What is the role of the renin-angiotensin-aldosterone system in kidney function?
Production of intrinsic factor
Excretion of waste products
Regulation of blood pressure and fluid balance
Regulation of respiratory rate
The Correct Answer is C
A. Production of intrinsic factor: Intrinsic factor is produced by the stomach's parietal cells.
B. Excretion of waste products: While the kidney does this, the specific RAAS pathway is a hormonal system for pressure and volume control.
C. Regulation of blood pressure and fluid balance: RAAS causes vasoconstriction (increasing pressure) and aldosterone release (increasing sodium/water retention), which increases blood volume.
D. Regulation of respiratory rate: This is controlled by the medulla oblongata and chemoreceptors in the blood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Orthostatic hypotension: When fluid volume is low (hypovolemia), the body cannot maintain blood pressure when changing positions (e.g., sitting to standing), leading to a significant drop in pressure and an increase in heart rate.
B. Bradycardia: Dehydration typically causes tachycardia (increased heart rate) as the heart tries to compensate for low blood volume.
C. Increased skin turgor: Dehydration causes decreased skin turgor (skin remains tented when pinched).
D. Edema in the lower extremities: Edema indicates fluid volume excess, not a deficit.
Correct Answer is A
Explanation
A. Fluid accumulation in alveoli: Pulmonary edema involves fluid leaking into the air sacs (alveoli). This creates a physical barrier that oxygen must pass through to reach the blood, severely impairing gas exchange.
B. Increased alveolar surface tension: While surfactant may be diluted, the primary cause of the gas exchange failure is the presence of the fluid itself.
C. Enhanced alveolar ventilation: Ventilation is severely decreased because the alveoli are filled with fluid instead of air.
D. Decreased alveolar capillary permeability: In many types of pulmonary edema (like ARDS), permeability is actually increased, causing the leak.
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