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32 Cards in this Set

  • Front
  • Back
The filtering point for fluid, nutrients and waste products contained in blood entering the kidney is called the
Glomerulus
Dilution or concentration of filtrate occurs in this section of the nephron
Loop of Henle
The functional units of the kidney is the
Nephron
This area of the nephron serves as a holding area for the filtrate before it moves through the proximal tubule
Bowman's capsule
The Juxtamedullary nephrons
Are primarily responsible for concentration and dilution of urine
Osmosis is the movement of water from an area of high solute concentration to an area of lower solute concentration
False
The movement of potassium from the blood into the Renal tubules for excretion usually involves active transport
True
What factor does not affect the level of urea production. Protein intake, volume status, blood pressure, infection
Infection
Which hormones play a role in maintaining fluid balance in the body
Antidiuretic hormone, aldosterone, atrial natriuretic peptide
Of the 180 L of infiltrate that are formed daily, what percent is excreted as urine
1
Tubular secretion of excess substances from the blood into the tubules is
The last step in the formation of urine
Tubular secretion plays a lesser roll in tubular reabsorption in changing filtrate into urine
True
Tubular reabsorption in the kidney occurs only by active transport
False
When pressure in the afferent arteriole decreases the -- is activated resulting in constriction of the Efferent arteriolar thereby increasing the GFR
Activation of the RAAS
– Is the mechanism by which Renal bloodflow and GFR remains constant despite changes in MAP
Intrarenal autoregulation
Renal bloodflow is regulated through three mechanisms. These are
Intrarenal autoregulation, the sympathetic nervous system and the RAAS
Which EKG change may be a result of hypocalcemia
Prolongation of QTinterval
Calcium and phosphorus have an inverse relationship
True
Neuromuscular signs of hyper Kaylee me up include
Numbness and tingling of the face, hands and tongue
Management of normal potassium values are significant in preventing organ system dysfunction such as
Cardiovascular abnormalities
Patients with water intoxication will exhibit
Confusion, anorexia, decreased serum osmolality
Patients with saline excess will present with
Dyspnea, bounding pulses, diaphoresis
Patients with saline deficit will present with
Tachycardia, decreased urine output, renal failure
What are three signs and symptoms of hypomagnesemia
Respiratory depression, dysrhythmias, and confusion
Which of the following EKG changes may be a result of hypokalemia
Ventricular ectopy
The etiology or clinical presentation of hyperphosphatemia include
Chronic kidney failure, muscle tetany, soft tissue calcification
Chvostecks sign and Troussous sign indicate
Hypocalcemia
Alkalosis, hypoparathyroidism, pancreatitis, and hypomagnesium may all be associated with
Hypocalcemia
The patient with chronic kidney failure is at risk to develop osteoporosis due to which electrolyte imbalance
Hyperphosphatemia
When teaching the patient about the consequences of chronic kidney failure, the nurse explains that the altered bone metabolism occurs as a result of
Elevated serum phosphorus level
The nurse instructs the patient with chronic kidney failure to eat
Low protein, low potassium, low-sodium, high calcium
When assessing a patient's risk factors for chronic kidney failure, the nurse would be most concerned when the patient reports
Poorly controlled diabetes