EXAM 4:Maryville NURS 611; Questions with Verified Answers
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Course
NUR 611
Institution
NUR 611
EXAM 4:Maryville NURS 611; Questions with
Verified Answers
Acute unilateral renal obstruction and hypertension are caused by CORRECT ANS-Renal
stones
most common type of kidney stone CORRECT ANS-Calcium oxalate
Amount of cardiac output that kidneys expect to receive CORRECT ANS-20-25%
EXAM 4: Maryville NURS 611; Questions with
Verified Answers
Acute unilateral renal obstruction and hypertension are caused by CORRECT ANS-Renal
stones
most common type of kidney stone CORRECT ANS-Calcium oxalate
Amount of cardiac output that kidneys expect to receive CORRECT ANS-20-25%
Passage of kidney stones can be extremely painful and cause referred pain to where?
CORRECT ANS-Umbilicus area
The kidney stones are often jagged, so what ends up happening is that they get stuck in what?
CORRECT ANS-The ureters
When that kidney stone gets stuck in the ureter, what does it obstruct? CORRECT ANS-
Urine flow
, EXAM 4: Maryville NURS 611; Questions with
Verified Answers
The kidneys will react due to obstruction, because they expect their 20-25% of cardiac output.
The kidneys do not know why they are not getting their normal share of cardiac output but
they sense the decreased perfusion due to the obstruction, so those kidneys activate what
CORRECT ANS-The RAAS system
With activation of that RAAS system from the kidneys, there is angiotensin, which is a
powerful peripheral constrictor. So, what happens within those kidneys themselves is
decreased tissue perfusion so they activate the RAAS system which contains the angiotensin
with powerful constrictor properties, so it constricts what? CORRECT ANS-Arterioles
When angiotensin constricts the arterioles, what happens as a result? CORRECT ANS-
Hypertension, so basically HTN happens due to urinary obstruction
Which population do we think mainly about when we think about UTIs? CORRECT ANS-
The older populaiton
, EXAM 4: Maryville NURS 611; Questions with
Verified Answers
With older adults it may be harder to determine if they have a UTI because clinically, the main
manifestation that is often seen with the elderly and a UTI is what? CORRECT ANS-
Confusion, abdominal pain or discomfort, blood in urine.
What can a UTI lead to very quickly, especially with the older population? CORRECT ANS-
sepsis
Infection of one or both upper urinary tracts (ureter, renal pelvis, kidney interstitium) is what?
CORRECT ANS-Pyelonephritis
most common risk factors for pyelonephritis CORRECT ANS-Urinary obstruction, and reflux
of urine from the bladder.
most common culprit of pyelonephritis CORRECT ANS-E. coli, proteus, pseudomonas
, EXAM 4: Maryville NURS 611; Questions with
Verified Answers
Why do we think of E. coli, especially for women with pyelonephritis? CORRECT ANS-
Because of proximity of the anus to the urinary tract
On urinalysis what would you see with pyelonephritis CORRECT ANS-WBC casts, because
they are only formed in the renal tubules
Urine should always go (----) and when there is an obstruction urine goes (----) CORRECT
ANS-Forward, backward
When the urine flows backward from an obstruction, where does it flow back into
CORRECT ANS-The renal pelvis
What is the renal pelvis? CORRECT ANS-is the funnel-like dilated part of the ureter in the
kidney, The renal pelvis functions as a funnel for urine flowing to the ureter.
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