Nokea
Which of these hormones is made by the posterior pituitary?
- A. FSH
- B. LH
- C. ACTH
- D. ADH
Correct Answer: D
Rationale: The correct answer is D: ADH (Antidiuretic Hormone). ADH is produced by the posterior pituitary gland and regulates water balance in the body by acting on the kidneys to reduce urine output. FSH, LH, and ACTH are produced by the anterior pituitary gland and have different functions related to reproductive health and stress response. The key to this question is knowing the specific hormones produced by the posterior pituitary gland, making D the correct choice.
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Verapamil is a drug used for treating hypertension. It should be used with caution with other drugs that can depress heart rate or contractility. Which drug, if given with verapamil, might therefore cause the greatest risk of depressing heart rate, contractile force, or impulse conduction?
- A. Albuterol
- B. Scopolamine
- C. Propranolol
- D. Isoproterenol
Correct Answer: C
Rationale: The correct answer is C: Propranolol. Verapamil is a calcium channel blocker that can depress heart rate and contractility. Propranolol is a beta-blocker that also decreases heart rate and contractile force. When combined, both drugs can have an additive effect leading to a significant decrease in heart rate and contractility, potentially causing bradycardia or heart failure.
Albuterol (A) is a beta-2 agonist that actually increases heart rate and contractility. Scopolamine (B) is an anticholinergic drug that may decrease heart rate, but its effect is not as significant as propranolol. Isoproterenol (D) is a beta agonist that increases heart rate and contractility, so its combination with verapamil would not pose the same risk as propranolol.
Hypocalcemic tetany:
- A. is a consequence of a deficiency of calcitonin.
- B. is caused by a lack of TSH.
- C. is caused by osteoclastic activity.
- D. develops in response to a deficiency of parathyroid activity.
Correct Answer: D
Rationale: Step-by-step rationale:
1. Hypocalcemic tetany results from low blood calcium levels.
2. Parathyroid hormone (PTH) regulates calcium levels by increasing calcium release from bones and reabsorption in the kidneys.
3. A deficiency in parathyroid activity leads to decreased calcium levels, causing tetany.
4. Choice D is correct as it directly links hypocalcemic tetany to parathyroid dysfunction.
Summary:
A: Incorrect, calcitonin lowers blood calcium levels.
B: Incorrect, TSH regulates thyroid function, not calcium levels.
C: Incorrect, osteoclasts break down bone tissue but are not directly related to hypocalcemic tetany.
Lispro insulin (Humalog) with NPH insulin is ordered for a patient with newly diagnosed type 1 diabetes. The nurse knows that when lispro insulin is used, when should it be administered?
- A. Only once a day
- B. 1 hour before meals
- C. 30 to 45 minutes before meals
- D. At mealtime or within 15 minutes of meals
Correct Answer: D
Rationale: Lispro insulin should be administered at mealtime or within 15 minutes of meals for optimal effect.
The nurse should observe the patient for symptoms of ketoacidosis when
- A. illnesses causing nausea and vomiting lead to bicarbonate loss with body fluids.
- B. glucose levels become so high that osmotic diuresis promotes fluid and electrolyte loss.
- C. an insulin deficit causes the body to metabolize large amounts of fatty acids rather than glucose for energy.
- D. the patient skips meals after taking insulin, leading to rapid metabolism of glucose and breakdown of fats for energy
Correct Answer: C
Rationale: Ketoacidosis is caused by a lack of insulin, which leads to the body breaking down fats for energy, producing ketones that cause metabolic acidosis.
Melatonin is secreted by which gland?
- A. Pineal gland
- B. Thyroid
- C. Thymus
- D. Adrenal
Correct Answer: A
Rationale: The correct answer is A: Pineal gland. Melatonin is a hormone that regulates sleep-wake cycles and is primarily secreted by the pineal gland located in the brain. The pineal gland responds to darkness by releasing melatonin, which helps to induce sleep. The other choices, B: Thyroid, C: Thymus, and D: Adrenal, do not secrete melatonin. The thyroid gland produces hormones that regulate metabolism, the thymus gland is involved in immune function, and the adrenal glands secrete hormones like cortisol and adrenaline. Therefore, the pineal gland is the correct answer for melatonin secretion.