D313 Section 4 - Urinary Structure and Function
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D313: Anatomy and Physiology II with Lab, Lab Questions Section 4 – Urinary Structure and Function
These are the questions for the labs from the course material. Please answer the questions, but also for each answer choice, explain why the choice is correct or incorrect. For example, if the answer is B, please explain why B is correct and why choices A, C, and D, etc., are incorrect, for each question. Also, for the images, label all parts of the image, if they are unlabeled. For the matching questions, explain all choices, even if they
were not used to answer one of the questions. This will give you extra practice with the material, which will help with synthesis and retention.
1.
Which structure of the kidney is an extension of the cortex that projects in between the pyramids of the medulla and helps anchor the
cortex?
a.
Renal cortex Renal cortex refers to the outer layer of the kidney
that contains the nephrons responsible for filtration and urine production.
b.
Renal medulla Renal medulla refers to the inner region of the kidney that consists of renal pyramids, renal tubules, and collecting ducts.
c.
Renal column The renal column is an extension of the renal cortex that projects into the renal medulla and helps anchor and
support the cortex. It appears as a series of triangular-shaped divisions between the renal pyramids. These columns of cortical
tissue provide structural integrity to the kidney and help separate and define the renal pyramids.
d.
Renal hilum Renal hilum is a concave area on the medial side of the kidney where the renal artery, renal vein, and renal pelvis
enter or exit the kidney. It is not directly related to the extension
of the cortex.
2.
The capillaries leave each nephron as a single efferent arteriole and carry blood out of the _______.
a.
renal corpuscle The renal corpuscle consists of the glomerulus and Bowman's capsule together. It is the initial part of the nephron where blood filtration occurs.
b.
loop of Henle The loop of Henle is a part of the nephron located between the proximal and distal convoluted tubules. It plays a role in reabsorption and concentration of urine.
c.
Bowman’s capsule Bowman's capsule is a cup-shaped structure that surrounds the glomerulus in the renal corpuscle. It collects the filtered fluid from the glomerulus and begins the formation of urine.
d.
Glomerulus The capillaries leave each nephron as a single efferent arteriole and carry blood out of the glomerulus. The glomerulus is a network of capillaries located within the renal corpuscle, specifically within the Bowman's capsule. It is the site of blood filtration in the kidney.
3.
Which blood vessel brings blood from the cortex to the glomerulus of a nephron?
a.
Efferent arteriole The efferent arteriole carries blood away from the glomerulus, not towards it. It carries the filtered blood from the glomerulus to the peritubular capillaries.
b.
Afferent arteriole The afferent arteriole brings blood from the cortex to the glomerulus of a nephron. It is the vessel that supplies blood to the glomerulus, which is responsible for filtration in the kidney.
c.
Interlobular artery The interlobular artery is a branch of the renal artery that runs through the renal cortex, but it does not directly bring blood to the glomerulus.
d.
Peritubular capillaries The peritubular capillaries are a network of capillaries that surround the renal tubules and are involved in
reabsorption and secretion within the kidney. They receive blood from the efferent arterioles, not from the cortex.
4.
Which urological structure shows a significant structural difference in males and females?
a.
Kidney The kidneys are responsible for the filtration and regulation of urine but do not show significant structural differences between males and females.
b.
Bladder The bladder is a storage organ for urine and does not show significant structural differences between males and females.
c.
Ureter The ureters are tubes that connect the kidneys to the bladder and do not show significant structural differences between males and females.
d.
Urethra The urethra is the urological structure that shows a significant structural difference between males and females. In males, the urethra is longer and has two main divisions: the prostatic urethra, which passes through the prostate gland, and the membranous and spongy urethra, which traverse the penis.
In females, the urethra is shorter and opens directly to the external genitalia.
5.
Which principal task is performed by the nephron?
a.
Producing red blood cells The production of red blood cells is primarily carried out in the bone marrow, not in the nephron.
b.
Adding hormones The addition of hormones is not a principal task of the nephron. While hormones do play a role in kidney function, their production and release are not the primary function of the nephron.
c.
Maintaining calcium levels While the kidneys do play a role in maintaining calcium levels in the body, it is not the principal task of the nephron. The regulation of calcium levels involves multiple organs and systems, including the parathyroid glands and bones, in addition to the kidneys. The nephron is involved in the reabsorption of calcium, but it is not its primary function.
d.
Removal of waste from blood The principal task performed by the nephron is the removal of waste from the blood through the process of filtration, reabsorption, and secretion. The nephron is the functional unit of the kidney responsible for filtering blood and producing urine. As blood flows through the nephron, waste products such as urea, creatinine, and excess ions are filtered out of the blood and collected as urine. This helps maintain the body's homeostasis by removing waste and regulating the balance of water and solutes in the body.
6.
Where are nephrons located in the kidney? Select two answers
.
a.
Glomerulus The glomerulus is one of the key structures of the nephron and is where blood is filtered in the kidney. The glomerulus is a small ball-shaped structure located in the nephron and is where blood filtration occurs.
b.
Medulla The medulla is the inner region of the kidney, but nephrons are not located in the medulla. The loops of Henle from each nephron do extend into the medulla, but the main body of the nephron is located in the cortex.
c.
Pelvis The renal pelvis is the inner space of the kidney where urine collects before draining into the ureter. Nephrons are not located in the pelvis.
d.
Cortex The cortex is the outer region of the kidney and this is where the nephrons are primarily located. Each nephron has a glomerulus and tubule system that originates and lies mainly in the cortical region.
7.
The renal corpuscle contains a compact network of capillaries, called the _____.
a.
Macula densa The macula densa is a group of cells located in the distal convoluted tubule of the nephron. It is not part of the renal corpuscle.
b.
Juxtaglomerular cells Juxtaglomerular cells are specialized cells located near the glomerulus that secrete renin. They are not part of the renal corpuscle.
c.
Hepatic cells Hepatic cells are liver cells. They are not found in the kidney or renal corpuscle.
d.
Glomerulus The glomerulus is a ball-shaped tuft of capillaries surrounded by Bowman's capsule in the renal corpuscle. It contains compact networks of capillaries that filter the blood.
8.
Which part of the nephron takes urine to the ureter?
a.
Proximal convoluted tubule The proximal convoluted tubule is the first section of the nephron tubule that processes filtrate coming from the glomerulus. It does not connect to the ureter.
b.
Collecting duct The collecting duct collects processed filtrate from multiple nephrons and empties it into the renal pelvis and ureter to leave the kidney.
c.
Loop of Henle The loop of Henle is the U-shaped part of the nephron tubule that goes into the medulla of the kidney. It does not directly connect to the ureter.
d.
Distal convoluted tubule The distal convoluted tubule is towards the end of the nephron but still does not directly connect to the ureter.
9.
Which part of the nephron is responsible for the recovery of water and sodium chloride from the urine?
a) Bowman's capsule Bowman's capsule surrounds the glomerulus and is the site of blood filtration. It does not recover water or sodium chloride.
b) Efferent arteriole The efferent arteriole carries blood away from the glomerulus. It does not play a role in recovering water or sodium.
c) Loop of Henle The loop of Henle, especially the ascending limb, is responsible for the recovery of water and sodium chloride. Through countercurrent multiplication, the loop of Henle concentrates the interstitial fluid.
d) Glomerulus The glomerulus filters the blood but does not recover water or sodium.
10.
The primary structure found within the medulla is the ________.
a) Loop of Henle The loop of Henle is the primary structure found in the medulla of the kidney. The descending and ascending limbs dip into the medulla.
b) Minor calyces The minor calyces are cup-shaped tubes in the cortex that deliver urine to the major calyces. They are not found in the medulla.
c) Portal system There is no portal system in the kidney. This usually refers to veins interconnecting capillary beds in organs like the liver.
d) Ureter The ureters transport urine from the kidney to the bladder. They do not extend into the medulla.
11.
The functional unit of the kidney is called the ________.
a.
renal corpuscle The renal corpuscle is part of the nephron, but not the entire functional unit. It consists of the glomerulus and Bowman's capsule.
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Question 8 of 25
VGo to next question on answer
8. The urinary system's preservation of homeostasis involves all but which of the
following?
OA. Maintaining water balance within the body
OB. Filtering waste products from the bloodstream
OC. Maintaining the acid-base balance of the body
OD. Maintaining the temperature of the body
Back
Review
Grade/Exit
Next
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32-Six hours after removing a postoperative client's indwelling urinary catheter, the client has not voided. What action should the practical nurse take?
A- Ask the client if they are uncomfortable.
B- Reinsert the indwelling urinary catheter.
C- Obtain order to increase intravenous infusion rate.
D- Complete a bladder scan.
asap please
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Question: break the word into it's component parts: prefix, combining term, combining vowel, suffixes. Write the definitions of each part, and write the definition of the whole word1. evere lower urinary tract symptoms2. abdominal discomfort3. antibiotic therapy
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Directions: Barbara comes to your clinic complaining of painful urination. After a few tests, you diagnose her with a Urinary Tract Infection (UTI). Using your knowledge of
antibiotics, explain to Barbara the following:
1. The TYPE of antibiotic that you are going to prescribe to her to treat the illness.
HOW the antibiotic will work to treat her bacterial infection. Be sure to include information about what could happen if she skips doses.
► LABELED diagram that identifies the structures of the bacterial cell that the antibiotic will effect. Explain to your patient your treatment method using the diagram below
1. how the antibiotic will work).
Explanation to your patient:
-10
11
12
13
14
17
16
15
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Need help with these 2 questions please.
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Can you answer part B only clinical significance
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CASE 3:
A 60-year-old man consulted a physician with complaints of intermittent, severe pain that
radiates from his right side to his abdomen and groin area. He experiences frequent
urination with little or no output. He is also complaining of a "cold" and he has been taking
over-the counter medication and vitamin supplements for more than a week. Provided below
are his urinalysis results:
PHYSICAL EXAMINATION
Color: Red
Clarity: Hazy
CHEMICAL EXAMINATION
pH: 7.0
Specific gravity: 1.030
Glucose: Negative
Protein: Negative
Ketones: Negative
Bilirubin: Negative
Blood: Negative
Nitrite: Negative
Leukocyte esterase: Negative
Urobilinogen: 0.2 mg/dl
MICROSCOPIC EXAMINATION
RBC/hpf: more than 100
WBC/hpf: 0-1
Epithelial cells: NONE
Bacteria/hpf: NONE
Casts/lpf: NONE
Crystals: NONE
Mucus threads/lpf: NONE
Question: what is the probable diagnosis of the patient?
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CASE: URINARY TRACT INFECTION
A 27-year-old woman comes in with a prescription for nitrofurantoin tablets 50 mg q.d.s. for three days and requests to speak with the pharmacist. She explains that her doctor tested her urine with a "colored strip" and diagnosed her with a urinary tract infection (UTI). She is experiencing significant discomfort when urinating due to a burning/stinging sensation, and her doctor has advised her to purchase Effercitrate over the counter. A friend suggested she also buy cranberry juice.
6. Aside from nitrofurantoin, list and describe other antibiotics used to treat urinary tract infections.
7. What lifestyle advice can be offered to patients with cystitis?
8. The following are some UTI myths; discuss whether they are true or not. a. UTIs are spread through sexual partners.b. A UTI can be avoided by drinking cranberry juice.c. UTIs can be avoided by wiping from front to back, avoiding tight clothing, and urinating after intercourse.d. A high salt diet…
arrow_forward
Question:
What would be the Objective and Subjective data of the patient related to the Nursing Diagnosis?
Nursing Diagnosis: Risk for altered growth and development related to the congenital heart defect.
INFANT WITH TETRALOGY OF FALLOT
Case Scenario: Baby Pearl, a 9-month-old girl presents to the emergency department with his mother,who reports episodes of tachypnea, cyanosis, and irritability during feeding. The mother explainsthat these episodes have become more frequent, with baby Pearl becoming more cyanotic aroundthe mouth and fingers especially when crying (tet spells) when she was around 7 months old.These episodes resolve spontaneously but are occurring every few days.
The mother breastfeeds every 3 hours, but sometimes takes a long time to feed. She alsoobserved that baby Pearl becomes diaphoretic with feeding, and stops frequently to catch herbreath while feeding. She reported to the nurse that vomiting the milk (sometimes goes out fromthe nose) and becomes more…
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Can you answer part B only
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Q8 please provide the link with your resource used to get the information
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A. Terminology
Write the term defined below in the answer column.
1. Inflammation of the kidney (general).
2. Albumin in the urine.
3. A measure of the concentration of solutes in urine.
4. Erythrocytes in the urine.
5. Inflammation of the urinary bladder.
6. Most abundant inorganic compound in urine.
7. Leukocytes or pus components in the urine.
8. pH range of normal urine.
9. Hemoglobin in the urine.
10. More than a trace of glucose in the urine.
11. Ketones in the urine.
12. Inflammation of the kidney involving glomeruli.
13. Accumulations of materials hardened in tubules.
14. Most abundant nitrogenous waste.
15. Excessive urine production.
16. Bile pigment in the urine.
17. Inflammation of the urethra.
18. Kidney stones.
19. Little or no urine production.
20. Most abundant inorganic solute in urine.
B. Clinical Significance
Select the name of the possible clinical condition from the
list below that is indicated by the urinalysis results. Write
your answer in the answer column.…
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Assessor comments:
No comments provided
17. Describe the key principles of good hand hygiene identifying the
correct sequence for hand washing and when and why it should take
place
Type your answer here:
Assessor comments:
No comments provided
Q
Save & Refresh
Unit/
Outcomes
Outcome 6
Save & Quit
O
the use of PPE
Criteria
ac[6.1] Describe the key principles of good personal
hygiene
ac[6.3] Identify the correct sequence for hand
washing
ac[6.4] Explain when and why hand washing should
be carried out
Cancel
14:01
13/01/2023
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please answer in deatail each question
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phathophysiology
Paul Wheat (PW) is a 23 y/o male who suffered a hit-and-run auto-pedestrian accident and sustained multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency room [ER]. Paul’s initial diagnostic workup, vital signs and lab work reveal a 2500 mL blood loss. A urinary catheter is inserted to monitor urine output. Currently, Paul’s urine output is 15 mL/hr and is clear but dark amber in color.
Identify 3 other clinical problems (adverse outcomes) that may develop if PW’s renal function does not return to normal but continues to deteriorate?
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phathophysiology
Paul Wheat (PW) is a 23 y/o male who suffered a hit-and-run auto-pedestrian accident and sustained multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency room [ER]. Paul’s initial diagnostic workup, vital signs and lab work reveal a 2500 mL blood loss. A urinary catheter is inserted to monitor urine output. Currently, Paul’s urine output is 15 mL/hr and is clear but dark amber in color.
In addition to urine output, what laboratory data should be monitored to assess potential changes in PW’s renal function?
arrow_forward
phathophysiology
Paul Wheat (PW) is a 23 y/o male who suffered a hit-and-run auto-pedestrian accident and sustained multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency room [ER]. Paul’s initial diagnostic workup, vital signs and lab work reveal a 2500 mL blood loss. A urinary catheter is inserted to monitor urine output. Currently, Paul’s urine output is 15 mL/hr and is clear but dark amber in color.
What type of renal failure is PW likely developing? What is the underlying cause?
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Case Scenario: Tracey has to undergo an examination because of blood in her urine. She was telephoned to ask her to come for an appointment at the OPD the following day. She went to the OPD & after 10 min., a nurse calls her name & asks her to follow. She stops outside a cubicle & asks Tracey to get changed into a gown for her procedure. There should be nothing under the gown & there are some disposable slippers for her to walk over the treatment room. She does as the nurse asks and is then ushered into a clinical room where a man introduces himself as James. “Hi, I’m James. Your doctor sent us a letter about your hematuria (blood in the urine) & said you were concerned”. He does not wait for Tracey to answer & his eyes are fixed on her medical notes where he is perusing the letter. “We are going to pop a little cystoscope into your bladder & take biopsies. Now pop on the couch, & sign your consent form and we will get on with it”. Tracey does as she is…
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Please help me with this question within an hour and provide complete answer urgently please
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Question:Make nursing care plan(ncp) for a kidney failure patient
Past health history: constipation for the last 7 days accompanied by difficulty of breathing (DOB) and Abdominal pain.
Present Health history:
chief complaint of Abdominal pain. Prior to admission, facial edema and bipedal edema was notice during physical assessment.
Laboratory:
Temperature 36°c, Pulse Rate -127, Respiratory Rate- 22,Blood Pressure -120/90,URIC ACID :10.20 mg/dL,CREATININE :1.33 mg/dL
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Topic:
Fred Davis is a 52 - year old overweight male who is complaining of tiredness and blurred vision. He says that for the last two weeks, he's been very hungry and very thirsty, but despite eating more, he has lost 8 pounds. He also mentions that he has been urinating more frequently. When asked, he mentions that his paternal grandfather suffered from heart disease and diabetes. Blood tests show blood glucose of 190 mg / dL.
Question: Complications/symptoms if left untreated for the case
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Homework question:-
How to approach a patient with
CKD(Chronic Kidney disease)?
Examination and History
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Please help me
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- Select Language Highlight any text to hear text-to-voice speech. Course Progress: 99% Powered by Google Transla To translate this page, select a language: Highlight any text to hear text-to-voice speech. Time Left: 97 Min Question 8 of 25 VGo to next question on answer 8. The urinary system's preservation of homeostasis involves all but which of the following? OA. Maintaining water balance within the body OB. Filtering waste products from the bloodstream OC. Maintaining the acid-base balance of the body OD. Maintaining the temperature of the body Back Review Grade/Exit Nextarrow_forward32-Six hours after removing a postoperative client's indwelling urinary catheter, the client has not voided. What action should the practical nurse take? A- Ask the client if they are uncomfortable. B- Reinsert the indwelling urinary catheter. C- Obtain order to increase intravenous infusion rate. D- Complete a bladder scan. asap pleasearrow_forwardQuestion: break the word into it's component parts: prefix, combining term, combining vowel, suffixes. Write the definitions of each part, and write the definition of the whole word1. evere lower urinary tract symptoms2. abdominal discomfort3. antibiotic therapyarrow_forward
- Directions: Barbara comes to your clinic complaining of painful urination. After a few tests, you diagnose her with a Urinary Tract Infection (UTI). Using your knowledge of antibiotics, explain to Barbara the following: 1. The TYPE of antibiotic that you are going to prescribe to her to treat the illness. HOW the antibiotic will work to treat her bacterial infection. Be sure to include information about what could happen if she skips doses. ► LABELED diagram that identifies the structures of the bacterial cell that the antibiotic will effect. Explain to your patient your treatment method using the diagram below 1. how the antibiotic will work). Explanation to your patient: -10 11 12 13 14 17 16 15arrow_forwardNeed help with these 2 questions please.arrow_forwardCan you answer part B only clinical significancearrow_forward
- CASE 3: A 60-year-old man consulted a physician with complaints of intermittent, severe pain that radiates from his right side to his abdomen and groin area. He experiences frequent urination with little or no output. He is also complaining of a "cold" and he has been taking over-the counter medication and vitamin supplements for more than a week. Provided below are his urinalysis results: PHYSICAL EXAMINATION Color: Red Clarity: Hazy CHEMICAL EXAMINATION pH: 7.0 Specific gravity: 1.030 Glucose: Negative Protein: Negative Ketones: Negative Bilirubin: Negative Blood: Negative Nitrite: Negative Leukocyte esterase: Negative Urobilinogen: 0.2 mg/dl MICROSCOPIC EXAMINATION RBC/hpf: more than 100 WBC/hpf: 0-1 Epithelial cells: NONE Bacteria/hpf: NONE Casts/lpf: NONE Crystals: NONE Mucus threads/lpf: NONE Question: what is the probable diagnosis of the patient?arrow_forwardCASE: URINARY TRACT INFECTION A 27-year-old woman comes in with a prescription for nitrofurantoin tablets 50 mg q.d.s. for three days and requests to speak with the pharmacist. She explains that her doctor tested her urine with a "colored strip" and diagnosed her with a urinary tract infection (UTI). She is experiencing significant discomfort when urinating due to a burning/stinging sensation, and her doctor has advised her to purchase Effercitrate over the counter. A friend suggested she also buy cranberry juice. 6. Aside from nitrofurantoin, list and describe other antibiotics used to treat urinary tract infections. 7. What lifestyle advice can be offered to patients with cystitis? 8. The following are some UTI myths; discuss whether they are true or not. a. UTIs are spread through sexual partners.b. A UTI can be avoided by drinking cranberry juice.c. UTIs can be avoided by wiping from front to back, avoiding tight clothing, and urinating after intercourse.d. A high salt diet…arrow_forwardQuestion: What would be the Objective and Subjective data of the patient related to the Nursing Diagnosis? Nursing Diagnosis: Risk for altered growth and development related to the congenital heart defect. INFANT WITH TETRALOGY OF FALLOT Case Scenario: Baby Pearl, a 9-month-old girl presents to the emergency department with his mother,who reports episodes of tachypnea, cyanosis, and irritability during feeding. The mother explainsthat these episodes have become more frequent, with baby Pearl becoming more cyanotic aroundthe mouth and fingers especially when crying (tet spells) when she was around 7 months old.These episodes resolve spontaneously but are occurring every few days. The mother breastfeeds every 3 hours, but sometimes takes a long time to feed. She alsoobserved that baby Pearl becomes diaphoretic with feeding, and stops frequently to catch herbreath while feeding. She reported to the nurse that vomiting the milk (sometimes goes out fromthe nose) and becomes more…arrow_forward
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