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UNIT 5 PATHO MN551 QUESTIONS & ANSWERS 100% CORRECT, Exams of Pathophysiology

UNIT 5 PATHO MN551 QUESTIONS & ANSWERS 100% CORRECT 1. UNIT 5 PATHO MN551 study guide with answers 2. 100% correct UNIT 5 PATHO MN551 exam questions 3. UNIT 5 PATHO MN551 practice test with solutions 4. Kaplan UNIT 5 PATHO MN551 question bank 5. UNIT 5 PATHO MN551 quiz answers explained 6. Best resources for UNIT 5 PATHO MN551 exam prep 7. UNIT 5 PATHO MN551 review questions and answers PDF 8. How to ace UNIT 5 PATHO MN551 test 9. UNIT 5 PATHO MN551 sample questions with explanations 10. UNIT 5 PATHO MN551 study tips and practice questions 11. Verified answers for UNIT 5 PATHO MN551 assignments 12. UNIT 5 PATHO MN551 exam cheat sheet 13. UNIT 5 PATHO MN551 question bank with rationales 14. UNIT 5 PATHO MN551 study guide for nursing students 15. UNIT 5 PATHO MN551 practice questions with feedback 16. UNIT 5 PATHO MN551 exam preparation materials 17. UNIT 5 PATHO MN551 test bank with correct answers 18. UNIT 5 PATHO MN551 study guide for Kaplan students 19. UNIT 5 PATHO MN551 .

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UNIT 5 PATHO MN551 QUESTIONS & ANSWERS
1. Which of the following individuals would be considered to be at risk for the
development of edema?
ANS An 81-year-old man with right-sided heart failure and hypothyroidism
2. At which of the following locations in the nephron would a nurse practition-
er first expect blood to be largely free of plasma proteins?
ANS Bowman Space
3. A 55-year-old man has made an appointment to see his nurse practitioner
because he has been awakening three to four times nightly to void and often
has a sudden need to void with little warning during the day. What is the
man's most likely diagnosis and possible underlying pathophysiologic
problem?
ANS Overactive bladder that may result from both neurogenic and myogenic
sources
4. Which of the following patients would be considered to have a significant
risk of developing the prerenal form of acute renal failure?
ANS A 22-year-old male who has lost a large amount of blood following a workplace
injury
5. A 77-year-old female with a diagnosis of chronic obstructive pulmonary
disease is experiencing impaired gas exchange and CO2 retention, despite a
rapid respiratory rate. Which of the following phenomena would her care
team most realistically anticipate?
ANS Her kidneys will adapt with an increase in plasma HCO3- and her pH will
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UNIT 5 PATHO MN551 QUESTIONS & ANSWERS

1. Which of the following individuals would be considered to be at risk for the

development of edema? ANS An 81-year-old man with right-sided heart failure and hypothyroidism

2. At which of the following locations in the nephron would a nurse practition-

er first expect blood to be largely free of plasma proteins? ANS Bowman Space

3. A 55-year-old man has made an appointment to see his nurse practitioner

because he has been awakening three to four times nightly to void and often has a sudden need to void with little warning during the day. What is the man's most likely diagnosis and possible underlying pathophysiologic problem? ANS Overactive bladder that may result from both neurogenic and myogenic sources

4. Which of the following patients would be considered to have a significant

risk of developing the prerenal form of acute renal failure? ANS A 22-year-old male who has lost a large amount of blood following a workplace injury

5. A 77-year-old female with a diagnosis of chronic obstructive pulmonary

disease is experiencing impaired gas exchange and CO2 retention, despite a rapid respiratory rate. Which of the following phenomena would her care team most realistically anticipate? ANS Her kidneys will adapt with an increase in plasma HCO3- and her pH will

decrease.

6. A 34-year-old male patient has diagnoses of liver failure, ascites, and

hepatic encephalopathy secondary to alcohol abuse. The patient's family is questioning the care team about why his abdomen is so large even though he is undernourished and emaciated. Which of the following statements most accurately underlies the explanation that a member of the care team would provide to the family? ANS The normally small transcellular fluid compartment, or third space, is becoming enlarged.

7. Which of the following data would a clinician consider to be most in-

dicative of acute renal failure? ANS Increased nitrogenous waste levels, decreased glomerular filtration rate (GFR)

8. A 51-year-old woman diagnosed with multiple sclerosis (MS) five months

prior is distressed that she has had several recent episodes of urinary incontinence. She has asked her nurse practitioner why this is the case. Which of the following statements best captures the facts that would underlie the nurse's response to the patient? ANS She may be unable to sense her bladder filling as a result of her MS.

know how this could happen to me, since I'm so careful about eating a healthy diet." What is the most appropriate response to the man's state- ment? ANS What you eat can influence your risk of stone formation, but many other factors like hormones and your metabolism are involved.

14. A patient with poorly controlled diabetes mellitus presents to the emer-

gency department with suspected ketoacidosis. Which of the following di- agnostic results would be most likely to confirm this diagnosis? ANS Increased CO2, increased anion gap, base deficit

15. Which diuretic acts by inhibiting sodium chloride reabsorption in the

thick ascending limb of the loop of Henle? ANS Bumetanide (Bumex)

16. An 82-year-old resident of a long-term care facility with a recent history

of repeated urinary tract infections and restlessness is suspected of having urinary retention. Which of the following actions by the care team is most appropriate? ANS Ultrasound bladder scanning to determine the residual volume of urine after voiding

17. A 14-year-old boy who appears to be intoxicated is brought to the emer-

gency department by ambulance. The EMTs report that the boy has denied consuming anything out of the ordinary, but an open antifreeze container was found in the boy's room. Which of the following is likely to be used to treat the patient's symptoms? ANS Fomepizole

18. Which of the following patients on a medical unit of a hospital is most

likely to be experiencing health problems that may be attributable to kidney disease? ANS An 81-year-old female patient with osteoporosis and anemia

19. A 68-year-old woman with a new onset of vascular dementia has recent- ly

begun retaining urine. Which of the following physiological phenomena would her care providers most realistically expect to be currently occurring as a result of her urinary retention? ANS Hypertrophy of the bladder muscle and increased bladder wall thickness

20. A 4-year-old boy who has been deaf since birth and has bilateral cataracts

has been brought to the emergency department by his mother because she noticed blood in the toilet after he last voided. Urinalysis confirms heavy microscopic hematuria as well as proteinuria. What will the care team's initial differential diagnosis most likely be? ANS Alport syndrome

21. A 31-year-old patient with a diagnosis of end-stage liver failure has been

admitted to the intensive care unit of a hospital. Arterial blood gas sampling indicates that the man has an acid-base imbalance. Which of the following

retention? ANS The anticholinergic effects of the medication are impairing normal bladder function.

25. Following several days in an acidotic state, a hospital patient has re-

turned to the desired pH. Which of the following processes could have contributed to the resolution of the patient's health problem? ANS Phosphate and ammonia buffer systems in the renal tubules

26. An 81-year-old female has long-standing hypocalcemia secondary to

kidney disease and will shortly be moving into an assisted living facility from her own apartment. Which of the following findings should staff at the facility be instructed to observe for? ANS Muscular spasms and complaints of cramps

27. A 25-year-old Asian American man arrives at the emergency department

in a panic. Except for a bout with bronchitis a week earlier, he has been healthy his entire life; today he has blood in his urine. What is the most likely cause of his hematuria and how should it be treated? ANS His immunoglobulin A (IgA) nephropathy has no known effective treatments.

28. Which of the following individuals is at the highest risk for developing a

urinary tract infection (UTI)? ANS A 30-year-old obese woman with poorly controlled diabetes mellitus

29. A 22-year-old female with a history of intermittent flank pain, repeated

UTIs, and hematuria has been diagnosed with autosomal dominant poly- cystic kidney disease (ADPKD). Which of the following phenomena has most likely contributed to the development of her health problem?

ANS She has inherited a tendency for epithelial cell in her tubules to proliferate inappropriately.

30. A nurse educator is orientating new nurses to a renal unit of a hospital.

Which of the following teaching points should the nurse include as part of a review of normal glomerular function? ANS "Glomerular filtrate is very similar in composition to blood plasma found elsewhere in circulation."