Exam 1 jeopardy table

Question 1

Types of IV fluids

Answer 1

Isotonic

Hypotonic

Hypertonic

Question 2

Less particles than intracellular and moves water into cells

Causes cells to swell

Answer 2

Hypotonic

Question 3

Used to tx dehydration and excessive dieresis and gastric fluid loss

Answer 3

Isotonic intravenous

Question 4

Same amount of particles as body fluids and expand circulating volume but no shifts into or out of vessel or cells

Answer 4

Isotonic

Question 5

If concentrations of dissolved solutes are greater outside the cell, the concentration of water outside is correspondingly lower.

As a result, water inside the cell will flow outwards causing cells to shrink

Answer 5

Cells in Hypertonic Solutions

ICP/ edema/iso?

Question 6

Hypotonic used for ?

Answer 6

Dehydration

Question 7

Hypertonic:
D5 0.3 NaCl
D5 in Lactated ringers
D5 0.45% NaCl

Isotonic:
0.9% NaCl (Normal Saline)
Lactated Ringers
D5W (In the bag)

Hypotonic:
D5W (in the body)
0.25% NaCl
0.45% NaCl (half normal saline)
2.5% Dextrose

Answer 7

H

Question 8

IV infusion of this electrolyte requires frequent assessment of the IV site

Answer 8

Potassium

Question 9

Phosphorus and calcitonin are given for treatments of this electrolyte disturbance

Answer 9

Hypercalcemia

Question 10

Weight of one litter of IV fluid

Answer 10

2.2 pounds or 1kg

Question 11

Dry mucous membranes, tenting skin, low UOP

Answer 11

Dehydration

Question 12

Electrolyte does not absorb with out vit D

Answer 12

Calcium

Question 13

Diuretics, Daily weights and intake and outputs

Answer 13

Intervention for fluid overload

Question 14

The type of fluid that is 3% saline

Answer 14

Hypertonic

Question 15

Crackles in lungs, SOB, positive JVD (jugular vein distention)

Answer 15

Fluid overload

Question 16

Most common electrolyte to decrease with administration of loop diuretics

Answer 16

potassium

Question 17

Charley horses are common with this electrolyte disturbance

Answer 17

hypocalcemia

Question 18

3% saline is sometimes used

Answer 18

Hyponatremia

Hypertonic is used for low sodium

Question 19

Type of fluid that is 0.45 % normal saline

Answer 19

Hypotonic

Question 20

Depressed skeletal muscle contraction and decreased Deep tendon reflexes are present with this electrolyte disturbance

Answer 20

Hypermagnesemia

Question 21

Most common electrolyte to be found low in alcoholics

Answer 21

Magnesium

Question 22

Disturbances in this electrolyte will always cause a change in overall fluid volume

Answer 22

Sodium

Question 23

Administration of insulin and dextrose is sometimes used

Answer 23

Tx for hyperkalemia

Question 24

Symptoms are dizziness and lightheadedness upon standing

Answer 24

Positive orthostasis

Question 25

Tall, peaked, T-waves and wide QRS can be found on the EKG of a patient with this electrolyte disturbance

Answer 25

Hyperkalemia

Question 26

Calcium is used to reverse the cardiac effects of this electrolyte disturbance

Answer 26

Hypermagnesemia

Question 27

Electrolyte imbalance that occurs with SIADH

Answer 27

Hyponatremia

Question 28

The nurse must educate the patient regarding the use of salt substitutes when this electrolyte disturbance is present

Answer 28

Hyperkalemia

Question 29

Three hormones responsible for controlling fluid and electrolyte balance

Answer 29

Aldosterone antidiuretic hormone and natriuretic peptides

Question 30

Positive trousseaus sign can be found with this electrolyte imbalance

Answer 30

Hypocalcemia

Question 31

Sodium range

Answer 31

135-145

Question 32

Potassium range

Answer 32

3.5-5

Question 33

Never run meds with this

Answer 33

Blood transfusions

Question 34

Complete blood transfusions with in how long

Answer 34

4 hours

Question 35

If reaction to blood transfusion

Answer 35

Stop and take vitals Notify doc Do not take out new tubing

Question 36

Gauge used for transfusions

Answer 36

18-20

Question 37

Filter on blood to filter out any clots or particles Always tested for abnormalties Verify order with who

Answer 37

Transfusions Another nurse

Question 38

Foot care with PVD

Answer 38

Y