What is the immediate effect of increased blood pressure on kidney filtration through direct regulation?
Decreased glomerular filtration rate (GFR) and reduced urine output.
No change in GFR due to homeostatic mechanisms.
Increased urine concentration without affecting blood volume
Increased GFR, leading to higher urine output and lower blood volume.
The Correct Answer is D
A. Decreased glomerular filtration rate (GFR) and reduced urine output: A decrease in GFR typically occurs in response to low blood pressure or renal hypoperfusion, not increased blood pressure. Elevated blood pressure tends to increase glomerular hydrostatic pressure, promoting filtration rather than reducing it.
B. No change in GFR due to homeostatic mechanisms: While the kidneys have autoregulatory mechanisms, such as afferent arteriole constriction, that help maintain GFR within a normal range, an immediate rise in systemic blood pressure can temporarily increase GFR before these mechanisms fully compensate.
C. Increased urine concentration without affecting blood volume: Increased urine concentration occurs when antidiuretic hormone (ADH) acts on the nephron, usually in response to dehydration or low blood volume. It does not represent the direct effect of elevated blood pressure on kidney filtration.
D. Increased GFR, leading to higher urine output and lower blood volume: When blood pressure rises, glomerular hydrostatic pressure increases, directly enhancing filtration. This results in more filtrate formation, higher urine output, and consequently a reduction in blood volume, representing the kidney’s immediate response to elevated systemic pressure through direct filtration regulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Correct answer: True
Larger veins, particularly in the extremities, contain valves that prevent the backflow of blood and ensure unidirectional movement toward the heart. These valves are necessary because venous blood is often moving against gravity, especially from the legs and lower body. The combination of venous valves and the skeletal muscle pump, where contracting muscles compress veins, facilitates venous return. Without these valves, blood could pool in the lower extremities, leading to venous insufficiency, edema, and varicose veins.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B","dropdown-group-3":"C","dropdown-group-4":"D"}
Explanation
A. E (Anterior tibial artery): The anterior tibial artery arises from the popliteal artery. It passes through an opening in the interosseous membrane to enter the anterior compartment of the leg. It descends along the interosseous membrane, supplying the extensor muscles of the leg. At the level of the ankle joint, it continues as the dorsalis pedis artery.
B. B (Dorsalis pedis): The dorsalis pedis artery is the continuation of the anterior tibial artery on the dorsum of the foot. It runs lateral to the tendon of extensor hallucis longus and is commonly palpated to assess peripheral circulation. It contributes to the dorsal arterial arch and provides branches to the toes.
C. F (Posterior tibial artery): The posterior tibial artery is the larger terminal branch of the popliteal artery. It descends in the posterior compartment of the leg, supplying the flexor muscles. It passes posterior to the medial malleolus (where its pulse can be palpated) and divides into the medial and lateral plantar arteries to supply the sole of the foot.
D. D (Popliteal artery): The popliteal artery is the continuation of the femoral artery after it passes through the adductor hiatus. It lies deep in the popliteal fossa posterior to the knee joint. It supplies the knee via genicular branches and terminates at the lower border of the popliteus muscle by dividing into the anterior tibial and posterior tibial arteries.
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