NUR 631 COMPLETE 2023/2024 FALL SESSION LECTURE QUESTIONS.GENUINE TEST WITH 100% ACCURATE ANSWERS

NUR 631 COMPLETE 2023/2024 FALL SESSION LECTURE QUESTIONS.GENUINE TEST WITH 100% ACCURATE ANSWERS Renal Physiology Practice Quiz: What is the functional unit of the kidney? o Nephron What important structure lies near the medulla and are important in concentrating urine and secreting renin? o Juxtamedullary nephrons How are the mesangial cells important in the nephron? o They can contract that therefore can help to regulate glomerular capillary blood flow Nitric oxide, which is release by the glomerular endothelial cells, causes which physiological process to occur? o Vasodilation The macula densa cells are an important component that makes up the JGA. These cells help to sense sodium levels. If these cells were to sense a low sodium chloride level, what would be the expected physiological response? o Vasodilation of the afferent arterioles which would increase in the GFR. Parasympathetic stimulation of the bladder causes the detrusor muscle to . o Contract GFR is directly related to what? o Renal blood flow and perfusion pressure in the glomerular capillaries If a patient's blood pressure was 200/120 what would you expect to occur physiologically in the kidneys? o Afferent arteriole constriction The ultimate or end purpose/goal of the RAAS system is to do what in the body? o Increase systemic arterial pressur Lecture questions: (Lower UTI) A person has a lesion on the lower neuron that involves the sacral micturition center. Which condition is the person experiencing? - Detrusor Areflexia (anything above C2) (UTI) Mechanisms that protect the urinary tract from infection include: - Acidic Urine (Nephrotic syndrome) Nephrotic syndrome produces: - Susceptibility to infection (Chronic Kidney Disease) Individuals with chronic renal failure have: - Hypocalcemia Practice Quiz: An example of a complication of an upper urinary obstruction is . o Hydronephrosis A patient presents with a brain tumor. Upon examination the NP notes that the patient has had multiple episodes of incontinence and knows this is representative of an overactive bladder. The NP knows that this is a secondary complication of the brain tumor, and would document which of the following disorders in the patient's chart? o Detrusor hyperreflexia A complication of a lower urinary tract obstruction is . o Urinary retention What is the most important clinical manifestation to investigate should a provider suspect renal cell carcinoma? o Hematuria Interstitial cystitis results from which of the following? o Autoimmune reaction A patient presents to their provider complaining swelling in their legs. Urinalysis reveals hematuria and proteinuria. The patient is diagnosed with acute glomerulonephritis. The patient asks the provider how this happened. What would be the providers BEST response? o Your immune system reacted inappropriately, and this led to inflammation in your kidneys. When reviewing the patients chart a provider reads that there is a nephrotic sediment in the urine. The provider knows that this means that there is a large presence of . o Protein A patient presents in acute renal failure and reports a history of not being able to urinate in over 12 hours. Their bladder feels full, but they cannot urinate. What would the NP suspect is the type of this patient's renal failure? o Postrenal failure