A patient is severely dehydrated from vomiting and diarrhea causing his or her blood to become hypertonic. What effects does the nurse expect this will have on the red blood cells
The blood cells will migrate to the bone marrow
the red cells will precipitate out of circulation
They will swell and eventually rupture
The cells will shrink and shrivel, decreasing their oxygen-carrying ability
The Correct Answer is D
A) The blood cells will migrate to the bone marrow:
While the bone marrow is responsible for producing red blood cells, dehydration and hypertonicity of the blood would not cause the red blood cells to migrate to the bone marrow. Migration of blood cells typically refers to white blood cells moving toward sites of infection or inflammation, not a response to dehydration.
B) The red cells will precipitate out of circulation:
Red blood cells do not precipitate out of circulation due to dehydration or hypertonic conditions. Instead, dehydration causes a shift in water balance that leads to changes in the shape and function of the red blood cells. Precipitation of cells is not a physiological response in this context.
C) They will swell and eventually rupture:
In conditions of hypertonicity, where the concentration of solutes (such as sodium) in the blood is higher than normal, red blood cells actually shrink, not swell. When blood is hypertonic, water moves out of the red blood cells into the extracellular space to balance the osmotic pressure, leading to cell shrinkage. Cells only swell in hypotonic conditions, when water moves into the cell.
D) The cells will shrink and shrivel, decreasing their oxygen-carrying ability:
When the body becomes dehydrated, the blood becomes hypertonic (more concentrated), leading to a shift of water out of the red blood cells to try to balance the osmotic gradient. As a result, the red blood cells shrink and shrivel. This shrinkage can impair their ability to carry oxygen effectively, as the cells may become more rigid and less flexible, making it difficult for them to navigate through small blood vessels and perform gas exchange in the lungs and tissues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Feed cells under stress:
The primary function of the homeostasis control systems is not to directly "feed" cells under stress, but to regulate internal balance and ensure all systems are functioning optimally, particularly in response to changes in the environment or internal states. "Feeding" or providing nutrients is a broader metabolic process rather than a direct function of the homeostasis control systems.
B) Act on invading organisms:
While the immune system, which plays a role in defending the body against invading organisms, is a part of overall body regulation, homeostasis itself is more concerned with maintaining internal stability. The control systems of the body regulate physiological processes such as temperature, pH, and fluid balance rather than directly targeting external organisms like bacteria or viruses, which would fall under the immune response.
C) Control vital functions:
Homeostasis control systems are integral in maintaining the body's internal environment, ensuring stability for vital functions such as temperature, heart rate, blood pressure, and respiratory rate. These systems help adjust these functions in response to various internal and external stimuli to maintain optimal conditions for survival, making this the most accurate answer.
D) Shut down the body at death:
While the control systems ultimately cease to function at death, the purpose of homeostasis during life is to maintain the balance of bodily functions, not to cause the cessation of life. The homeostatic mechanisms are about maintaining life and health, preventing "shutdown" until the point of death.
Correct Answer is B
Explanation
A) It decreases the activity of norepinephrine receptor sites: Cholinergic agonists specifically act on acetylcholine receptors, not norepinephrine receptors. Norepinephrine is associated with the sympathetic nervous system and its receptors (alpha and beta), whereas cholinergic agonists affect the parasympathetic system through acetylcholine receptors.
B) It increases the activity of acetylcholine receptor sites: This is the correct answer. Cholinergic agonists work by stimulating acetylcholine receptors (both muscarinic and nicotinic), thereby enhancing the action of acetylcholine. This can lead to various effects such as decreased heart rate, increased digestion, and muscle contraction, as part of the parasympathetic nervous system response.
C) It decreases the activity of GABA receptor sites: GABA (gamma-aminobutyric acid) is an inhibitory neurotransmitter that acts on GABA receptors, not acetylcholine receptors. Cholinergic agonists have no direct effect on GABA receptor activity.
D) It increases the activity of dopamine receptor sites: Dopamine is a neurotransmitter primarily involved in the reward system, motor control, and mood regulation. Cholinergic agonists do not directly affect dopamine receptors. Instead, they target acetylcholine receptors, which are part of the parasympathetic nervous system.
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