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A 42-year-old female presents to her primary care provider reporting muscle
weakness and cardiac abnormalities. Laboratory tests indicate that she is
hypokalemic. Which of the following could be the cause of her condition?
ANSWERS: Primary hyperaldosteronism
A 19-year-old male presents to his primary care provider reporting restlessness,
muscle cramping, and diarrhea. Lab tests reveal that he is hyperkalemic. Which
of the following could have caused his condition?
ANSWERS: acidosis
A 60-year-old female is diagnosed with hyperkalemia. Which assessment finding
should the nurse expect to observe?
ANSWERS: oliguria
Which of the following buffer pairs is considered the major plasma buffering
system?
ANSWERS: carbonic acid and bicarbonate
,A nurse recalls regulation of acid-base balance through removal or retention of
volatile acids is accomplished by the:
ANSWERS: lungs
Physiologic pH is maintained around 7.4 because carbonic acid and bicarbonate
exist in a ratio of:
ANSWERS: 20:1
Which patient is most prone to metabolic alkalosis? A patient with:
ANSWERS: Excessive loss of chloride (Cl)
Which patient should the nurse assess for both hyperkalemia and metabolic
acidosis? A patient diagnosed with:
ANSWERS: renal failure
For a patient experiencing metabolic acidosis, the body will compensate by:
ANSWERS: hyperventilating
Which finding would support the diagnosis of respiratory acidosis?
ANSWERS: pneumonia
, A 54-year-old male with a long history of smoking complains of excessive
tiredness, shortness of breath, and overall ill feelings. Lab results reveal
decreased pH, increased CO2, and normal bicarbonate ion. These findings help
to confirm the diagnosis of:
ANSWERS: respiratory acidosis
For a patient with respiratory acidosis, chronic compensation by the body will
include:
ANSWERS: Kidney excretion of H+
A 55-year-old female presents to her primary care provider and reports
dizziness, confusion, and tingling in the extremities. Blood tests reveal an
elevated pH, decreased PCO2, and slightly decreased HCO3. Which of the
following is the most likely diagnosis?
ANSWERS: Respiratory alkalosis with renal compensation
Outcomes of laboratory tests include an elevated level of natriuretic peptides.
Which organ is the priority assessment?
ANSWERS: heart
A 60-year-old male with a 30-year history of smoking is diagnosed with a hormone-
secreting lung tumor. Further testing indicates that the tumor secretes ADH. Which
of the following assessment findings should the nurse expect? (Select all that
apply.)
ANSWERS:
-Confusion
-Weakness
-Nausea
-Muscle twitching
, The nurse would anticipate the patient with syndrome of inappropriate ADH
(SIADH) to demonstrate which of the following symptoms? (Select all that
apply.)
ANSWERS: -Weakness
-Nausea
-Headache
-Muscle twitching
A primary care provider is talking about plasma proteins synthesized by
lymphocytes in the lymph nodes. What is the primary care provider
describing?
ANSWERS: antibodies
While reviewing lab results, the nurse recalls the most abundant cells in the blood
are:
ANSWERS: erythrocytes
An adult patients blood sample is analyzed in a laboratory. Assuming a normal
sample, which type of white blood cell accounts for the highest percentage?
ANSWERS: neutrophils
A group of cells isolated in the laboratory have membrane-bound granules in
their
cytoplasm and they show phagocytic activity. Which of the following cells is most
similar?
A) Monocyte
B) Macrophage
C) Lymphocyte
D) Eosinophils
ANSWERS: eosinophils