?She is susceptible to isotonic fluid volume deficitShe is at risk of compensatory fluid volume overload secondary to gastrointestinal water and electrolyte losses.She is prone to isotonic fluid volume excess.She could develop third-spacing edema as a result of plasma protein losses.30s
- Q8In isotonic fluid volume deficit, changes in total body water are accompanied by:intravascular hypotonicity.proportionate losses of sodium.increased intravascular water.increases in intracellular sodium.30s
- Q9A client with a history of cancer that metastasized to the liver has arrived at the outpatient clinic to have a paracentesis performed. The physician anticipates that the client will have more than 5 L of fluid removed. The physician has prescribed intravenous albumin following the procedure. The client asks why she needs "more fluids in my vein." The nurse responds:"Albumin is a volume expander. Since a lot of fluid was removed, you have a decrease in your vascular volume, so without this albumin, your kidneys will try to reabsorb and hold onto water.""Albumin will stay in your blood vessels a long time so that you will not seep out more fluid in your belly for at least a few weeks.""After the albumin, your potassium level will stay steady and you should keep excess water weight off for several weeks.""Albumin works like your diuretics to help you get rid of excess fluid through your kidneys. It's just more potent than your home water pills."30s
- Q10The nurse is caring for a client with advanced liver disease who has ascites. Which treatment will the nurse anticipate being used for the daily management of ascites?thoracentesisdesmopressinparacentesisdiuretics30s
- Q11A client with pancreatic cancer is admitted for portal hypertension and is symptomatic with ascites. Following paracentesis and removal of 7.5 L of ascitic fluid, the nurse should anticipate that the physician will order which medication to assist in maintaining an effective circulating fluid volume?Epoetin alfaBumetanideAlbumin (Human) 5%.Furosemide30s
- Q12As other mechanisms prepare to respond to a pH imbalance, immediate buffering is a result of increased:hydrogen/potassium binding.bicarbonate/carbonic acid regulation.intracellular albumin.sodium/phosphate anion absorption.30s
- Q13A client has been diagnosed with metabolic acidosis. What assessment finding does the nurse expect?Increased PCO2 above 45 mm/Hg (5.99 kPa)Increased pH above 7.45Decreased pH below 7.35Decreased PCO2 below 35 mm/Hg (4.66 kPa)30s
- Q14The condition of a client with metabolic acidosis from an intestinal fistula is not improving. The pulse is 125 beats/min and the BP 84/56 mm Hg. ABG values are: pH 7.1, HCO3- 18 mEq/L (18 mmol/L), PCO2 57 mm Hg (7.58 kPa). What IV medication should the nurse expect to provide next?Sodium bicarbonatePotassium chlorideAntibioticsEpinephrine30s
- Q15The nurse is reviewing the following lab results of a client diagnosed with renal failure: pH: 7.24 PCO2: 38 mm Hg (5.05 kPa) HCO3:18 mEq/L (18 mmol/L) The nurse would interpret this as:Metabolic acidosisRespiratory acidosisRespiratory alkalosisMetabolic alkalosis30s