Tuesday, May 25, 2021

Urinary System Test Answers


  • True False 7. Urinary tract infections result from the colonization of the urinary tract by bacteria or fungal invaders. False 8. Each kidney receives blood from: Arrerent arterioles.
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  • Which of the following statements regarding the kidney is TRUE? A All related structures enter or leave the kidney at the lateral border. B The kidneys lie in the peritoneal space of the anterior abdominal cavity. C The kidneys are protected and...
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  • The peritoneal membrane covers most of the anterior surface of each kidney. Which two structures are referred to collectively as the renal parenchyma? These structures are located inside the renal capsule. Two of them—the cortex and the medulla—are often referred to collectively as the renal parenchyma. The cortex is directly beneath the renal capsule. This highly vascularized area of tissue is very sensitive to changes in blood flow. The medulla, located deep in the cortex, consists of 8 to 18 triangular renal pyramids.
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  • The renal pyramids are composed of collecting ducts that drain urine into the calyces. The cortex covers the base of the pyramids, and the tips or papillae project toward the renal pelvis. Cortical tissue known as renal columns dips into the medulla to separate the pyramids, and blood vessels that supply the cortex and medulla pass through these columns. Urine flows from the papillae into a minor calyx, and several of the funnel-shaped minor calyces emerge to form a major calyx. The major calyces join to form the renal pelvis, which is the expanded upper end of the ureter. At times, a catheter is positioned in the renal pelvis and must be irrigated with 4—6 mL of fluid as ordered to maintain catheter patency [7]. What is the functional unit of the kidney and is primarily responsible for most of the mechanisms that provide internal homeostasis?
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  • References Quiz Question Answers and Rationales 1. The pathophysiology student identifies that the retrograde movement of this specific bacteria from the gut into the lower urinary tract is the most common infecting pathogen responsible for a UTI. Escherichia Coli Rationale: The correct answer, C. This type of bacteria typically is found in the intestine. Trace amounts of this bacteria makes its way from perianal area into the urinary tract through the urethra opening and begin to multiply. Some ways this migration can occur include through sexual intercourse, poor wiping after a bowel movement, and holding urine.
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  • Staphylococcus Saprophyticus is the second most common bacteria found in a urinary tract infection. Klebsiella and D. Pseudomonas are less common. Your patient was recently diagnosed with a UTI. As the nurse practitioner, you are assessing whether the patient has any improvement with their symptoms of hematuria. What question would you ask the patient? Hematuria is the presence of blood in the urine and is due to the irritation and inflammation from infection in the bladder or upper urinary structures. While the other answers are incorrect, they also are questions related to symptoms that accompany a urinary tract infection. Do you have pain when you urinate? Is a symptom called dysuria. What is your best response as a nurse practitioner? Answer C is incorrect because when there is a second UTI caused by the same pathogen within 2 weeks of the original treatment, it is considered a relapse.
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  • Answer D is incorrect because a UTI that occurs more than 2 weeks after completion of treatment for the same or different pathogen is considered a reinfection. A patient you are treating in the clinic asks you what actions they can take to help prevent urinary tract infections. Wear tight fitting clothing. Rationale: Tight-fitting clothing can trap heat and moisture which promotes bacterial growth. This type of environment actually increases the risk for an urinary tract infection. It is recommended that individuals wear loose-fitting clothing which promotes air circulation.
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  • Answer A, Wiping from front to back after using the restroom prevents the retrograde movement of bacteria into the urinary system. Answer C, Emptying your bladder after sexual intercourse helps flush bacteria out of the urinary system and Answer D, drinking plenty of water also helps with the flushing any bacteria that may have migrated in the urethral opening away and out from the urinary system.
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  • Are you aware that some fruits and vegetables are more fibrous than others? Think you know everything there is to know about Urinary System? You will be amazed at how many new things you can learn with Urinary System quizzes online! Test your knowledge of Urinary System with these awesome Urinary System quizzes to satisfy your hunger for knowledge. Share these Urinary System quizzes to find out who is the most aware out of you all. You can prepare for an upcoming test, simply keep yourself updated or even get insights into creating awesome questions with these ultimate Urinary System quizzes.
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  • Top Trending Human Body Quiz: Urinary System The main function of the urinary system is to remove waste from the blood in the form of urine. This process is made possible through the use of selected organs, but the main one is the kidney, which removes urea from the blood Questions: 17 Attempts: Last updated: Jul 8, Sample Question Which of the following is a function of the kidney? Regulates blood pressure. Filters waste from the blood. Regulates the pH of the body. Regulates the body's electrolyte concentration. All of the above.
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  • The dialysate should be infused over 15 minutes or less when performing peritoneal dialysis. The fluid exchange takes place over a period ranging from 30 minutes to several hours. Question 13 Which patient is at greatest risk for developing a urinary tract infection UTI? Reduced estrogen levels lead to reduced levels of vaginal Lactobacilli bacteria, which protect against infection. Question 14 What change indicates recovery in a patient with nephritic syndrome? A Disappearance of protein from the urine B Decrease in blood pressure to normal C Increase in serum lipid levels D Gain in body weight Question 14 Explanation: With nephrotic syndrome, the glomerular basement membrane of the kidney becomes more porous, leading to loss of protein in the urine. As the patient recovers, less protein is found in the urine. Question 15 A patient returns from surgery with an indwelling urinary catheter in place and empty. Six hours later, the volume is ml. The drainage system has no obstructions. Which intervention has priority?
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  • The urinary system is made up of kidneys, bladder, ureters and the urethra. Kidneys The human body has two kidneys, one on either side of the middle back, just under the ribs. Each kidney contains thousands of small filters called nephrons. Around litres of blood sieve through the kidneys every day. The main functions of the kidney include: Regulating the amount of water and salts in the blood Filtering out waste products Making a hormone that helps to control blood pressure. Ureters Each kidney has a tube called a ureter. The filtered waste products urine leave the kidneys via the ureters and enter the bladder. Bladder The bladder is a hollow organ that sits inside the pelvis.
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  • It stores the urine. Urine contains water and waste products like urea and ammonia. Urethra The urethra is the small tube connecting the bladder to the outside of the body. The male urethra is about 20 centimetres long, while the female urethra is shorter, about four centimetres. This stops urine from leaking out. Common problems Some of the more common problems of the urinary system include: Bladder infections - cystitis usually caused by bacteria. Enlarged prostate - in men, this can make it difficult to empty the bladder. Incontinence - when urine leaks out of the urethra. Kidney stones - caused by infection and high blood levels of calcium. This page has been produced in consultation with and approved by: This page has been produced in consultation with and approved by: Give feedback about this page Was this page helpful?
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  • Excretory System Flash Cards - contains 60 flash cards with answers. Excretory System Unit Bundle - contains interactive notebook pages, flash cards, and test questions. Want to be updated about new products and sales from my store via email? Here's how to become a follower: Look under my store name, "The Science Hedgehog" for the green star near the top of the homepage of my store. Click the STAR to become a follower. Beside each purchase you'll see a Provide Feedback button. Simply click it and you will be taken to a page where you can give a quick rating and leave a short comment for the product. Each time you give feedback, TPT gives you feedback credits that you use to lower the cost of your future purchases. I truly value your feedback - it helps me improve my current and future products! Permission is granted to copy pages for student or teacher use by the original purchaser or licensee. The reproduction of any part of this product is strictly prohibited.
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  • Different sections of nephrons are located in different parts of the kidney: The cortex contains the renal corpuscle, proximal, and distal convoluted tubules. The medulla and medullary rays contain the loops of Henle and collecting ducts. Throughout the length of the nephron, capillaries called peritubular capillaries lie adjacent to all segments of the tubule. They originate from the efferent arteriole and are important for solute transport throughout the tubule. Renal Corpuscle The renal corpuscle is responsible for the filtration of the plasma. It contains two structures: the glormerulus and Bowman's capsule. The glomerulus is a cluster of capillary loops enclosed by Bowman's capsule, which is part of the renal tubule.
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  • Bowman's capsule has two layers: The visceral layer is in contact with the glormerulus, and is composed of specialized epithelial cells known as podocytes. The parietal layer is the outer layer, and is composed of simple squamous epithelial cells. This layer is continuous with the epithelium of the proximal convoluted tubule. The space between the two layers is named Bowman's space, and this space contains the ultrafiltrate of plasma. The plasma has to pass through a filtration barrier of three layers to enter Bowman's space: the capillary endothelium, the podocyte layer, and their fused basement membrane. Bowman's space is continuous with the proximal convoluted tubule. Blood enters the renal corpuscle via afferent arterioles and then leaves via efferent arterioles. The part of renal corpuscle where afferent and efferent arterioles are located is known as the vascular pole. On the opposite end of the vascular pole is where the renal tubule begins and is known as the urinary pole.
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  • Mesangial cells can also be found within the glomerulus. These cells secrete a matrix of basement membrane-like material to support the structure of the glomerulus. Promixal Convoluted Tubule The proximal convoluted tubule is the first segment of renal tubule. It begins at the urinary pole of the glomerulus. The convoluted portion of the tubule leads into a straight segment that descends into the medulla within a medullary ray and becomes the loop of Henle. Loop of Henle The loop of Henle forms a hair-pin structure that dips down into the medulla. It contains four segments: the pars recta the straight descending limb of proximal tubule , the thin descending limb, the thin ascending limb, and the thick ascending limb.
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  • The turn of the loop of Henle usually occurs in the thin segment within the medulla, and the tubule then ascends toward the cortex parallel to the descending limb. The end of the loop of Henle becomes the distal convoluted tubule near its original glomerulus. The loops of Henle run in parallel to capillary loops known as the vasa recta. Recall from Physiology that the loop of Henle serves to create high osmotic pressure in the renal medulla via the counter-current multiplier system. Such high osmotic pressure is important for the reabsorption of water in the later segments of the renal tubule. Distal Convoluted Tubule The distal convoluted tubule is shorter and less convoluted than the proximal convoluted tubule.
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  • Further reabsorption and secretion of ions occur in this segment. The initial segment of the distal convoluted tubule lies right next to the glomerulus and forms the juxtaglomerular apparatus. Juxtaglomerular Apparatus The juxtaglomerular apparatus is a specialized structure formed by the distal convoluted tubule and the glomerular afferent arteriole. It is located near the vascular pole of the glomerulus. The main function of the apparatus is the secretion of renin, which regulates systemic blood pressure via the renin-angiotensin-alodosterone system. The juxtaglomerular apparatus is composed of: The macula densa, a collection of specialized epithelial cells of the distal convoluted tubule.
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  • These cells are enlarged as compared to surrounding tubular cells. The cells of the macula densa sense sodium chloride concentration in the tubule, which in turn reflects the systemic blood pressure. The juxtaglomerular cells of the afferent arterioles, which are responsible for secreting renin. These cells are derived from smooth muscles cells of afferent arterioles. The extraglomerular mesangial cells, which are flat and elongated cells located near the macula densa. Their function is currently unclear. Collecting Ducts The terminal portion of the distal tubule empties through collecting tubules into a straight collecting duct in the medullary ray. The collecting duct system is under the control of antidiuretic hormone ADH. When ADH is present, the collecting duct becomes permeable to water. Renal Pelvis and Ureter Numerous collecting ducts merge into the renal pelvis, which then becomes the ureter. The ureter is a muscular tube, composed of an inner longitudinal layer and an outer circular layer.
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  • The lumen of the ureter is covered by transitional epithelium also called urothelium. Recall from the Laboratory on Epithelia that the transitional epithelium is unique to the conducting passages of the urinary system. Its ability to stretch allows the dilation of the conducting passages when necessary. The ureter connects the kidney and the urinary bladder. Urinary Bladder The ureter empties the urine into the bladder. The transitional epithelium continues over the surface of this organ. The thickened muscular layers become interwoven and cannot be clearly identified at this point. Urethra The urethra carries the urine away from the bladder to the outside of the body. In the male, it is joined by the genital system. The epithelium changes from transitional to stratified or pseudostratified columnar in the urethra, and to stratified squamous in the distal end of the urethra.
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  • The function of the kidneys are as follows: Filter. Every day, the kidneys filter gallons of fluid from the bloodstream. Waste processing. The kidneys then process this filtrate, allowing wastes and excess ions to leave the body in urine while returning needed substances to the blood in just the right proportions. Although the lungs and the skin also play roles in excretion, the kidneys bear the major responsibility for eliminating nitrogenous wastes, toxins, and drugs from the body.
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  • Other regulatory functions. By producing the enzyme renin, they help regulate blood pressure, and their hormone erythropoietin stimulates red blood cell production in the bone marrow. Kidney cells also convert vitamin D to its active form. Anatomy of the Urinary System The urinary system consists of two kidneys, two ureters, a urinary bladder , and a urethra. The kidneys alone perform the functions just described and manufacture urine in the process, while the other organs of the urinary system provide temporary storage reservoirs for urine or serve as transportation channels to carry it from one body region to another. The Kidneys The kidneys, which maintain the purity and constancy of our internal fluids, are perfect examples of homeostatic organs. These small, dark red organs with a kidney-bean shape lie against the dorsal body wall in a retroperitoneal position beneath the parietal peritoneum in the superior lumbar region; they extend from the T12 to the L3 vertebra, thus they receive protection from the lower part of the rib cage.
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  • Because it is crowded by the liver, the right kidney is positioned slightly lower than the left. An adult kidney is about 12 cm 5 inches long, 6 cm 2. Adrenal gland. Atop each kidney is an adrenal gland, which is part of the endocrine system is a distinctly separate organ functionally. Fibrous capsule. A transparent fibrous capsule encloses each kidney and gives a fresh kidney a glistening appearance.
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  • Perirenal fat capsule. A fatty mass, the perirenal fat capsule, surrounds each kidney and acts to cushion it against blows. Renal fascia. The renal fascia, the outermost capsule, anchors the kidney and helps hold it in place against the muscles of the trunk wall. Renal cortex. The outer region, which is light in color, is the renal cortex. Renal medulla. Deep to the cortex is a darker, reddish-brown area, the renal medulla. Renal pyramids. The medulla has many basically triangular regions with a striped appearance, the renal, or medullary pyramids; the broader base of each pyramid faces toward the cortex while its tip, the apex, points toward the inner region of the kidney. Renal columns. The pyramids are separated by extensions of cortex-like tissue, the renal columns. Renal pelvis. Medial to the hilum is a flat, basinlike cavity, the renal pelvis, which is continuous with the ureter leaving the hilum.
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  • Extensions of the pelvis, calyces, form cup-shaped areas that enclose the tips of the pyramid and collect urine, which continuously drains from the tips of the pyramids into the renal pelvis. Renal artery. The arterial supply of each kidney is the renal artery, which divides into segmental arteries as it approaches the hilum, and each segmental artery gives off several branches called interlobar arteries. Arcuate arteries. At the cortex-medulla junction, interlobar arteries give off arcuate arteries, which curve over the medullary pyramids. Cortical radiate arteries. Small cortical radiate arteries then branch off the arcuate arteries and run outward to supply the cortical tissue.
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  • Which of the following statements concerning the kidneys is false? They are retroperitoneal. They each contain 8 to 15 renal pyramids. They each have a distinct renal cortex and renal medulla region. They are positioned tesg the third and fifth lumbar. Which of the following is the correct sequence in which urine flows through the kidney toward the urinary bladder? Urinary system test answers pelvis, major calyx, minor calyx, papillary duct, ureter. Papillary duct, minor calyx, major calyx, renal pelvis, ureter. Minor calyx, major calyx, papillary duct, renal pelvis, ureter. Papillary duct, major calyx, minor calyx, ureter, renal pelvis. Which of the following statements concerning the ureters is false?
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  • The mucosa of each ureter is composed of transitional epithelium. They are composed of three tunics. Muscular peristaltic waves move urine through the ureters. They are located within the peritoneal cavity. The micturition reflex center is located in the: A.
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  • Ascites b. Costovertebral angle or CVA tenderness c. Polyuria d. Assess for urticaria c. Check capillary refill time d. Monitor electrolyte status 11 What is the primary disadvantage of using peritoneal dialysis for long-term management of chronic renal failure? The danger of hemorrhage is high b. It cannot correct severe imbalances c. It is a time-consuming method of treatment d. Pad the side rails of the bed d. Keep the client on nothing-by-mouth NPO status 13 The dialysis solution is warmed before use in peritoneal dialysis primarily to?
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