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NURS 115 EXAM 4 Questions and Answers 100% Solved | Rated A+

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NURS 115 EXAM 4 Questions and Answers 100% Solved | Rated A+ function of glomerulus - producing an "ultrafiltrate of urine" - final copy -pressure is 2-3x higher than other capillaries function of loop of henle - controls concentration of water. reabsorbs water, solutes, necessities via osmosis. What is not needed is excreted. urinalysis (UA) - PURPOSE: hydration status -approx. 95% water and 5% fluids -measures concentration of urine (specific gravity), weight of particles pH of urinalysis - 4.5-8 (avg 6.0) urine osmolarity (concentration) - "specific gravity" - 1.010-1.025 specific gravity high - dehydration (more concentrated urine)

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©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
NURS 115 EXAM 4 Questions and

Answers 100% Solved | Rated A+


function of glomerulus - ✔✔producing an "ultrafiltrate of urine" - final copy

-pressure is 2-3x higher than other capillaries

function of loop of henle - ✔✔controls concentration of water.



reabsorbs water, solutes, necessities via osmosis. What is not needed is

excreted.

urinalysis (UA) - ✔✔PURPOSE: hydration status



-approx. 95% water and 5% fluids

-measures concentration of urine (specific gravity), weight of particles

pH of urinalysis - ✔✔4.5-8 (avg 6.0)

urine osmolarity (concentration) - "specific gravity" - ✔✔1.010-1.025

specific gravity high - ✔✔dehydration (more concentrated urine)

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
specific gravity low - ✔✔decreased renal function (unable to concentrate,

or too much water intake)

urine abnormals - ✔✔presence of RBCs, WBCs (infection), bacteria, casts,

crystals, protein molecules (pregnancy or gluomerular problems), glucose

(diabetes), ketones (diabetic ketoacidosis), etc.

oliguria - ✔✔decreased urine output, late sign to a severely reduced

cardiac output and resultant renal failure

bilburin in urine indicates.... - ✔✔liver issue, hepatitis, or gallbladder issue

creatinine - ✔✔PURPOSE: how are the kidneys functioning?



-reflects GFR

-urine serum levels

-identifies renal problem quicker than BUN



normal range: 0.6-1.2 mg/dL

not being in creatinine's normal range of 0.6-1.2 mg/dL can indicate.... -

✔✔if 2x more than normal, renal function is lost.



if 10 mg/dL or more, 90% if renal function is lost

, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
blood urea nitrogen (BUN) - ✔✔PURPOSE: how kidneys are functioning



-taken via blood

-unlike creatinine, levels can be affected by protein intake, GI bleed, and

dehydration

how much of the renal function must be gone before BUN is increased? -

✔✔2/3

normal range for BUN - ✔✔8.0-20.0 mg/dL

creatinine clearance rate - ✔✔two ways



1) 24 hr urine - choose a timeframe. keep it over ice or fridge if done at

home. draw blood after.



2) two 1-hr urine are collected with blood drawing in between



normal: 100-125 ml/min

cytoscopy - ✔✔direct visualization of the internal structures



-can show stone formation, biopsies, lesion.

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