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The nurse working in an outpatient nephrology clinic knows that which of the following are
primary functions of the kidneys? (Select all that apply.)
A. Production of clotting factors
B. Homeostasis
C. Excretion of metabolic wastes
D. Regulation of acid-base balance
E. Metabolism of fats
ANSWER: B, C, D
The kidneys do not metabolize fats.
Production of clotting factors is a primary function of the liver.
The kidneys maintain blood pressure using the RAAS and also produce erythropoietin to
stimulate RBC production.
In caring for a patient diagnosed with acute kidney injury, the nephrology nurse knows that
which of the following tests are specific for renal function? (Select all that apply.)
A. Aspartate aminotransferase (AST)
B. Blood urea nitrogen
C. Creatinine
D. Glomerular filtration rate
E. White blood cell count
, ANSWER: B, C, D
AST related to LIVER function
In caring for a patient with acute kidney injury the nurse knows that the patient's renal function
has returned to normal range when the patient's GFR measures:
A. 30-40 mL/min
B. 40-50 mL/min
C. 70-90 mL/min
D. 90-120 mL/min
ANSWER: D
Normal GFR is 90-120 mL/min
Normal Creatinine 0.6-1.1 for females and 0.6-1.2 for males
Normal BUN is 10-20 mg/dL
*Be sure to know these normal values, you will use them daily as a nurse
The nursing working in a geriatric living facility understands that as patients age, which change
in glomerular filtration rate is expected?
A. Increased GFR
B. Decreased GFR
C. Same GFR
D. No GFR
ANSWER: B