NCLEX-PN › Excretory Physiology
99% of glucose and amino acids are resorbed in what part of the nephron?
The proximal tubule
The distal tubule
The glomerulus
The loop of Henle
99% of glucose and amino acids are resorbed by the proximal tubule of the nephron. The loop of Henle and the distal tubule primarily resorb electrolytes and water, while the glomerulus is strictly for filtration and does not resorb solutes.
A nurse is performing a urine dip on a patient with edema. The dip stick shows 1+ protein. The patient is not sure if this is a normal finding or not. How should they be counseled?
No amount of protein in the urine is normal
Any urinary protein under 3+ is considered normal
Any urinary protein under 2+ is considered normal
Protein in the urine is a healthy sign of proper excretion
No amount of protein in the urine is considered normal. The capillaries of the glomerulus are covered in a thin layer of cells called podocytes. These podocytes form a very tight filtration system that, when healthy, prevent all large molecules such as proteins from passing out of the glomerulus and into the Bowman's capsule, while allowing the passage of water, electrolytes, and smaller molecules such as glucose and amino acids.
How much urine is produced by the average adult in 24 hours?
1000-2000ml per day
250-500ml per day
1500-3000ml per day
500-1000ml per day
While normal function is possible with a urinary output as little as 500ml/day, normal urinary output is between 1000-2000ml per day, with 1200ml being average with adequate fluid intake.
What percentage of resting cardiac output is filtering through the kidneys at any given moment?
20-25%
5-10%
10-15%
15-20%
The kidneys receive more blood flow than any single organ, after the liver. 20-25% of the cardiac output of the heart goes to the kidneys for filtration (the liver receives closer to 28%). This is especially significant considering that the kidneys account for approximately 0.5% of total body weight (while the liver makes up closer to 3% of total body weight).
Which of the following is a function of the kidney?
All of these are functions of the kidney
Regulation of systemic pH
Production of erythropoietin
Elimination of metabolic waste
The kidneys serve a wide variety of functions.They eliminate waste, including nitrogenous wastes such as urea and ammonium. They regulate systemic pH via resorption of bicarbonate from urine and excretion of hydrogen ions, and regulate blood pressure via the renin-angiotensin system (also known as the RAAS). In addition, the interstitial cells of the kidney are responsible for production of erythropoietin, the hormone that stimulates production of red blood cells.
What is the name of the dilated portion of the rectum where stool is stored for elimination via the anus?
The rectal ampulla
The sigmoid colon
The anal canal
The haustra coli
Stool that has passed through the large intestine is stored in the rectal ampulla, a dilated portion of the rectum inferior to the sigmoid colon and superior to the anal canal. From there it can be passed into the anal canal and excreted via the anus. The haustra coli are segments or pouches formed along the length of the small intestine, demarcated by the smooth muscle of the taenia coli.
The internal anal sphincter is __________, while the external anal sphincter is __________.
involuntary . . . voluntary
voluntary . . . involuntary
voluntary . . . voluntary
involuntary . . . involuntary
The internal anal sphincter is a ring of involuntary smooth muscle that spends the majority of its time in a state of perpetual contraction. It relaxes only when the rectal ampulla is distended. Passage of stool is then controlled by the voluntary constriction of the external anal sphincter.
Which of the following is the main function of the large intestine?
All of these are correct
Housing of intestinal flora colonies
Resorption of water from stool
Passage of stool toward the rectum
The large intestine serves multiple functions. Large amounts of water are resorbed from stool via aquaporins in the large intestine mucosa, and the remaining matter is passed via a series of slow waves toward the rectum for excretion. In addition the large intestine houses trillions of both beneficial and pathogenic intestinal bacteria and fungi.
The absorption of nutrients and electrolytes from food occurs primarily in what digestive organ?
The small intestine
The liver
The large intestine
The stomach
The majority of nutrients and electrolytes from food are absorbed n the small intestine. The remaining material passes into the large intestine for further transformation into stool. The liver and stomach are important sites of digestion and metabolism but are not the primary site of nutrient and electrolyte absorption.
What is the main functional unit of the kidney?
The nephron
The glomerulus
The loop of Henle
The Bowman's capsule
The basic functional unit of the kidney is the nephron. The nephron is composed of the glomerulus, which is encased in the Bowman's capsule, the proximal convoluted tubule, the loop of Henle, and distal convoluted tubule.