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Module 2 Part 1 Fluid & Electrolyte Imbalances

Total questions: 8

Worksheet time: 4mins

Name
Class
Date
1.

A 50 y/o M w/ a 30 year history of alcoholism presents to the clinic with abdominal discomfort. The patient states that his abdomen has grown in size a lot in the past month. Physical Exam: “fluid wave test” was performed and was positive. Which pressure at the capillary level is responsible for the shift of fluid into his abdominal cavity?

a)

Increased COP

b)

Increased CHP

c)

Decreased COP

d)

Decreased IFOP

2.

What organ is the root cause of the edema for the patient in the previous question?

a)

Heart

b)

Liver

c)

Kidneys

d)

Spleen

3.

What is the term for edema in the peritoneal cavity?

a)
Ascites
b)
Pleural effusion
c)
Pericardial effusion
d)
Cerebral edema
4.

You are a nurse working in a large, busy inner-city hospital when the attending physician comes in the room and tells your patient that he has SIADH. The physician puts in a bunch of orders for you and leaves the room. Seeing the fear and confusion on the face of your patient, you feel that you should explain further.

What is SIADH?

a)

A condition that produces too much of a hormone that makes you retain too much fluid. You urinate less than normal.

b)

A condition that produces too little of a hormone that makes you retain fluid. You urinate more than normal.

c)

A condition that produces too little hormone which helps you more thirsty because you urinate more.

d)

A condition that makes you more thirsty because you urinate less.

5.

What are some possible causes of SIADH?

a)
Excessive intake of water
b)
Certain medications, cancers, and diseases affecting the lungs or brain
c)
High blood sugar levels
d)
Excessive alcohol consumption
6.

SIADH would cause ___ serum osmolarity and ___ urine osmolarity

a)
increased, decreased
b)
decreased, increased
c)
increased, increased
d)
decreased, decreased
7.

In SIADH, would serum Na+ be high or low?

a)
High
b)
Low
c)
Neither high nor low
d)
Depends on the individual
8.

A Px with HTN and right-sided CHF has pitting edema in both ankles. Which pressure imbalance led to their edema?

a)
Increased hydrostatic pressure in the capillaries
b)
Decreased osmotic pressure in the capillaries
c)
Increased osmotic pressure in the interstitial fluid
d)
Decreased hydrostatic pressure in the interstitial fluid