Kidney disease can cause hypertension by:
Directly signaling the brain stem to increase blood pressure.
Activating the renin-angiotensin mechanism.
Increasing release (excretion) of sodium and water.
Stimulating the secretion of ANP.
The Correct Answer is B
Kidney disease can cause hypertension by activating the renin-angiotensin mechanism.
This mechanism involves the release of renin from the kidneys, which stimulates the production of angiotensin II, a hormone that constricts blood vessels and increases blood pressure.
Choice A is wrong because kidney disease does not directly signal the brain stem to increase blood pressure.
The brain stem regulates blood pressure through the autonomic nervous system, which responds to various stimuli such as stress, pain, or emotions.
Choice C is wrong because kidney disease does not increase the release (excretion) of sodium and water.
On the contrary, kidney disease can impair the ability of the kidneys to filter out excess sodium and water, which can lead to fluid retention and increased blood pressure.
Choice D is wrong because kidney disease does not stimulate the secretion of ANP.
ANP stands for atrial natriuretic peptide, a hormone that is secreted by the heart when it senses high blood pressure.
ANP causes the kidneys to excrete more sodium and water, which lowers blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The fibrous pericardium is the loose-fitting sac around the heart that protects it and anchors it to surrounding structures.
Choice B is wrong because the epicardium is the outer layer of the heart wall, also called the visceral pericardium, and it is not a sac.
Choice C is wrong because the endocardium is the inner layer of the heart wall that forms the lining of all heart chambers, and it is not a sac.
Choice D is wrong because the visceral pericardium is another name for the epicardium, and it is not a loose-fitting sac.
Correct Answer is B
Explanation
Epinephrine, also known as adrenaline, is a hormone that the adrenal medulla secretes in response to stress or low blood sugar levels.
It helps the body react to stress by increasing blood pressure, heart rate, oxygen delivery to muscles, and blood sugar levels.
Choice A is wrong because mineralocorticoids are hormones that the adrenal cortex secretes, not the adrenal medulla.
They help regulate the balance of sodium and potassium in the body.
Choice C is wrong because glucocorticoids are also hormones that the adrenal cortex secretes, not the adrenal medulla.
They help control the body’s use of fats, proteins, and carbohydrates, suppress inflammation, and regulate blood pressure and blood sugar.
Choice D is wrong because aldosterone is a specific type of mineralocorticoid that the adrenal cortex secretes, not the adrenal medulla.
It helps regulate the balance of sodium and water in the body.
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