Nursing 330! Ball State Questions With Complete Solutions
Adrenal Corticol regulation Correct Answers Release hormones
to regulate water and electrolytes.
Glucocorticoids - antiinflammatory effect and inc glucose levels
Mineralocorticoids - enhance Na retention and K excretion
Ca Correct Answers 8.6-10.2
Cardiac regulation Correct Answers Natriuretic peptides -
antagonists to rent angiotensin aldosterone system
Produced by cardiomyopathy in response to inc atrial pressure
Suppress secretion of aldosterone, renin, and ADH to dec blood
volume and BP
First spacing Correct Answers Normal distribution of ICF to
ECF
Gastrointestinal regulation Correct Answers Oral intake
accounts for most water, small amounts of water are eliminated
by GI tract in feces, diarrhea and vomiting can lead to
significant loss of fluids and electrolytes.
HCO3 Correct Answers 22-26
Hypercalcemia Correct Answers Hyperparathyroidism, vitamin
D overdose, acidosis.
Diagnosis: dysrythmias, dec reflexes, memory, bone pain.
Treatment: loop diuretic to excrete Ca, isotonic saline infusion.
Hyperkalemia Correct Answers Impaired renal excretion.
, Diagnosis: cramping leg pain, ventricular fibrillation, cardiac
standstill.
Treatment: inc elimination of K, diuretics, Kayexelate, IV
insulin, or sodium bicarbonate, calcium gluconate IV.
Hypermagnesemia Correct Answers Renal failure, adrenal
insufficiency.
Diagnosis: impaired reflexes, drowsiness, respiratory/cardiac
arrest
Treatment: IV CaCl or calcium gluconate, fluids promote
urinary excretion.
Hypernatremia Correct Answers Excessive sodium intake,
inadequate water intake, diabetes insipidus, excessive water loss.
Diagnosis: dec LOC, lethargy, weakness.
Treatment: IV dextrose, in water or hypotonic saline, diuretics
Hyperphosphatemia Correct Answers Renal failure, chemo,
enemas, excessive intake of Vitamin D, hypoparathyroidism.
Diagnosis: hypocalcemia, tetany, neuromuscular irritability.
Treatment: restrict foods containing P, adequate hydration.
Hypervolemia Correct Answers Inc. of ECF volume.
Causes: excessive hypo/isotonic solutions, heart failure, renal
failure, Cushing syndrome.
Diagnosis:edema, bounding pulse, muscle spasms.
Treatment: remove fluid without changing balance.
Hypocalcemia Correct Answers Alkalosis, hypoparathyroidism,
loop diuretics.
Adrenal Corticol regulation Correct Answers Release hormones
to regulate water and electrolytes.
Glucocorticoids - antiinflammatory effect and inc glucose levels
Mineralocorticoids - enhance Na retention and K excretion
Ca Correct Answers 8.6-10.2
Cardiac regulation Correct Answers Natriuretic peptides -
antagonists to rent angiotensin aldosterone system
Produced by cardiomyopathy in response to inc atrial pressure
Suppress secretion of aldosterone, renin, and ADH to dec blood
volume and BP
First spacing Correct Answers Normal distribution of ICF to
ECF
Gastrointestinal regulation Correct Answers Oral intake
accounts for most water, small amounts of water are eliminated
by GI tract in feces, diarrhea and vomiting can lead to
significant loss of fluids and electrolytes.
HCO3 Correct Answers 22-26
Hypercalcemia Correct Answers Hyperparathyroidism, vitamin
D overdose, acidosis.
Diagnosis: dysrythmias, dec reflexes, memory, bone pain.
Treatment: loop diuretic to excrete Ca, isotonic saline infusion.
Hyperkalemia Correct Answers Impaired renal excretion.
, Diagnosis: cramping leg pain, ventricular fibrillation, cardiac
standstill.
Treatment: inc elimination of K, diuretics, Kayexelate, IV
insulin, or sodium bicarbonate, calcium gluconate IV.
Hypermagnesemia Correct Answers Renal failure, adrenal
insufficiency.
Diagnosis: impaired reflexes, drowsiness, respiratory/cardiac
arrest
Treatment: IV CaCl or calcium gluconate, fluids promote
urinary excretion.
Hypernatremia Correct Answers Excessive sodium intake,
inadequate water intake, diabetes insipidus, excessive water loss.
Diagnosis: dec LOC, lethargy, weakness.
Treatment: IV dextrose, in water or hypotonic saline, diuretics
Hyperphosphatemia Correct Answers Renal failure, chemo,
enemas, excessive intake of Vitamin D, hypoparathyroidism.
Diagnosis: hypocalcemia, tetany, neuromuscular irritability.
Treatment: restrict foods containing P, adequate hydration.
Hypervolemia Correct Answers Inc. of ECF volume.
Causes: excessive hypo/isotonic solutions, heart failure, renal
failure, Cushing syndrome.
Diagnosis:edema, bounding pulse, muscle spasms.
Treatment: remove fluid without changing balance.
Hypocalcemia Correct Answers Alkalosis, hypoparathyroidism,
loop diuretics.
