A nurse is planning the care for an older adult patient. Which age-related changes in kidney function should the nurse consider when providing care to this patient? (Select all that apply.)
Decreasing ability to concentrate or dilute urine
Decreasing erythropoietin
Sclerosis of renal blood vessels
Thinning of nephron membranes
Decreasing glomerular filtrations
Correct Answer : A,B,C,E
A. Decreasing ability to concentrate or dilute urine: Age-related changes in kidney function reduce the ability to regulate urine concentration.
B. Decreasing erythropoietin: Reduced erythropoietin production in older adults can lead to anemia.
C. Sclerosis of renal blood vessels: Age-related vascular changes reduce kidney perfusion and function.
D. Thinning of nephron membranes: This is not a typical age-related change; nephron membranes generally remain structurally intact.
E. Decreasing glomerular filtration: The decline in glomerular filtration rate (GFR) with age impacts drug clearance and overall kidney function.
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Related Questions
Correct Answer is D
Explanation
A. Polyuria: Polyuria refers to excessive urination, not painful or burning sensations.
B. Hematuria: Hematuria refers to blood in the urine, not burning or pain during urination.
C. Anuria: Anuria refers to the absence of urine production.
D. Dysuria: Dysuria is the medical term used to describe pain or burning during urination.
Correct Answer is C
Explanation
A. Hypertension as a result of the increased, concentrated blood volume: Hypertension in chronic kidney disease is due to fluid overload and renin-angiotensin-aldosterone system activation, not erythropoietin deficiency.
B. Elevated lipid levels in the bloodstream, contributing to accelerated atherosclerosis: Dyslipidemia in chronic kidney disease is unrelated to erythropoietin deficiency.
C. Anemia as a result of the diminished number of red blood cells being produced: Erythropoietin stimulates red blood cell production; its deficiency in chronic renal failure leads to anemia.
D. Diminished immunologic function with fewer white blood cells: White blood cell production is not directly affected by erythropoietin deficiency.
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