The nurse is teaching a client who is diagnosed with renal insufficiency. Which functions of the kidneys should the nurse include in the teaching session? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Secrete the enzyme renin.
2. Stimulate red blood cell production.
3. Aid in digestion.
4. Regulate fluid balance.
5. Help maintain blood pressure.
Correct Answer: 1, 2, 4, 5
Rationale 1: The kidneys are the primary organs for regulating fluid balance, electrolyte composition, and the acid–base balance of body fluids. They also secrete the enzyme renin, which helps to control blood pressure and erythropoietin, a hormone that stimulates red blood cell production. In addition, the kidneys are responsible for the production of calcitriol, the active form of vitamin D, which helps maintain bone homeostasis.
Rationale 2: The kidneys are the primary organs for regulating fluid balance, electrolyte composition, and the acid–base balance of body fluids. They also secrete the enzyme renin, which helps to control blood pressure and erythropoietin, a hormone that stimulates red blood cell production. In addition, the kidneys are responsible for the production of calcitriol, the active form of vitamin D, which helps maintain bone homeostasis.
Rationale 3: Aid in digestion is incorrect because this is a function of the GI tract and accessory organs.
Rationale 4: The kidneys are the primary organs for regulating fluid balance, electrolyte composition, and the acid–base balance of body fluids. They also secrete the enzyme renin, which helps to control blood pressure and erythropoietin, a hormone that stimulates red blood cell production. In addition, the kidneys are responsible for the production of calcitriol, the active form of vitamin D, which helps maintain bone homeostasis.
Rationale 5: The kidneys secrete the enzyme renin, which helps to control blood pressure.
Global Rationale: The kidneys are the primary organs for regulating fluid balance, electrolyte composition, and the acid—base balance of body fluids. They also secrete the enzyme renin, which helps to control blood pressure and erythropoietin, a hormone that stimulates red blood cell production. In addition, the kidneys are responsible for the production of calcitriol, the active form of vitamin D, which helps maintain bone homeostasis. Aid in digestion is incorrect because this is a function of the GI tract and accessory organs.
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