MN 551 Quiz 5 latest – Kaplan University Advanced Physiology and Pathophysiology Across the Life Span Midterm Structure and function of the kidney A 77 year old female hospital patient ha... s contracted Clostridium difficile during her stay and is experiencing severe diarrhea. Which of the following statements best conveys a risk that this woman faces? Which diuretic acts by inhibiting sodium chloride reabsorption in the thick ascending limb of the loop of Henle? (Points : 0.4) A 77 year old female with a diagnosis of copd is experiencing impaired gas exchange and CO2 retention, despite a rapid respiratory rate. Which of the following phenomena would her care team most realistically anticipate? Her kidneys will adapt with an increase in plasma HCO3- and her pH will decrease. A 68 year old woman with a new onset a vascular dementia has recently begun retaining urine. Which of the following physiological phenomena would her care providers most realistically expect to be currently occurring as a result of her urinary retention? Hypertrophy of the bladder muscle and increased bladder wall thickness. - - - - - - - - Question 24.24. A 51-year-old woman diagnosed with multiple sclerosis (MS) five months prior is distressed that she has had several recent episodes of urinary incontinence. She has asked her nurse practitioner why this is the case. Which of the following statements best captures the facts that would underlie the nurse's response to the patient? (Points : 0.4) Neurologic diseases like MS often result in flaccid bladder dysfunction. She may be unable to sense her bladder filling as a result of her MS. MS may result in neurogenic bladder characterized by an inability to sense filling and consequent incontinence. She is not demonstrating the signs of a flaccid bladder, and lesions to the basal ganglia or extrapyramidal tract are associated with Parkinson disease, not MS. Her disease is unlikely to directly reduce bladder volume. Lesions of the basal ganglia or extrapyramidal tract associated with MS inhibit detrusor contraction. Pathologic reductions in bladder volume brought on by MS necessitate frequent micturition. Question 25.25. Which of the following individuals would be considered to be at risk for the development of edema? (Points : 0.4) An 81-year-old man with right-sided heart failure and hypothyroidism - Right-sided heart failure, burns, and low levels of plasma proteins are all associated with the development of edema. Diabetes and GI bleeds are not identified as contributors to edema A 60-year-old obese female with a diagnosis of poorly controlled diabetes mellitus A 34-year-old industrial worker who has suffered extensive burns in a job-related accident A 77-year-old woman who has an active gastrointestinal bleed and consequent anemia A 22-year-old female with hypoalbuminemia secondary to malnutrition and anorexia nervosa Which of the following data would a clinician consider to be most indicative of acute renal failure? Increased nitrogenous waste levels; decreased glomerular filtration rate (GFR) The hallmark of acute renal injury is azotemia, an accumulation of nitrogenous wastes such as creatinine, urea nitrogen, and uric acid, plus a decrease in the GFR of the kidneys. While pH alterations, edema, electrolyte imbalances, and decreased urine output may accompany acute renal failure, they are all potentially attributable to other pathologies. Creatinine, GFR, and BUN would unlikely rise during renal failure [Show More]
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