Which of the following would NOT be expected from taking a diuretic drug?
increased urine output
lower plasma volume
decreased blood pressure
greater stress on the heart to provide adequate perfusion
The Correct Answer is D
A. Increased urine output: Diuretics promote renal excretion of sodium and water, leading to a noticeable rise in urine volume. This effect helps lower circulating fluid levels and reduces preload on the heart. Increased urine output is therefore an expected and intended response to these medications.
B. Lower plasma volume: By enhancing fluid loss through the kidneys, diuretics decrease overall plasma volume. Reduced intravascular volume helps lessen the workload on the cardiovascular system and supports blood pressure control. This decrease is a predictable physiological effect of diuretic therapy.
C. Decreased blood pressure: Lower plasma volume reduces venous return and cardiac output, leading to a reduction in arterial pressure. Many diuretics are prescribed specifically to manage hypertension by decreasing this circulating volume. A drop in blood pressure is therefore consistent with the drug’s mechanism of action.
D. Greater stress on the heart to provide adequate perfusion: Diuretics typically ease cardiac workload by lowering circulating volume and reducing vascular resistance. With less volume to pump and decreased pressure demands, the heart generally experiences improved efficiency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Inversely; directly:Blood flow rises when the pressure gradient increases, so an inverse relationship does not fit normal cardiovascular physiology. The pressure gradient is the main driving force that propels blood forward, meaning higher gradients produce greater flow. Although resistance does influence blood flow, pairing it with an incorrect pressure-flow relationship makes this option inaccurate.
B. Directly; inversely:Blood flow increases when the pressure gradient increases because a stronger driving force moves blood through the vessels. Flow decreases as resistance increases, since narrowed or obstructed vessels limit the passage of blood. This pairing correctly reflects hemodynamic principles, where flow is enhanced by pressure and hindered by resistance.
C. Directly; directly:While blood flow does increase with larger pressure differences, it does not increase with increased resistance. Higher resistance, such as from vasoconstriction, reduces flow by making it harder for blood to move through the vascular system. The second relationship therefore prevents this option from aligning with physiological reality.
D. Inversely; inversely:Suggesting that flow decreases when pressure gradients rise conflicts with the fundamental mechanism that drives circulation. Although flow does decline with increased resistance, an inverse pressure relationship fully contradicts how blood is propelled through vessels, making this option invalid.
Correct Answer is E
Explanation
A. Dendritic cell:Dendritic cells are professional antigen-presenting cells (APCs) that capture antigens, process them, and present them on MHC molecules to T lymphocytes, initiating adaptive immune responses.
B. B cell:B cells can function as APCs by internalizing antigens via their B cell receptor, processing them, and presenting antigen fragments on MHC II molecules to helper T cells.
C. Macrophage:Macrophages are APCs that engulf pathogens and present antigen fragments to T cells, linking innate and adaptive immunity.
D. All of the above are APCs:While dendritic cells, B cells, and macrophages are APCs, this statement is misleading because it ignores the presence of non-APCs like NK cells.
E. NK cell:Natural killer (NK) cells are not antigen-presenting cells. They are cytotoxic lymphocytes of the innate immune system that destroy virus-infected and tumor cells without presenting antigens to T cells.
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