NUR 611 Maryville Exam 4: Questions & Correct
Solutions
Exposure to which substance protects the mucousal barrier of the stomach?
Right Ans - Prostaglandins
Glucose transport enhances the absorption of which electrolytes? Right
Ans - Sodium
What is the cause of GERD? Right Ans - Zone of low pressure in the lower
esophageal sphincter
By what mechanism does intussusception cause and intestinal obstruction?
Right Ans - Telescoping of part of the intestines into another section of
intestines usually causing strangulation of the blood supply
What is the most immediate result of small bowel obstruction? Right Ans -
Distension
An intestinal obstruction at the pylorus or high in the small intestines causes
metabolic alkalosis by causing which outcome? Right Ans - Excessive loss
of hydrogen ions normally absorbed by gastric juices
What are the cardinal symptoms of small intestinal obstruction? Right Ans
- Colicky pain caused by distension followed by vomiting
What is the primary cause of peptic ulcers? Right Ans - H. Pylori
A peptic ulcer may occur in all areas excepts? Right Ans - Jejunum
After a partial gastrectomy or pyloroplasty, clinical manifestations that
include increased pulse, hypotension, weakness, pallor, sweating, and
dizziness are the result of which mechanism? Right Ans - Dumping
syndrome - rapid gastric emptying that creates high osmotic gradient in the
small intestines causing a fluid shift
What can assist in management of dumping syndrome? Right Ans - Dietary
management
, Obesity of defined as BMI greater than what measurement? Right Ans - 30
Which are early (prodroma) clinical manifestations of hepatitis? Right Ans
- Fatigue, vomiting, anorexia, malaise, headache, cough, low grade fever, and
hyperalgia
What are the characteristics of UC? Right Ans - Inflammation begins at the
base of the crypts of Lieberkuhn in the large intestines, primarily with the left
colon, with infilatrates and release of inflammatory cytokines
What are the chracteristics of Crohns? Right Ans - Elevation in IgG are
associated with disease severity
Kidney stones in the upper part of the ureter would produce pain referred to
which anatomical area? Right Ans - Umbilicus
The GRF is directly related to which factor? Right Ans - Perfusion pressure
When rennin is release, it is capable of which action? Right Ans - Formation
of angotensin I
How high does the plasma glucose have to be before the threshold for glucose
is achieved? Right Ans - 180mg/dl
What it the end product of protein metabolism that is excreted in urine?
Right Ans - urea
What provides the best estimate of the functioning of renal tissue? Right
Ans - GFR
Which renal change is found in older adults? Right Ans - Decrease in
number of nephrons
Compared with a younger individual, how is the specific gravity of urine in
older adults affected? Right Ans - low-normal
How does progressive nephrons injury affect angiotensin II activity? Right
Ans - It is elevated
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