The single most important factor influencing potassium ion secretion is
potassium ion concentration in extracellular fluid
intracellular sodium levels
the pH of the intracellular fluid
the potassium ion content in the renal tubule cells
The Correct Answer is A
A. Potassium ion concentration in extracellular fluid: High levels of extracellular potassium stimulate aldosterone secretion and enhance potassium secretion into the renal tubules for excretion. This is the most direct and critical factor.
B. Intracellular sodium levels: While sodium levels affect membrane potentials, they do not directly regulate potassium secretion.
C. The pH of the intracellular fluid: pH changes can influence potassium distribution between compartments but are not the main driver of secretion.
D. The potassium ion content in the renal tubule cells: This reflects storage, not the signal for secretion. The extracellular fluid concentration is what regulates the process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Urine output will decrease: Vasodilation of efferent arterioles lowers glomerular pressure, leading to a lower GFR and reduced urine output.
B. Glomerular filtration rate will decrease: A wider efferent arteriole reduces resistance, decreasing the pressure inside the glomerulus, hence lowering GFR.
C. Systemic blood pressure will decrease: Local vasodilation of the efferent arteriole does not significantly affect systemic blood pressure. Systemic pressure is influenced more by cardiac output and total peripheral resistance, not glomerular arteriole tone.
D. Net filtration pressure will decrease: Lower glomerular capillary pressure results in reduced net filtration pressure (NFP).
Correct Answer is A
Explanation
A. Decreased urine volume: ADH increases water reabsorption in the collecting ducts, leading to less water in the urine and decreased urine output.
B. Decreased urine molarity: ADH leads to more concentrated (higher molarity) urine, not less.
C. Increased urine volume: ADH reduces urine volume, not increases it.
D. Increased urine salinity: ADH affects water, not salt. Salinity may change indirectly, but this is not a direct effect.
E. Increased urine acidity: Urine acidity is influenced by hydrogen ion excretion, not directly by ADH.
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