Focus on Nursing Pharmacology 6TH Edition Test Bank – Chapter 50

Focus on Nursing Pharmacology 6TH Edition Test Bank – Chapter 50. The nursing instructor is talking with students about the renal system. What would the instructor tell the students about the renal system, especially how it helps maintain calcium levels in the body by regulating the activation of what? A) Vitamin A B) Vitamin B C) Vitamin C D) Vitamin D Ans: D Feedback: The renal system has four major functions in the body. One is regulating vitamin D activation, which helps maintain and regulate calcium levels. Vitamins A, B, and C are not associated with this function. 2. The patient has just been diagnosed with acute renal failure. The patient asks the nurse what part of his or her kidneys is involved. What would the nurse reply? A) Glomerulus Downloaded by emmanuel manyaka () lOMoARcPSD| B) Renal pelves C) Nephron D) Renal capsule Ans: C Feedback: The functional unit of the kidney is the nephron. There are about 2.4 million nephrons in an adult. These structures filter fluid and make urine. The glomerulus is a tuft of blood vessels with a capillary-like endothelium that allows easy passage of fluid and waste products. The renal pelves are in a region of the kidney that drains urine into the ureters. The renal capsule is a protective layer, which is made up of the fiber layer, a perirenal or brown fat layer, and the renal parietal layer. 3. A patient who has just been told that he or she needs to go on dialysis asks the nurse what the normal output of urine is per day. What would be the nurse’s best response? A) 2,000 mL B) 3,000 mL C) 4,000 mL Downloaded by emmanuel manyaka () lOMoARcPSD| D) 5,000 mL Ans: A Feedback: Approximately 125 mL of fluid is filtered out of the glomerulus each minute. About 99% is returned to the blood stream as the filtrate progresses through the renal tubule. Approximately 1% or 2,000 mL of fluid is excreted each day in the form of urine. The other options are not correct. 4. The anatomy class is learning about the countercurrent mechanism in the medullary nephrons. What would the students learn about this mechanism and what it acts to do? A) Promote sodium excretion B) Concentrate or dilute the urine C) Block the effects of aldosterone D) Stimulate antidiuretic hormone (ADH) release Ans: B Feedback: The countercurrent mechanism in the medullary nephrons acts to concentrate or dilute Downloaded by emmanuel manyaka () lOMoARcPSD| urine. It does not promote sodium excretion nor does it block the effects of aldosterone. This mechanism does not stimulate ADH release. 5. The physiology instructor explains that the nephrons are fragile and require a constant supply of blood and oxygen. What compensatory mechanisms work to maintain this supply? A) The reninangiotensin system, causing vasoconstriction B) Baroreceptor monitoring of the renal artery C) Increased sweating when total water volume becomes too great D) Antidiuretic hormone (ADH) release in response to increased blood volume or decreased osmolarity Ans: A Feedback: The reninangiotensin system causes vasoconstriction to improve blood flow to the fragile nephrons. Baroreceptors are not found in the renal artery. Increased sweating is not a reflex reaction to increased total body water. ADH is released in response to decreased blood volume and increased osmolarity. 6. The nursing instructor is discussing anemia. The instructor explains about when a person has chronic renal failure; how it leads to a decrease in the production of red blood cells and so the person becomes anemic. This anemia is usually caused by a loss of what? We offer online tutoring, help with assignments and essay writing for all majors with a guaranteed pass. For assistance Contact Tutor Lucas: