Maryville NURS 611 Exam 4 questions with correct
answers
How much of the cardiac output do the kidneys require? Correct
Answer-20-25%
What causes the umbilical referred pain with kidney stones? Correct
Answer-sensory innervation of the upper part of the ureter arising from
the 10th thoracic nerve root.
What are the clinical manifestations of a UTI in older adults? Correct
Answer-confusion and poorly localized abdominal discomfort
(symptoms are vague).
What is pyelonephritis? Correct Answer-it is an infection of one or both
upper urinary tracts(ureter, renal pelvis, and kidney interstitium).
What are the underlying risk factors for the development of
pyelonephritis? Correct Answer-urinary obstruction and reflux of urine
from the bladder (vesicoureteral reflux).
What microorganisms are associated with acute pyelonephritis? Correct
Answer-e. coli, proteus, or pseudomonas.
What do the microorganisms that cause pyelonephritis do to increase the
risk of stone formation? Correct Answer-the microorganisms split urea
into ammonia, making alkaline urine that increases the risk.
, Define painful bladder syndrome (interstitial cystitis). Correct Answer-it
is a condition that includes nonbacterial infectious cystitis and
noninfectious cystitis.
It is possible that noninfectious cystitis is caused by an autoimmune
response. What happens during an autoimmune reaction? Correct
Answer-it may be responsible for inflammatory response, which
includes mast cell activation, altered epithelial permeability,
neuroinflammation, and increased sensory nerve stimulation.
How is a diagnosis of IC differentiated from a diagnosis of
pyelonephritis? Correct Answer-urine culture, urinalysis, and clinical
signs and symptoms. White blood cell casts indicate pyelonephritis, but
they are not always present in the urine.
What lab values point to a reduced GFR? Correct Answer-elevated
plasma urea, creatinine concentration, or reduced renal creatinine
clearance.
What is acute glomerulonephritis? Correct Answer-it is a term that
includes renal diseases that cause glomerular inflammation through
immune mechanisms.
What happens to the GFR during an inflammatory response? Correct
Answer-the glomerular capillary filtration membrane including the
endothelium, basement membrane, and epithelium (podocytes) are
damaged by inflammation causing immune mechanisms.
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