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NSG530 - CHAPTER 6: FLUID, ELECTROLYTE, & ACID-BASE HOMEOSTASIS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

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NSG530 - CHAPTER 6: FLUID, ELECTROLYTE, & ACID-BASE HOMEOSTASIS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE Terms in this set (244) T/F: Fluids are constantly moving in & out of cells T: Fluids are constantly moving in & out of cells Fluid refers to: - Interstitial fluid - Blood - Substances or ions in the fluids What is the role of water in the body? - Water is where metabolic reactions & cellular processes occur - Water carries nutrients, waste products, enzymes, & blood cells - Water facilitates the movement of body parts Where do metabolic reactions & cellular processes occur? In water Water is slightly , so it helps to move charged particles or ions Charged The ions of the body are _____ Electyrolytes How does water facilitate the movement of body parts? Water acts as a buffer in joints Example of water acting as a buffer in joints: The bursae (fluid filled sacs) in the shoulder provide a cushion for the shoulder joint; we have fluid in moveable joints that help joints to move better & more comfortably What is intracellular fluid? Fluid inside of the cell What is extracellular fluid? Fluid outside of the cell What is interstitial fluid? Fluid that is between the cells What is intravascular fluid? Fluid that is inside of the blood vessels What is osmosis? The movement of water across a semipermeable membrane Water is constantly moving in & out of cells, why? To balance solutions Water moves from _____ solute to _____ solute Low solute to high solute Water moves from an area of water concentration to an area of water concentration High; low Water goes where goes Salt What does the movement of water depend on? Hydrostatic (push) & osmotic (oncontic) (pull) pressures A solution comes in the high pressure, arterial end of the capillary, the pressure pushes water out of the capillary at the arterial end & because we have a higher concentration toward the venous end of the capillary, water is drawn back into the capillary to balance the solution & to achieve _____ _____ Isotonic balance At the arterial end, what flows into the capillary? Fresh nutrients & oxygen The venous end of the capillary carries away _____ & _____ Waste & oxygen What is tonicity? - The ability of a surrounding solution to cause a cell to gain or lose water - The osmotic pressure of 2 solutions separated by a semipermeable membrane; there is a higher concentration on one side compared to the other (EXCEPT IN ISOTONIC SOLUTIONS) Isotonic solution - Equal solute concentrations - Causes no fluid shifts Hypotonic solution - Lower solute concentration - Causes water to move into the cell - HYPO = HIPPO Hypertonic solution - Higher solute - Causes water to shift out of the cell - HYPER = SKINNY What are examples of fluid sources? - Oral intake - IV fluids Examples of isotonic IV fluid: - 0.9% normal saline - Lactated ringers (LR) Example of hypotonic IV fluid: - 0.45% saline - HYPO IS LOW % Examples of hypertonic IV fluids: - 5% dextrose in 0.9% normal saline (D5W) - 3% saline - HYPER IS HIGHER % How do we lose fluids? - Urine - Feces - Insensible losses -- Sweating -- Breathing How does the body maintain fluid balance control? - The thirst mechanism - Antidiuretic hormone (ADH) - Aldosterone - Atrial natriuretic peptide (ANP) What is the thirst mechanism triggered by? Decreased blood volume & increased osmolarity What is the role of antidiuretic hormone (ADH)? To promote reabsorption of water in the kidneys What is the role of aldosterone? To increase the reabsorption of Na+ & water in the kidneys What is the role of atrial natriuretic peptide (ANP)? To stimulate vasodilation & suppress aldosterone, increasing urinary output Where is atrial natriuretic peptide (ANP) released from? From the heart to decrease blood volume & systemic BP

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4/5/25, 10:06 NSG530 - Chapter 6: Fluid, Electrolyte, & Acid-Base Homeostasis |
PM
NSG530 - CHAPTER 6: FLUID, ELECTROLYTE, & ACID-BASE
HOMEOSTASIS EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE

Terms in this set (244)


T/F: Fluids are constantly moving in & out T: Fluids are constantly moving in & out of cells
of cells

- Interstitial fluid
Fluid refers to: - Blood
- Substances or ions in the fluids

- Water is where metabolic reactions & cellular processes occur
What is the role of water in the body? - Water carries nutrients, waste products, enzymes, & blood cells
- Water facilitates the movement of body parts

Where do metabolic reactions & In water
cellular processes occur?

Water is slightly____, so it helps to move Charged
charged particles or ions

The ions of the body are _____ Electyrolytes

How does water facilitate the movement Water acts as a buffer in joints
of body parts?

The bursae (fluid filled sacs) in the shoulder provide a cushion for the shoulder
Example of water acting as a buffer in
joint; we have fluid in moveable joints that help joints to move better & more
joints:
comfortably

What is intracellular fluid? Fluid inside of the cell

What is extracellular fluid? Fluid outside of the cell

What is interstitial fluid? Fluid that is between the cells

What is intravascular fluid? Fluid that is inside of the blood vessels

What is osmosis? The movement of water across a semipermeable membrane

Water is constantly moving in & out of To balance solutions
cells, why?

Water moves from _____ solute to _____ solute Low solute to high solute


Water moves from an area of_____water High; low
concentration to an area of_____water
concentration

Water goes where_____goes Salt

Hydrostatic (push) & osmotic (oncontic) (pull)
What does the movement of water pressures
depend on?



A solution comes in the high pressure, Isotonic balance
arterial end of the capillary, the
pressure pushes water out of the
capillary at the arterial end & because
we have a higher concentration toward
the venous end of
the capillary, water is drawn back into the
capillary to balance the solution & to



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6

, 4/5/25, 10:06 NSG530 - Chapter 6: Fluid, Electrolyte, & Acid-Base Homeostasis |
PM
achieve _____ _____
At the arterial end, what flows into the Fresh nutrients & oxygen
capillary?

The venous end of the capillary carries Waste & oxygen
away _____ & _____

- The ability of a surrounding solution to cause a cell to gain or lose water
- The osmotic pressure of 2 solutions separated by a semipermeable
What is tonicity?
membrane; there is a higher concentration on one side compared to the
other (EXCEPT IN ISOTONIC SOLUTIONS)

- Equal solute concentrations
Isotonic solution
- Causes no fluid shifts

- Lower solute concentration
Hypotonic solution - Causes water to move into the cell
- HYPO = HIPPO

- Higher solute
Hypertonic solution - Causes water to shift out of the cell
- HYPER = SKINNY

- Oral intake
What are examples of fluid sources?
- IV fluids

- 0.9% normal saline
Examples of isotonic IV fluid:
- Lactated ringers (LR)

- 0.45% saline
Example of hypotonic IV fluid:
- HYPO IS LOW %

- 5% dextrose in 0.9% normal saline (D5W)
Examples of hypertonic IV fluids: - 3% saline
- HYPER IS HIGHER %

- Urine
- Feces
How do we lose fluids? - Insensible losses
--> Sweating
--> Breathing

- The thirst mechanism
How does the body maintain fluid - Antidiuretic hormone (ADH)
balance control? - Aldosterone
- Atrial natriuretic peptide (ANP)


What is the thirst mechanism triggered Decreased blood volume & increased osmolarity
by?

What is the role of antidiuretic hormone To promote reabsorption of water in the kidneys
(ADH)?

What is the role of aldosterone? To increase the reabsorption of Na+ & water in the kidneys

What is the role of atrial natriuretic To stimulate vasodilation & suppress aldosterone, increasing urinary output
peptide (ANP)?

Where is atrial natriuretic peptide (ANP) From the heart to decrease blood volume & systemic BP
released from?


What is the definition of fluid volume Too much fluid in the vascular space
excess?

Fluid volume excess is also known as _____ Hypervolemia

What are causes of fluid volume excess? - Excessive Na+ or water intake




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