A female patient being admitted with pneumonia has

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Question 1 of 5

A female patient being admitted with pneumonia has a history of neurogenic bladder as a result of a spinal cord injury. Which action will the nurse plan to take first?

A. Ask about the usual urinary pattern and any measures used for bladder control. B. Assist the patient to the toilet at scheduled times to help ensure bladder emptying. C. Check the patient for urinary incontinence every 2 hours to maintain skin integrity. D. Use intermittent catheterization on a regular schedule to avoid the risk of infection.

Correct Answer: A

Rationale: Assessing the patient's usual bladder habits informs an individualized care plan.

Question 2 of 5

Which of the following happens as we descend deeper into the kidney medulla?

A. the concentration of the interstitial fluid doesn't change B. the concentration of the interstitial fluid increases C. the concentration of the filtrate within the tubule increases D. the concentration of the interstitial fluid decreases

Correct Answer: B

Rationale: Medullary interstitial fluid concentration rises, aiding urine concentration.

Question 3 of 5

What may correctly be said of the juxtaglomerular apparatus (or complex)?

A. The juxtaglomerular cells are chemoreceptors B. The granular cells are chemoreceptors C. The macula densa cells are chemoreceptors D. The macula densa cells are mechanoreceptors

Correct Answer: C

Rationale: Macula densa senses sodium and chloride as chemoreceptors.

Question 4 of 5

Which hormone causes an increase in permeability to water in the collecting ducts of the kidney?

A. antidiuretic hormone B. aldosterone C. angiotensin II D. atrial natriuretic hormone

Correct Answer: A

Rationale: ADH increases collecting duct water permeability via aquaporins.

Question 5 of 5

Complete the following sentence correctly. Atrial natriuretic peptide

A. causes the wall of the collecting duct of the nephron to increase in permeability to water B. increases sodium (Na+) excretion at the kidneys. C. causes peripheral vasoconstriction D. stimulates the adrenal glands to release aldosterone

Correct Answer: B

Rationale: ANP promotes sodium excretion to reduce blood volume.

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A female patient being admitted with pneumonia has a history of neurogenic bladder as a result of a spinal cord injury. Which action will the nurse plan to take first?

Nurselytic

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