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Patho Quiz Chapters 8 & 9

Quiz by Danna Morris

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20 questions
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  • Q1
    A nurse is caring for a client with hypoparathyroidism. Which imbalance is a major concern for the client?
    Hypokalemia
    Hypernatremia
    Hypocalcemia
    Hyponatremia
    30s
  • Q2
    Your friend was recently diagnosed with hypoparathyroidism. Which of the following electrolytes would you expect to be decreased in your friend's lab results?
    chloride
    calcium
    sodium
    potassium
    30s
  • Q3
    Which of the following is a clinical manifestation of hypoparathyroidism?
    tingling in the extremities
    30s
  • Q4
    The 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:
    Dehydration
    Exhaustion
    Frostbite
    Sun stroke
    30s
  • Q5
    An 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 urine
    Sharp decrease in urine output
    Intermittent periods of confusion
    Acute hypertensive crisis
    30s
  • Q6
    An 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?
    Prerenal
    Intrinsic
    Intrarenal
    Postrenal
    30s
  • Q7
    A 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 deficit
    She 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
  • Q8
    In 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
  • Q9
    A 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
  • Q10
    The 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?
    thoracentesis
    desmopressin
    paracentesis
    diuretics
    30s
  • Q11
    A 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 alfa
    Bumetanide
    Albumin (Human) 5%.
    Furosemide
    30s
  • Q12
    As 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
  • Q13
    A 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 7.45
    Decreased pH below 7.35
    Decreased PCO2 below 35 mm/Hg (4.66 kPa)
    30s
  • Q14
    The 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 bicarbonate
    Potassium chloride
    Antibiotics
    Epinephrine
    30s
  • Q15
    The 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 acidosis
    Respiratory acidosis
    Respiratory alkalosis
    Metabolic alkalosis
    30s

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