Nokea
A client is scheduled to have a glycosylated hemoglobin (A1C) drawn and asks the nurse why she has to have it. How would the nurse respond?
- A. It measures your average blood glucose level for the past 3 months.
- B. It determines what type of anemia you may have.
- C. It measures the amount of liver glycogen you have.
- D. It determines you have some type of leukemia or other blood cancer.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. A glycosylated hemoglobin (A1C) test measures the average blood glucose level over the past 3 months.
2. It is important for monitoring and managing diabetes.
3. The test reflects long-term blood sugar control, providing valuable information about diabetes management.
4. The nurse should explain this to the client to emphasize the significance of the test in managing their health.
Summary:
B: Incorrect. A1C does not determine anemia type.
C: Incorrect. A1C does not measure liver glycogen.
D: Incorrect. A1C does not diagnose leukemia or blood cancer.
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A deficiency of dietary iodine:
- A. lowers plasma calcium levels.
- B. causes low blood volume and shock.
- C. decreases the synthesis of calcitonin.
- D. causes a goiter.
Correct Answer: D
Rationale: The correct answer is D because a deficiency of dietary iodine leads to an insufficient production of thyroid hormones, which can result in the enlargement of the thyroid gland, known as a goiter. This is due to the thyroid gland working harder to try to produce more hormones.
A, B, and C are incorrect because a deficiency of dietary iodine does not directly affect plasma calcium levels, blood volume, or the synthesis of calcitonin. These are functions that are primarily regulated by other hormones and factors in the body, not by iodine deficiency.
Mr. R, a 52-year-old patient with hyperthyroidism, is experiencing a thyroid storm. Which of the following symptoms would indicate the need for immediate intervention?
- A. Hypothermia
- B. Low blood pressure
- C. Severe tachycardia
- D. Weight gain
Correct Answer: C
Rationale: Severe tachycardia is a hallmark of thyroid storm and requires immediate intervention to prevent life-threatening complications such as heart failure or stroke.
Identify a common function of atrial natriuretic hormone (ANH), aldosterone and antidiuretic hormone.Which of the following hormones does NOT help regulate blood pressure and volume?
- A. atrial natriuretic hormone (ANH)
- B. aldosterone
- C. oxytocin
- D. antidiuretic hormone (ADH)
Correct Answer: C
Rationale: The correct answer is C: oxytocin. Atrial natriuretic hormone (ANH), aldosterone, and antidiuretic hormone (ADH) all play a role in regulating blood pressure and volume. ANH promotes sodium and water excretion, aldosterone increases sodium reabsorption, and ADH controls water reabsorption. On the other hand, oxytocin is a hormone involved in uterine contractions during childbirth and milk ejection during breastfeeding, not directly related to blood pressure regulation. Therefore, oxytocin is the hormone that does NOT help regulate blood pressure and volume.
Cells that respond to a particular hormone are called
- A. receptor cells.
- B. sensor cells.
- C. secretory cells.
- D. target cells.
Correct Answer: D
Rationale: The correct answer is D: target cells. Target cells are specific cells that have receptors for a particular hormone, allowing them to respond to the hormone's signal. These cells are the intended recipients of the hormone's message and carry out the appropriate physiological response. Receptor cells (A) are more general and can refer to any cell with receptors, not necessarily for hormones. Sensor cells (B) detect stimuli but may not necessarily respond to hormones. Secretory cells (C) release hormones rather than respond to them.
Normal development of the immune response is due in part to hormones produced by the ________.
- A. adrenal medulla
- B. pancreas
- C. thyroid gland
- D. thymus gland
Correct Answer: D
Rationale: The correct answer is D: thymus gland. The thymus gland is crucial for the development and maturation of T cells, a type of immune cell. The hormones produced by the thymus gland, such as thymosin, play a key role in the proper functioning of the immune system. Without a functional thymus gland, the immune response would be compromised.
Explanation for why other choices are incorrect:
A: Adrenal medulla does not play a direct role in immune response development.
B: Pancreas primarily produces hormones related to blood sugar regulation, not immune response.
C: Thyroid gland produces hormones that regulate metabolism, not directly related to immune response development.