Author Question: A student athlete presents at the clinic for his physical checkup. The athlete tells the nurse that ... (Read 109 times)

chads108 · **on:** Jul 23, 2018

A student athlete presents at the clinic for his physical checkup. The athlete tells the nurse that he is using large doses of creatine to increase muscle size and strength.

What should the nurse instruct the student to do while taking this medication? A) Take nonsteroidal anti-inflammatory drugs (NSAIDs) to stop pain from expanding muscles.
B) Drink plenty of fluids while using this drug and watch for swelling.
C) Stop eating red meat or other animal products.
D) Take cimetidine (Tagamet) to relieve the stomach upset associated with the use of this therapy.

Question 2

A student asks the physiology instructor how the kidneys control body fluid composition. The instructor explains that the kidneys, by actively removing solutes from the capillary system for excretion in the urine, perform a process called what?

A) Glomerular filtration
B) Tubular reabsorption
C) Tubular secretion
D) Tubular metabolism

strudel15 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
Creatine is a protein by-product that has to be processed through the kidneys. If an athlete is using it to try to increase muscle size, he should be advised to drink plenty of fluids to help flush it through the kidney and to watch for any swelling that could indicate change in renal function. NSAIDs could aggravate renal problems and cause more swelling. Getting protein from food sources is a natural way to provide the body with proteins. If stomach upset occurs, the athlete should stop using the herbal therapy and not add another drug to his regimen, especially cimetidine that can increase risk of kidney damage.

Answer to Question 2

C
Feedback:
Tubular secretion is the movement of solutes from the capillary bed into the renal tubule. Glomerular filtration is the passing of fluid from the capillary system into the renal tubule in Bowman's capsule. Tubular reabsorption is the movement of solutes from the tubule into the capillary system.