Insulin forces which electrolyte out of the plasma and into the cells?
Calcium
Potassium
Magnesium
Sodium
The Correct Answer is B
Choice A reason: Calcium levels in plasma are primarily regulated by parathyroid hormone and vitamin D, not insulin. Insulin has minimal direct effect on calcium transport into cells. Calcium is critical for bone health and muscle function, but its movement is not significantly influenced by insulin’s action on cellular membranes.
Choice B reason: Insulin promotes potassium uptake into cells by activating the sodium-potassium ATPase pump, particularly in muscle and liver cells. This shifts potassium from plasma to intracellular spaces, lowering serum levels. This mechanism is critical in managing hyperkalemia, as insulin facilitates potassium movement alongside glucose, stabilizing membrane potentials.
Choice C reason: Magnesium is regulated by renal and gastrointestinal mechanisms, not directly by insulin. While insulin may indirectly influence magnesium via metabolic effects, it does not actively drive magnesium into cells like potassium. Magnesium is essential for enzymatic reactions, but its plasma levels are not significantly altered by insulin.
Choice D reason: Sodium is primarily regulated by aldosterone and the renin-angiotensin system, not insulin. Insulin does not directly force sodium into cells but may influence sodium-potassium ATPase indirectly. Sodium’s extracellular role in fluid balance is distinct from insulin’s intracellular potassium transport, making it an incorrect choice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Phenazopyridine is a urinary analgesic that relieves pain, burning, and irritation in the urinary tract by exerting a topical anesthetic effect on the uroepithelium. It is commonly used for symptomatic relief in UTIs, making this statement accurate, as it directly addresses its therapeutic role in managing urinary discomfort.
Choice B reason: Phenazopyridine is used short-term (typically 2 days) for symptom relief, not necessarily until an antibiotic course is completed. Antibiotics treat the underlying UTI, while phenazopyridine addresses symptoms. This statement is inaccurate, as their durations are independent, based on clinical need, not synchronized completion.
Choice C reason: Phenazopyridine is not contraindicated in UTIs; it is specifically indicated for symptomatic relief in these infections. It does not treat the infection but alleviates discomfort. This statement is inaccurate, as phenazopyridine is a standard adjunctive therapy in UTI management for pain relief.
Choice D reason: Phenazopyridine provides relief within hours, not almost immediately. Its onset requires absorption and distribution to the urinary tract, typically taking 1-2 hours. This statement is inaccurate, as the relief, while rapid, is not instantaneous, and patients should be informed of the expected timeframe.
Correct Answer is B
Explanation
Choice A reason: Bulk-forming fiber supplements, like psyllium, increase stool bulk without significantly decreasing nutrient absorption. While high doses may slightly affect mineral uptake, routine vitamin supplementation is not required. This statement is inaccurate, as nutrient malabsorption is not a primary concern with fiber supplements.
Choice B reason: Fiber supplements require adequate hydration (at least 8 glasses of water daily) to swell and soften stool, promoting bowel movements. Insufficient water can cause fiber to harden, worsening constipation. This statement is accurate, as hydration is critical for the efficacy and safety of fiber supplements.
Choice C reason: Long-term fiber use does not cause dependency; it mimics natural dietary fiber, promoting regular bowel movements. The colon adapts to increased bulk without losing intrinsic motility. This statement is inaccurate, as fiber supports, not undermines, normal bowel function in chronic use.
Choice D reason: Delaying the urge to defecate can worsen constipation by causing stool to harden and reducing rectal sensitivity. Prompt response to bowel urges promotes regularity. This statement is inaccurate, as it contradicts the goal of improving bowel regimen with fiber supplementation.
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