What is the formula for calculating the renal clearance?
Clearance = urine flow rate x urine concentration / plasma concentration.
Clearance = urine flow rate x plasma concentration / urine concentration.
Clearance = plasma flow rate x urine concentration / plasma concentration.
Clearance = plasma flow rate x plasma concentration / urine concentration.
The Correct Answer is A
Clearance = urine flow rate x urine concentration / plasma concentration. This is the formula for calculating the renal clearance of a substance that is neither reabsorbed nor secreted by the tubules. Renal clearance is the volume of plasma that would have to be filtered by the glomeruli each minute to account for the amount of that substance appearing in the urine each minute.
Choice B is wrong because it has the urine concentration and plasma concentration inverted.
This would give an incorrect value for renal clearance.
Choice C is wrong because it has the plasma flow rate instead of the urine flow rate.
Plasma flow rate is not directly related to renal clearance.
Choice D is wrong because it has both the plasma flow rate and the urine concentration and plasma concentration inverted.
This would give an incorrect value for renal clearance.
Normal ranges for renal clearance vary depending on the substance, age, sex, and body size.
For example, the normal range for creatinine clearance is 85-125 mL/min for males and 75-115 mL/min for females.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Nasogastric suction removes gastric secretions that contain potassium, leading to a loss of potassium from the body. This can cause hypokalemia, which is a low level of potassium in the blood.
Choice A is wrong because Addison’s disease causes hyperkalemia, which is a high level of potassium in the blood.
Choice B is wrong because tissue damage can release potassium from the cells into the blood, causing hyperkalemia.
Choice C is wrong because uric acid level is not related to potassium level.
Uric acid is a waste product of purine metabolism that can cause gout or kidney stones if elevated.
Correct Answer is C
Explanation
This is because acute renal failure is a condition where the kidneys lose their ability to filter waste and excess fluid from the blood. This can lead to fluid overload, electrolyte imbalances, and metabolic acidosis. Therefore, the nurse should monitor the patient’s urine output and fluid balance to assess the severity of the renal impairment and prevent complications.
Choice A is wrong because administering a potassium-sparing diuretic would worsen the patient’s hyperkalemia, which is a common complication of acute renal failure.
Choice B is wrong because encouraging the patient to consume a high-sodium diet would increase the patient’s fluid retention and blood pressure, which can further damage the kidneys.
Choice D is wrong because administering intravenous antibiotics is not a priority intervention for acute renal failure unless there is a specific indication of infection.
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