Chamberlain College of Nursing NR 507 Advanced Pathophysiology Week 2 Quiz (ALL ANSWERS ARE 100% CORRECT)

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Advanced Pathophysiology Week 2 Quiz Which are indications of dehydration? Tachycardia and weight loss Decreased hemoglobin and hematocrit Muscle weakness and decreased deep tendon reflexes Polyu... ria and hyperventilation Marked water deficit is manifested by symptoms of dehydration: headache, thirst, dry skin and mucous membranes, elevated temperature, weight loss, and decreased or concentrated urine (with the exception of diabetes insipidus). Skin turgor may be normal or decreased. Symptoms of hypovolemia, including tachycardia, weak pulses, and postural hypotension, may be present. At the arterial end of capillaries, fluid moves from the intravascular space into the interstitial space because the interstitial hydrostatic pressure is higher than the capillary hydrostatic pressure. capillary oncotic pressure is lower than the interstitial hydrostatic pressure. interstitial oncotic pressure is higher than the interstitial hydrostatic pressure. capillary hydrostatic pressure is higher than the capillary oncotic pressure. At the arterial end of capillaries, fluid moves from the intravascular space into the interstitial, because capillary hydrostatic pressure is higher than the capillary oncotic pressure. Which enzyme is secreted by the juxtaglomerular cells of the kidney when circulating blood volume is reduced? Angiotensin II Aldosterone Angiotensin I Question 1 2 / 2 ptsQuestion 4 2 / 2 pts Question 5 2 / 2 pts Question 6 2 / 2 pts Renin When circulating blood volume or blood pressure is reduced, renin, an enzyme secreted by the juxtaglomerular cells of the kidney, is released in response to sympathetic nerve stimulation and decreased perfusion of the renal vasculature. In hyperkalemia, cardiac rhythm changes are a direct result of Correct Answer cardiac cell hypopolarization. cardiac cell repolarization. cardiac cell hyperexcitability. depression of the sinoatrial (SA) node. If extracellular potassium concentration increases without a significant change in intracellular potassium, the resting membrane potential becomes more positive (i.e., changes from –90 to –80 mV) and the cell membrane is hypopolarized (the inside of the cell becomes less negative or partially depolarized [increase excitability]). (Electrical properties of cells are discussed in Chapter 1.) Why are infants susceptible to significant losses in total body water (TBW)? Because they are unable communicate adequately when they are thirsty Because more than half of an infant’s body weight is water Because an infant’s kidneys are not mature enough to counter fluids losses Because infants have a slow metabolic rate Infants are particularly susceptible to significant changes in TBW because of their high metabolic rate and the accelerated turnover of body fluids caused by their greater body surface area in proportion to total body size. Loss of fluids from diarrhea can represent a significant proportion of body weight. Renal mechanisms that regulate fluid and electrolyte conservation may not be mature enough to counter the losses, so dehydration may develop rapidly. Physiologic pH is maintained around 7.4 because bicarbonate (HCO3) and carbonic acid (H2CO3) exist in a ratio ofQuestion 7 2 / 2 pts Question 8 2 / 2 pts 1:20. 20:1. 10:5. 10:2. The relationship between bicarbonate and carbonic acid is usually expressed as a ratio. When the pH is 7.40, this ratio is 20:1 (bicarbonate/carbonic acid). How does the loss of chloride during vomiting cause metabolic alkalosis? Loss of chloride causes hydrogen to move into the cell and exchange with potassium to maintain cation balance. Loss of chloride causes retention of bicarbonate to maintain the anion balance. Loss of chloride causes hypoventilation to compensate for the metabolic alkalosis. Loss of chloride stimulates the release of aldosterone, which causes the retained sodium to bind with the chloride. When acid loss is caused by vomiting with depletion of ECF and chloride (hypochloremic metabolic alkalosis), renal compensation is not very effective because the volume depletion and loss of electrolytes (Na+, K+, H+, Cl-) stimulate a paradoxical response by the kidneys. The kidneys increase sodium and bicarbonate reabsorption with excretion of hydrogen. Bicarbonate is reabsorbed to maintain an anionic balance because the ECF chloride concentration is decreased. Which of the following is a true statement? Hyperventilation results in an increased PaCO2. Hyperventilation causes hypocapnia. Hyperventilation causes hypercapnia. Hypoventilation causes hypocapnia. Hyperventilation is alveolar ventilation that exceeds metabolic demands. The lungs remove CO2 at a faster rate than it is produced by cellular metabolism, resulting in decreased PaCO2or hypocapnia.Question 10 2 / 2 pts Question 11 2 / 2 pts is a fulminant form of respiratory failure characterized by acute lung inflammation and diffuse alveolocapillary injury. Acute pulmonary edema Pneumonia Acute respiratory distress syndrome (ARDS) Pulmonary emboli ARDS is a fulminant form of respiratory failure characterized by acute lung inflammation and diffuse alveolocapillary injury. Clinical manifestations that include unexplained weight loss, dyspnea on exertion, use of accessory muscles, and tachypnea with prolonged expiration are indicative of [Show More]

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