Nokea
A condition with a deficiency in growth hormone is called ___ dwarfism.
Correct Answer: hypopituitary
Rationale: A condition with a deficiency in growth hormone is called hypopituitary dwarfism. Most cases are idiopathic, but a small number can be attributed to an autosomal-recessive trait. In some cases, there is also a lack of adrenocorticotropic hormone (ACTH), TSH, and the gonadotropins.
You may also like to solve these questions
The health care provider orders an 1800-calorie diabetic diet and 40 units of NPH insulin subcutaneously daily for a patient with diabetes mellitus. For which reason will a mid-afternoon snack of milk and crackers be given?
- A. To improve nutrition.
- B. To improve carbohydrate metabolism.
- C. To prevent hypoglycemia
- D. To prevent diabetic coma.
Correct Answer: C
Rationale: NPH insulin peaks in 6-10 hours. The nurse should be alert for signs of hypoglycemia (low blood glucose) at the peak of action of whatever type of insulin the patient is receiving.
Which gland is the master gland of the endocrine system?
- A. Thyroid
- B. Parathyroid
- C. Pancreas
- D. Pituitary
Correct Answer: D
Rationale: The pituitary gland, located in the brain, is the master gland of the endocrine system. It has been called the 'master gland' because through the negative feedback inhibition, it exerts its control over the other endocrine glands.
The nurse cautions the patient who is being instructed on self-medication with insulin to be aware that there are 25-, 30-, 50-, and 100-unit syringes. How is the 100-unit syringe marked?
- A. 1-unit increments
- B. 2-unit increments
- C. 4-unit increments
- D. 5-unit increments
Correct Answer: B
Rationale: The 100-unit syringe is marked in 2-unit increments while the smaller syringes are marked in 1-unit increments.
To which diet should a patient with Cushing syndrome adhere?
- A. Less sodium
- B. More calories
- C. Less potassium
- D. More carbohydrates
Correct Answer: A
Rationale: The diet should be lower in sodium to help decrease edema.
The patient is a 20-year-old college student who has type 1 diabetes and normally walks each evening as part of an exercise regimen. The patient plans to enroll in a swimming class. Which adjustment will the nurse suggest to the patient based on this information?
- A. Time the morning insulin injection so that the peak action will occur during swimming class.
- B. Delete normal walks on swimming class days.
- C. Delay the meal before the swimming class until the session is over.
- D. Monitor glucose level before, during, and after swimming to determine the need for alterations in food or insulin.
Correct Answer: D
Rationale: Exercise can reduce insulin resistance and increase glucose uptake for as long as 72 hours, as well as reducing blood pressure and lipid levels. However, exercise can carry some risks for patients with diabetes, including hypoglycemia.