
Fluid & Electrolytes Quiz
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Ginny Bayes
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2 Slides • 10 Questions
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Fluid & Electrolytes Quiz
by Ginny Bayes
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What about dextrose-containing fluids?
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Multiple Choice
A patient has a calcium level of 7.2 mg/dL. What assessment finding below is indicative of this lab value?
Muscle flaccidity
Hypoactive bowel sounds
Elevated blood pressure
Prolonged QTc interval
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Multiple Choice
A patient has a sodium level of 119 mEq/L. Which of the following etiologies is
NOT related to this finding?
Oversecretion of ADH (antidiuretic hormone)
Low salt diet
Inadequate water intake
Hypotonic fluid infusion (overload)
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Multiple Choice
A patient’s blood tests show they have a critically low parathyroid hormone (PTH). What effect would this have on phosphate and calcium levels in the blood?
Phosphate levels high, calcium levels low
Phosphate and calcium levels high
Phosphate and calcium levels low
Phosphate levels low, calcium levels high
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Multiple Choice
A patient with a magnesium level of 4.6 may exhibit all of the following
signs and symptoms except:
Hypotension
Lethargy
Respiratory depression
Brisk DTRs
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Multiple Choice
Which patient is at risk for hyperkalemia?
Patient taking torsemide BID
Patient with Cushing’s Syndrome
Patient with Addison’s Disease
Patient with nasogastric suction
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Multiple Choice
A patient has a chloride level of 70 mEq/L.
Which condition below can cause this finding?
Cystic Fibrosis
Metabolic acidosis
Hypertonic fluids
Insulinoma of the pancreas
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Multiple Choice
Which IV solution is contraindicated in a patient with cerebral edema?
D5LR
3% hypertonic saline
D5 0.45% NS
D5 0.9% NS
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Multiple Choice
A patient is admitted with the following findings: heart rate of 119, blood pressure of 80/62, 0.3 ml/kg/hr urinary output, and sodium level of 160. What order would you expect for this patient?
Restrict fluid intake and monitor daily weights
Administer 5% Dextrose 0.45% Sodium Chloride and monitor serum sodium level every 4 hours
Administer hypotonic IV fluid and administer sodium tablets BID
Ringer’s lactate infusion: IV fluid rate to match hourly urine output
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Multiple Choice
What is the cause of the cascade in the pictogram?
Clostridium difficile infection with excessive diarrhea
Heart failure exacerbation
Cerebral salt wasting syndrome
Diabetes insipidus
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Multiple Choice
On admission, a patient's blood alcohol level is greater than 400 mg/dL. The patient reports drinking a 12 pack of beer on a daily basis. Which of the following conditions is this patient MOST at risk for?
Hypomagnesemia
Hypermagnesemia
Hyponatremia
Hypernatremia
Fluid & Electrolytes Quiz
by Ginny Bayes
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