Nokea
Which step is the second step of blood flow in order of flow through the nephron?
- A. Reabsorption in loop of Henle
- B. Efferent arteriole
- C. Filtration in the glomerulus
- D. Reabsorption in proximal convoluted tubule
- E. Afferent arteriole
- F. Secretion in the distal convoluted tubule
Correct Answer: C
Rationale: The blood enters the nephron via the afferent arteriole, is filtered through the glomerulus, reabsorption occurs in the proximal convoluted tubule, then the loop of Henle, then the distal convoluted tubule, and then out the efferent arteriole.
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The patient with nephrosis questions the need for bed rest. How would the nurse explain the benefit of bed rest?
- A. The recumbent position may initiate diuresis.
- B. It preserves the skin integrity.
- C. It lowers the level of albuminuria.
- D. It saves stress on joints.
Correct Answer: A
Rationale: It is believed that the recumbent position helps initiate diuresis.
Which portion of the nephron is involved with filtration?
- A. Glomerulus of the Bowman capsule
- B. Henle loop
- C. Proximal convoluted tubule
- D. Distal convoluted tubule
Correct Answer: A
Rationale: Filtration of water and blood products occurs in the glomerulus of the Bowman capsule.
The nurse notes the amount and color of the urine the patient with urolithiasis has voided. While using Standard Precautions, which action will be the nurse's next action?
- A. Discard the urine.
- B. Add the urine to a 24-hour collector.
- C. Send the urine to the laboratory.
- D. Strain the urine.
Correct Answer: D
Rationale: All urine should be strained. Because stones may be any size, even the smallest speck must be saved for assessment by the laboratory.
A patient has nephrotic syndrome. Which statement made by the patient indicates understanding of the necessary diet modifications?
- A. I will need to increase protein and decrease sodium intake.'
- B. I will need to drink more milk to get my calcium.'
- C. Carbohydrate restriction will be difficult.'
- D. Potassium restriction won't be hard since I don't like fruit.'
Correct Answer: A
Rationale: Medical management for nephrotic syndrome depends on the extent of tissue involvement and may include the use of corticosteroids and a low-sodium, high-protein diet.
The nurse will counsel the young man with chronic prostatitis to avoid which action?
- A. Cessation of intercourse
- B. Taking warm baths
- C. Using stool softeners
- D. Continuing antibiotics when symptoms abate
Correct Answer: A
Rationale: Frequent intercourse may be beneficial to the treatment of chronic prostatitis. Warm baths, stool softeners, and antibiotic therapy are also part of the medical treatment.