What statement by a nursing student demonstrates a correct understanding of how pathological factors affect urinary elimination?

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Question 1 of 5

What statement by a nursing student demonstrates a correct understanding of how pathological factors affect urinary elimination?

Correct Answer: A

Rationale: Elevated parathyroid hormone increases calcium reabsorption, contributing to kidney stones (A), a correct pathological effect. Hypothyroidism slows metabolism (B), nephrotic syndrome loses proteins into urine (C), and acute kidney injury reduces output (D), making A the accurate understanding.

Question 2 of 5

Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place?

Correct Answer: D

Rationale: Keeping the drainage tubing and bag below the bladder (D) uses gravity to ensure continuous urine flow, preventing reflux and infection, a universal Foley care principle. Level positioning (A) hinders drainage, Neosporin irrigation (B) isn't routine and risks resistance, and clamping (C) disrupts flow and bladder function, making D the primary, evidence-based intervention.

Question 3 of 5

What type of epithelium forms the lining of the proximal convoluted tubule? A) stratified squamous, B) transitional, C) simple ciliated columnar, D) simple cuboidal

Correct Answer: D

Rationale: The PCT has simple cuboidal epithelium (D) with microvilli for reabsorption. Stratified squamous (A) is in skin, transitional (B) in bladder, and ciliated columnar (C) in airways, making D correct.

Question 4 of 5

Aldosterone causes:

Correct Answer: D

Rationale: Aldosterone increases Na⁺ reabsorption and K⁺ secretion (D), reducing urine volume by retaining water. Decreased K⁺ (A), increased Na⁺ (B), or more output (C) oppose this, making D correct.

Question 5 of 5

Which finding by the nurse for a patient admitted with glomerulonephritis indicates that treatment has been effective?

Correct Answer: C

Rationale: Resolved edema (C) shows treatment success in glomerulonephritis, as it reduces proteinuria and fluid retention. No dysuria (A) or nitrites (B) is expected (no UTI), and ASO titers (D) remain elevated post-infection, making C the key indicator.

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