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NUR 8022 EXAM 3 2025 QUESTIONS AND ANSWERS

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What happens to the percentage of body water through the lifespan? - ANS Newborns; 75- 90% Childhood; 60-65% Adults; 60% Older adults; declines with age Why do older adults experience a decrease in body percentage of water? - ANS - increased adipose tissue - decreased muscle mass - renal decline - diminished thirst What is the definition of osmotic force? - ANS Amt. of hydrostatic pressure required to oppose the osmotic movement of water. What is filtration? - ANS movement of fluid from the capillary into the interstitial space What is reabsorption? - ANS movement of fluid from interstitial space into the capillary What is capillary hydrostatic pressure? - ANS (blood pressure) facilitates the outward movement of water from the capillary to the interstitial space NUR 8022 EXAM 3 2025 QUESTIONS AND ANSWERS COPYRIGHT © 2025 FYNDLAY ALL RIGHTS RESERVED 2 What is capillary oncotic pressure? - ANS Water pulling attracts water from the interstitial space back into the capillary osmotically What is interstitial hydrostatic pressure? - ANS Water pushing. facilitates the inward movement of water from the interstitial space into the capillary What is interstitial oncotic pressure? - ANS water pulling attracts water from the capillary into the interstitial space osmotically. What is Starlings hypothesis? - ANS Net filtration = forces favoring filtration - forces opposing filtration What forces favor filtration? - ANS 1. Capillary hydrostatic pressure (blood pressure) 2. interstitial oncotic pressure (water pulling) What forces oppose filtration? - ANS 1. Plasma (capillary) oncotic pressure (water pulling) 2. Interstitial hydrostatic pressure What is the major force of filtration and reabosoprtion? - ANS capillary pressures What happens at the arteriole end of the capillary in terms of fluid forces? - ANS hydrostatic pressure > interstitial oncotic pressure = water into the insterstitial space FILTRATION COPYRIGHT © 2025 FYNDLAY ALL RIGHTS RESERVED 3 What happens at the venous end of a capillary in terms of fluid forces? - ANS capillary oncotic pressure > interstitial hydrostatic pressure = fluid back into ciruclation REABSORPTION What is the pathophysiology of edema? - ANS increased in forces favoring fluid filtration from the capillaries or lymphatic channels into the tissues What is the primary ECF cation? - ANS Sodium What is the primary ECF anion? - ANS Chloride Describe the relationship btw. Chloride and sodium and bicarbonate - ANS Cl follow sodium and varies inversely with bicarb. What hormone regulates sodium? where is it synthesized? - ANS Aldosterone. Synthesized in the adrenal cortex. When is aldosterone secreted? - ANS Decreased renal perfusion, low NA levels, high K levels. What are the effects of aldosterone secretion? - ANS Acts on the distule tubule of the kidney to reabsorb sodium and water and excrete K and H+ into urine. Describe the renin-angiotensin-aldosterone system - ANS decreased blood pressure causes the juxtaglomerular cells of kidney to secrete renin renin stimulates angiotensin I angiotensin I converted to an

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NUR 8022 EXAM 3 2025 QUESTIONS AND
ANSWERS



What happens to the percentage of body water through the lifespan? - ANS Newborns; 75-
90%
Childhood; 60-65%
Adults; 60%
Older adults; declines with age


Why do older adults experience a decrease in body percentage of water? - ANS - increased
adipose tissue
- decreased muscle mass
- renal decline
- diminished thirst


What is the definition of osmotic force? - ANS Amt. of hydrostatic pressure required to
oppose the osmotic movement of water.


What is filtration? - ANS movement of fluid from the capillary into the interstitial space


What is reabsorption? - ANS movement of fluid from interstitial space into the capillary


What is capillary hydrostatic pressure? - ANS (blood pressure) facilitates the outward
movement of water from the capillary to the interstitial space


COPYRIGHT © 2025 FYNDLAY ALL RIGHTS RESERVED 1

,What is capillary oncotic pressure? - ANS Water pulling


attracts water from the interstitial space back into the capillary osmotically


What is interstitial hydrostatic pressure? - ANS Water pushing.


facilitates the inward movement of water from the interstitial space into the capillary


What is interstitial oncotic pressure? - ANS water pulling


attracts water from the capillary into the interstitial space osmotically.


What is Starlings hypothesis? - ANS Net filtration = forces favoring filtration - forces opposing
filtration


What forces favor filtration? - ANS 1. Capillary hydrostatic pressure (blood pressure)
2. interstitial oncotic pressure (water pulling)


What forces oppose filtration? - ANS 1. Plasma (capillary) oncotic pressure (water pulling)
2. Interstitial hydrostatic pressure


What is the major force of filtration and reabosoprtion? - ANS capillary pressures


What happens at the arteriole end of the capillary in terms of fluid forces? - ANS hydrostatic
pressure > interstitial oncotic pressure = water into the insterstitial space


FILTRATION




COPYRIGHT © 2025 FYNDLAY ALL RIGHTS RESERVED 2

, What happens at the venous end of a capillary in terms of fluid forces? - ANS capillary
oncotic pressure > interstitial hydrostatic pressure = fluid back into ciruclation


REABSORPTION


What is the pathophysiology of edema? - ANS increased in forces favoring fluid filtration
from the capillaries or lymphatic channels into the tissues


What is the primary ECF cation? - ANS Sodium


What is the primary ECF anion? - ANS Chloride


Describe the relationship btw. Chloride and sodium and bicarbonate - ANS Cl follow sodium
and varies inversely with bicarb.


What hormone regulates sodium? where is it synthesized? - ANS Aldosterone. Synthesized in
the adrenal cortex.


When is aldosterone secreted? - ANS Decreased renal perfusion, low NA levels, high K levels.


What are the effects of aldosterone secretion? - ANS Acts on the distule tubule of the kidney
to reabsorb sodium and water and excrete K and H+ into urine.


Describe the renin-angiotensin-aldosterone system - ANS decreased blood pressure causes
the juxtaglomerular cells of kidney to secrete renin


renin stimulates angiotensin I


angiotensin I converted to angiotensin II by ACE in pulmonary vessels



COPYRIGHT © 2025 FYNDLAY ALL RIGHTS RESERVED 3

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