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NU 327 Exam 5 Study Guide with Complete Solutions

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NU 327 Exam 5 Study Guide with Complete Solutions Functions of the renal system - Answer--Maintain fluid, electrolyte, and acid-base balance -Detoxifying the blood and eliminating wastes -Regulating blood pressure -Production of erythropoietin -Activation of Vitamin D to facilitate absorption...

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  • October 16, 2024
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NU 327 Exam 5 Study Guide with
Complete Solutions

Functions of the renal system - Answer✔✔--Maintain fluid, electrolyte, and acid-base balance


-Detoxifying the blood and eliminating wastes


-Regulating blood pressure


-Production of erythropoietin


-Activation of Vitamin D to facilitate absorption of calcium


What makes up the urinary system? - Answer✔✔-kidneys, ureters, bladder, urethra


What is the pelvis? - Answer✔✔-Large collecting area for urine


What is the medulla? - Answer✔✔-pyramids


What is the cortex of the kidney? - Answer✔✔--Glomeruli


-Nephron tubules


What is the nephron? - Answer✔✔-functional unit of the kidney


What are the 3 major functions of the nephron? - Answer✔✔-filtration, reabsorption, secretion


What is filtration of the nephron? - Answer✔✔-water soluble substances from the blood


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What gets reabsorpted in the nephron? - Answer✔✔-filtered nutrients, water, and electrolytes


What get secreted in the nephron? - Answer✔✔-waste products


What is the function of the glomerulus? - Answer✔✔--fluid filtration from blood to the nephron


-more permeable than other capillaries in the body


-prevents passage of blood cells and proteins


What is the glomerular filtration rate (GFR) ? - Answer✔✔-125 mL/min


What is the main driving force of the GFR? - Answer✔✔-hydrostatic pressure


What is the most important factor of the GFR? - Answer✔✔-blood volume


What measures GFR? - Answer✔✔-creatinine clearance


What is the function of the proximal concoluted tubule? - Answer✔✔--Reabsorbs about 2/3 of

the filtered water and electrolytes


-Reabsorbs all of the nutrients, glucose, amino acids, bicarbonate ions, and vitamins


What is the function of the descending loop of henle? - Answer✔✔--transports water


-delivers concentrated filtrate to ascending loop


What is the function of the ascending loop of henle? - Answer✔✔--actively transports Na, Cl,

and K


-increases interstitial osmolarity


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What is the function of the distal convoluted tubule? - Answer✔✔--"Fine tune" of sodium and

water reabsorption


--Angiotensin II


--Aldosterone


-Secretes H+ & K+


-Site from which filtrate enters the collecting tubule


What is the function of the collecting tubule? - Answer✔✔--Distal tubules empty into the single

larger collecting tubule


-Responds to antidiuretic hormone (ADH)


-Regulates secretion of acid


-Merges into the larger collecting ducts


What percentage of the original filtrate is reabsorbed by the time it reaches the renal pelvis? -

Answer✔✔-99


What is a normal lab value of BUN? - Answer✔✔-10-20 mg/dL


What is the function of the BUN measurement? - Answer✔✔--Indirect measure of overall

hydration


-Also can reflect diet, GI bleeding, and tissue breakdown


What is a normal lab value of Creatinine - Answer✔✔-0.7-1.5 mg/dL


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What is the function of the creatinine measurement? - Answer✔✔--Reflects GFR


-Most commonly used "quick" method to estimate renal function


What is a normal urinalysis? - Answer✔✔--clear


-pale yellow to amber


-slightly acidic


-may contain a few cells


Adult and Elderly related changes to renal function - Answer✔✔--Diminish in size and function

by 4th decade


-Decreased glomeruli


-By age 70


--30-50% of glomeruli lost


-Renal blood flow decreases


-Number of nephrons decrease


-Less renal reserve


-More susceptible to fluid and electrolyte imbalances


-Susceptible from damage from drugs, medications contrast media


what are the two types of Cystic Kidney Disease? - Answer✔✔-Autosomal recessive and

Autosomal dominant

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