Exam 1 NURS 404 – Fox questions with correct
answers
_______ is the movement of fluid through a semi-permeable membrane.
Correct Answer-Osmosis
_______ is the movement of solutes/particles from an area of higher to
lesser concentration. Correct Answer-Diffusion
If something is isotonic, hypotonic, or hypertonic these labels describe
the _______. Correct Answer-Tonicity
Fluid volume deficit (FVD or hypovolemia) is the loss of (circle one)
intracellular/extracellular fluid volume that exceeds the intake of fluid.
Correct Answer-Extracellular
Fluid volume deficit is present if the following results occur: Urine
output <____ mL/hr Correct Answer-30
Fluid volume deficit is present if the following results occur: Daily
weight loss of _____kg or _____ lb Correct Answer-0.5 kg or 1 lb
Fluid volume deficit is present if the following results occur: Pulse will
be _______(weak/strong) and ________(slow/rapid). Correct Answer-
weak ; rapid
,Fluid volume deficit is present if the following results occur: Tissue
turgor will be ________. Correct Answer-poor
Fluid volume deficit is present if the following results occur: Urine spec
gravity will be > _______. Correct Answer-1.020
Fluid volume deficit is present if the following results occur: BUN will
be ________ (elevated/decreased). Correct Answer-elevated
Fluid volume deficit is present if the following results occur: Creatinine
will be ______ (elevated/decreased). Correct Answer-elevated
What is a better indicator of renal function; BUN or Creatinine? Correct
Answer-Creatinine
Adult normal serum osmolarity is _______ mOsm/L. Correct Answer-
270-300
T/F When infusing isotonic IV solution older adults are at risk for fluid
overload. Correct Answer-True
Hypertonic solutions move fluid from the _____ into the ________.
a. bloodstream; cells
b. tissues; muscles
c. cells; bloodstream
Hypertonic solutions greatly expand what space?
a. tissue
b. interstitial
c. vesicular
d. blood vessels Correct Answer-d. blood vessels
Hypertonic solutions pull fluid from the ______ space. Correct Answer-
interstitial
Infusing a hypertonic solution alters the concentration of serum and (all
that apply)
a. shifts fluid out of the blood vessels
b. reduces the risk of edema
c. causes unstable BP
d. regulates urine output Correct Answer-b, d
T/F Diffusion occurs when a hypertonic solution is administered.
Correct Answer-False; Osmosis occurs when a hypertonic solution is
administered
List the 4 conditions in which you would not give a hypertonic solution
(C, D, D, D) Correct Answer-CHF, DKA, Decreased Renal Function,
Dehydration
, Does infusing an isotonic solution alter the concentration of serum?
Why? Correct Answer-No, because it is the same osmolarity as serum
and therefore there is no movement of fluid across the membrane.
Does osmosis occur with an isotonic solution? Why? Correct Answer-
No, because it is the same osmolarity as serum and therefore there is no
movement of fluid across the membrane.
Name one isotonic solution that osmosis can occur. Why? Correct
Answer-D5W, because it is only isotonic in the bottle. Shortly after it is
administered the sugar is metabolized and the solution becomes
hypotonic.
A difference in the concentration between the serum and interstitial fluid
will cause ______ to occur. Correct Answer-Osmosis
Which isotonic solution would you not give if a patient has liver
disease?
a. 0.9% normal saline
b. Lactated ringers
c. D5W
d. D5 .45 Correct Answer-b. Lactated ringers
Which isotonic solution would you not want to give to someone with
increased ICP?
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