How does the nephron regulate the acid-base balance of blood?
Reabsorption of potassium ions
Filtration of proteins
Excretion of glucose and sodium
Secretion of hydrogen ions and reabsorption of bicarbonate
The Correct Answer is D
A. Reabsorption of potassium ions: Potassium balance is vital for cardiac function but is not the primary mechanism for pH regulation.
B. Filtration of proteins: Proteins are generally too large to be filtered; their presence in urine usually indicates kidney damage.
C. Excretion of glucose and sodium: These regulate energy and fluid volume, not blood acidity.
D. Secretion of hydrogen ions and reabsorption of bicarbonate: To raise blood pH (make it less acidic), the kidneys dump H+ (acid) into the urine and return HCO3 (base/buffer) to the blood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. It assists in the absorption of vitamin A in the liver: Vitamin A is a fat-soluble vitamin absorbed with dietary fats; the liver is a storage site, but intrinsic factor is not involved.
B. It aids in the absorption of vitamin D in the kidneys: Vitamin D is synthesized in the skin and activated in the kidneys; intrinsic factor plays no role in its metabolism.
C. It helps in the absorption of vitamin C in the stomach: Vitamin C is a water-soluble vitamin absorbed primarily in the small intestine via active transport, independent of intrinsic factor.
D. It binds to vitamin B12 to facilitate its absorption in the ileum: Intrinsic factor is a glycoprotein produced by the parietal cells of the stomach. It must bind to B12 to protect it from digestion and allow it to be absorbed in the terminal ileum.
Correct Answer is D
Explanation
A. Obstruction in the lower airway: While possible, accessory muscle use is a general sign of increased work of breathing, not specific only to lower airway obstructions.
B. Adequate alveolar ventilation: Labored breathing suggests that ventilation is inadequate or under severe strain.
C. Normal respiratory effort: Normal breathing (eupnea) is quiet and uses only the diaphragm and external intercostals, not accessory muscles like the sternocleidomastoid.
D. The patient is compensating for impaired gas exchange: The body uses accessory muscles to increase the volume of the thoracic cavity to move more air when gas exchange is insufficient to meet metabolic demands.
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