NUR612 Exam 5 Questions with Correct Answers 100% Verified By Experts| Latest Update
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Why are CKD patient prone to hyponatremia? the compromised ability of the tubular
nephrons to absorb sodium
CKD is associated with ____ vitamin D and calcitrol leves low
low vitamin D and calitrol levels _____ PTH production increase
Which drug is used to maintain hematocrit levels in people with kidney failure?
erythropoietin
What are the earliest and most significant indications of uremic encephalopathy? loss of
recent memory and inattention
What happens when people with CKD take drugs? a decrease in plasma proteins,
particularly albumin, that occurs in many persons with renal failure results in less protein-
bound drug and greater amounts of free drug
What are the serious side effects of most immunosuppressive drugs? CV complications,
metabolic dysfunction, and cancer
What are the recommended treatments for children with ESRD? kidnet transplant and
dialysis
Which muscle is primarily responsible for micturition? detrusor
Why is sperm not normally seen in the bladder? the musculature of the trigone area,
bladder neck, and prostatic urethra contract at the same time
,normal bladder capacity when adults have the desire to void is 400-500mL
What happens to the bladder due to urinary retention? hypertrophy of the bladder muscle
and increased bladder wall thickness
Which condition results in the inability to sense the bladder filling? MS
What are the most common causes of spastic bladder? spinal cord lesions such as spinal
cord injury, herniated intervertebral disk, vascular lesions, tumors, and myelitis
Bladder atony with dysfunction is a frequent complication of which condition? diabetes
Kegel exercises are most likely to help _____ incontinence stress
What is the priority in the treatment of incontinence in the elderly? acknowledgement that
is is not an inevitability and that the exact causes should and most often can be identified
Adenocarcinoma rare but highly metastatic tumor that has a very poor prognosis
What is the primary treatment of invasive bladder cancer? surgery- cystectomy
Sequence of ADH ADH is produced in the hypothalamus, sequestered in the pituitary, and is
released in response to increased serum osmolality. Its influence on tubular cells is exerted by
way of the insertion of aquaporins in the tubular membrane
Which medication is given for DI? desmopressin
, Manifestations of SIADH SIADH manifests as dilutional hyponatremia. Decreased urine
output. absence of edema, and headaches are signs of this.
Diarrhea puts you at risk for which kind of fluid deficit? Isotonic fluid deficit
Manifestations of hyponatremia weakness, lethargy, and nausea
Hypokalemia ECG findings prominent U wave, flattened T wave
Hyperkalemia symptoms numbness, tingling, weakness
Action of vitamin D steps 1. Vitamin D is present in the skin or intestine
2. Vitamin D is concentrated in the liver
3. Vitamin D is transported to the kidneys
4. Calcitrol is produced
5. Absorption of calcium from the intestine increases
Which lab test will help distinguish between primary hyperparathyroidism and hypercalcemia
of malignancy? Parathyroid hormone level
Hypocalcemia symptoms muscular spasms and complaints of tingling in the hands/feet
Which electrolyte is necessary for the normal function of platelets and the excretion of
hydrogen ions? Phosphorus
Which enzyme is a catalyst for carbon dioxide and water to form carbonic acid? carbonic
anhydrase
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Why are CKD patient prone to hyponatremia? the compromised ability of the tubular
nephrons to absorb sodium
CKD is associated with ____ vitamin D and calcitrol leves low
low vitamin D and calitrol levels _____ PTH production increase
Which drug is used to maintain hematocrit levels in people with kidney failure?
erythropoietin
What are the earliest and most significant indications of uremic encephalopathy? loss of
recent memory and inattention
What happens when people with CKD take drugs? a decrease in plasma proteins,
particularly albumin, that occurs in many persons with renal failure results in less protein-
bound drug and greater amounts of free drug
What are the serious side effects of most immunosuppressive drugs? CV complications,
metabolic dysfunction, and cancer
What are the recommended treatments for children with ESRD? kidnet transplant and
dialysis
Which muscle is primarily responsible for micturition? detrusor
Why is sperm not normally seen in the bladder? the musculature of the trigone area,
bladder neck, and prostatic urethra contract at the same time
,normal bladder capacity when adults have the desire to void is 400-500mL
What happens to the bladder due to urinary retention? hypertrophy of the bladder muscle
and increased bladder wall thickness
Which condition results in the inability to sense the bladder filling? MS
What are the most common causes of spastic bladder? spinal cord lesions such as spinal
cord injury, herniated intervertebral disk, vascular lesions, tumors, and myelitis
Bladder atony with dysfunction is a frequent complication of which condition? diabetes
Kegel exercises are most likely to help _____ incontinence stress
What is the priority in the treatment of incontinence in the elderly? acknowledgement that
is is not an inevitability and that the exact causes should and most often can be identified
Adenocarcinoma rare but highly metastatic tumor that has a very poor prognosis
What is the primary treatment of invasive bladder cancer? surgery- cystectomy
Sequence of ADH ADH is produced in the hypothalamus, sequestered in the pituitary, and is
released in response to increased serum osmolality. Its influence on tubular cells is exerted by
way of the insertion of aquaporins in the tubular membrane
Which medication is given for DI? desmopressin
, Manifestations of SIADH SIADH manifests as dilutional hyponatremia. Decreased urine
output. absence of edema, and headaches are signs of this.
Diarrhea puts you at risk for which kind of fluid deficit? Isotonic fluid deficit
Manifestations of hyponatremia weakness, lethargy, and nausea
Hypokalemia ECG findings prominent U wave, flattened T wave
Hyperkalemia symptoms numbness, tingling, weakness
Action of vitamin D steps 1. Vitamin D is present in the skin or intestine
2. Vitamin D is concentrated in the liver
3. Vitamin D is transported to the kidneys
4. Calcitrol is produced
5. Absorption of calcium from the intestine increases
Which lab test will help distinguish between primary hyperparathyroidism and hypercalcemia
of malignancy? Parathyroid hormone level
Hypocalcemia symptoms muscular spasms and complaints of tingling in the hands/feet
Which electrolyte is necessary for the normal function of platelets and the excretion of
hydrogen ions? Phosphorus
Which enzyme is a catalyst for carbon dioxide and water to form carbonic acid? carbonic
anhydrase
