Functions of the Kidneys and Diuretic Therapy
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Questions and Answers

What is the primary function of the kidneys in relation to blood cells?

  • Stimulating white blood cell production
  • Stimulating red blood cell production (correct)
  • Forming blood clots
  • Regulating platelet production

Which of the following is a primary function of the kidneys?

  • Producing digestive enzymes
  • Regulating blood pressure (correct)
  • Regulating body temperature
  • Stimulating white blood cell production

What is the active form of vitamin D produced by the kidneys?

  • Ergocalciferol
  • Calcitriol (correct)
  • Vitamin D3
  • Cholecalciferol

Which laboratory test is most reflective of the progression of kidney disease?

<p>Glomerular filtration rate (GFR) (C)</p> Signup and view all the answers

What is the primary function of the kidneys in relation to body fluids?

<p>Regulating acid-base balance (D)</p> Signup and view all the answers

What is the role of the enzyme renin in the kidneys?

<p>Regulating blood pressure (A)</p> Signup and view all the answers

What is the primary function of the kidneys in relation to vitamin D?

<p>Producing calcitriol (A)</p> Signup and view all the answers

Which of the following is a consequence of chronic kidney disease?

<p>Impaired pharmacotherapy (C)</p> Signup and view all the answers

What is the role of the kidneys in the nursing process?

<p>Evaluation (D)</p> Signup and view all the answers

Which of the following is a QSEN competency related to the kidneys?

<p>Demonstrate knowledge of basic scientific methods and processes (B)</p> Signup and view all the answers

Study Notes

Functions of the Kidneys

  • Kidneys help regulate potassium balance
  • Kidneys balance fluid and electrolytes in the body
  • Kidneys secrete renin, which helps regulate blood pressure
  • Kidneys do not affect serum oxygen levels
  • Kidneys do not have an impact on bacterial infections

Kidney Damage and Proteinuria

  • Presence of protein in urine (proteinuria) indicates kidney pathology
  • Proteinuria is a primary measurement for structural kidney damage

Diuretic Therapy

  • Diuretics are used to treat conditions with abnormal fluid retention, such as:
    • Heart failure
    • Hypertension
    • Acute kidney injury
  • Diuretics increase urine flow to reverse fluid retention
  • Diuretics are not used to treat ketoacidosis; instead, fluid replacement is required

Side Effects of Diuretics

  • Chlorothiazide (Diuril) can cause:
    • Low serum potassium levels (hypokalemia)
    • Low blood pressure

Acute Renal Failure

  • Clients with acute renal failure cannot effectively regulate:
    • Fluid balance
    • Electrolyte balance
    • pH of body fluids
    • Blood pressure

Kidney Physiology

  • Kidneys regulate blood pressure through the secretion of renin
  • Kidneys regulate the acid-base balance of body fluids
  • Kidneys produce calcitriol, the active form of vitamin D
  • Kidneys do not stimulate white blood cell production, but stimulate red blood cell production through erythropoietin secretion

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Description

This quiz covers the functions of the kidneys, including regulating potassium balance and blood pressure, and signs of kidney damage such as proteinuria. It also touches on diuretic therapy and its effects.

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