A 45-year-old man with diabetic nephropathy has ESKD and is starting dialysis. What should the nurse teach the patient about hemodialysis?

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Question 1 of 5

A 45-year-old man with diabetic nephropathy has ESKD and is starting dialysis. What should the nurse teach the patient about hemodialysis?

Correct Answer: A

Rationale: Hemodialysis is the most commonly used method of dialysis. Patients receiving hemodialysis must undergo treatment for the rest of their lives or until they undergo successful kidney transplantation. Treatments usually occur three times a week for at least 3 to 4 hours per treatment.

Question 2 of 5

Given the following conditions: Capsular hydrostatic pressure = 15 mm Hg, Glomerular plasma osmotic pressure = 25 mm Hg, Glomerular hydrostatic pressure = 75 mm Hg, What is the NET FILTRATION RATE?

Correct Answer: A

Rationale: Net filtration pressure (NFP) = Glomerular hydrostatic pressure (75 mm Hg) - (Capsular hydrostatic pressure (15 mm Hg) + Glomerular osmotic pressure (25 mm Hg)) = 75 - (15 + 25) = 35 mm Hg (A). This drives filtration; 85 (B), 65 (C), and 115 (D) miscalculate, making A correct.

Question 3 of 5

In the female urinary system, the urethral orifice is situated posterior to the vaginal orifice

Correct Answer: B

Rationale: In females, the urethral orifice is anterior to the vaginal orifice (B), not posterior, due to anatomical positioning (urethra above vagina). True (A) reverses this, making B correct.

Question 4 of 5

The micturition center is located in the:

Correct Answer: A

Rationale: The micturition center in the pons (A) coordinates the reflex via parasympathetic signals, not medulla (B), cerebellum (C), or basal ganglia (D), making A the control site.

Question 5 of 5

The main solute component of urine is:

Correct Answer: A

Rationale: Urea (A), a nitrogenous waste from protein metabolism, is the primary solute in urine (~50% of solids). Glucose (B) is absent normally, agglutin (C) is invalid, and urobilinogen (D) is minor, making A correct.

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