A patient has dehydration. While planning care, the nurse considers that the majority of the patient's total water volume exists in which compartment?
Intracellular
Extracellular
Intravascular
Transcellular
The Correct Answer is A
A. Intracellular: The majority of the body's total water volume is contained within the intracellular compartment, which makes up about 2/3 total body water. Intracellular fluid is essential for cellular function, and any depletion here contributes significantly to dehydration.
B. Extracellular: While extracellular fluid (ECF) accounts for about one-third of total body water, it is not the compartment that holds the majority. ECF includes interstitial fluid, blood plasma, and lymph, but intracellular fluid still holds a larger proportion.
C. Intravascular: Intravascular fluid is a subset of extracellular fluid, specifically the fluid found within blood vessels. It makes up a smaller portion of total body water and is primarily involved in transporting nutrients and waste.
D. Transcellular: Transcellular fluid is a small compartment of extracellular fluid, including fluids such as cerebrospinal fluid, synovial fluid, and ocular fluid. It represents a very small fraction of total body water.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Metabolic acidosis: Fasting can lead to the production of ketones as the body breaks down fat for energy in the absence of sufficient glucose. Ketones are acidic, and their accumulation in the blood leads to a decrease in pH, causing metabolic acidosis.
B. Metabolic alkalosis: This condition occurs when there is an excessive loss of acid or an increase in bicarbonate levels. It is not typically associated with fasting or the production of ketones.
C. Respiratory alkalosis: Respiratory alkalosis occurs when excessive CO2 is exhaled, leading to an increase in blood pH. This is typically due to hyperventilation and is not related to fasting or ketone production.
D. Respiratory acidosis: Respiratory acidosis results from the retention of CO2 due to hypoventilation, which leads to a decrease in blood pH. This condition is not associated with fasting or ketosis and is not likely to be the cause of the client’s symptoms.
Correct Answer is A
Explanation
A. An infant with temperature of 102.2° F and diarrhea for 3 days: Infants are vulnerable to dehydration and fluid imbalances, which can quickly become life-threatening. A fever of 102.2°F combined with diarrhea for three days raises concern for potential severe dehydration, infection, or sepsis, which requires immediate attention.
B. A teenager with a sprained ankle and excessive edema: While the teenager’s condition is painful, a sprained ankle and excessive edema are generally not life-threatening. This condition can be treated after more urgent cases are addressed.
C. A middle-aged adult with abdominal pain who is moaning and holding her stomach: While abdominal pain may indicate a serious condition, the patient's symptoms don't necessarily suggest an immediate life-threatening situation, particularly if vital signs are stable.
D. An older adult with nausea and vomiting for 3 days with blood pressure 112/60: The blood pressure is within normal limits and while nausea and vomiting for three days are concerning, this patient’s condition is not immediately life-threatening.
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