Nokea
A nurse cares for a client who is prescribed a drug that blocks a hormones receptor site. Which therapeutic effects about the nurse expect?
- A. Greater hormone metabolism
- B. Decreased hormone activity
- C. Increased hormone activity
- D. Unchanged hormone response
Correct Answer: B
Rationale: Hormones cause activity in the target tissues by binding with their specific cellular receptor sites, thereby changing the activity of the cell. When receptor sites are occupied by other substances that block hormone binding, the cells response is the same as when the level of the hormone is decreased.
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A nurse teaches an older adult with a decreased production of estrogen. Which statement should the nurse include in this clients teaching to decrease injury?
- A. Drink at least 2 liters of fluids each day.
- B. Walk daily as a weight-bearing exercise.
- C. Bathe your perineal area twice a day.
- D. You should check your blood glucose before meals.
Correct Answer: B
Rationale: Decreased estrogen in older adults increases the risk of osteoporosis and fractures. Weight-bearing exercises like walking help maintain bone density and reduce injury risk.
A nurse cares for a client with a hypofunctioning anterior pituitary gland. Which hormones should the nurse expect to be affected by this condition? (Select all that apply.)
- A. Thyroid-stimulating hormone
- B. Vasopressin
- C. Follicle-stimulating hormone
- D. Calcitonin
- E. Growth hormone
Correct Answer: A,C,E
Rationale: The anterior pituitary gland secretes thyroid-stimulating hormone, follicle-stimulating hormone, and growth hormone, which would be affected by hypofunction. Vasopressin and calcitonin are secreted by the posterior pituitary and thyroid gland, respectively.
A nurse collaborates with an unlicensed assistive personnel (UAP) to provide care for a client who is prescribed a 24-hour urine specimen collection. Which statement should the nurse include when delegating this activity to the UAP?
- A. Void the clients first void and collect urine for 24 hours.
- B. Add the preservative to the container at the end of the test.
- C. Start the collection by saving the first urine of the morning.
- D. Ensure the client drinks plenty of water during collection.
Correct Answer: A
Rationale: The 24-hour urine collection begins after discarding the first void to ensure a full 24-hour period of collection. This ensures accurate measurement of excreted substances.
A nurse plans care for an older adult who is admitted to the hospital for pneumonia. The client has no known drug allergic status nor a significant medical history. Which action should the nurse include in this clients plan of care?
- A. Initiate Airborne Precautions.
- B. Offer fluids every hour or two.
- C. Administer broad-spectrum antibiotics.
- D. Palpate the clients thyroid gland.
Correct Answer: B
Rationale: Decreased antidiuretic hormone (ADH) production is a normal age-related change, leading to increased urine output and risk of dehydration. Offering fluids regularly helps prevent dehydration in older adults.
A nurse teaches a client who has been prescribed a 24-hour urine collection to measure excreted hormones. The client asks, Why do I need to collect urine for 24 hours instead of providing a random specimen? How should the nurse respond?
- A. The hormone is secreted on a circadian rhythm.
- B. The hormone is diluted in urine, therefore, we need a large volume.
- C. We are assessing when the hormone is secreted in large amounts.
- D. To collect the correct hormone, you need to urinate multiple times.
Correct Answer: A
Rationale: Hormones are secreted in a pulsatile or circadian cycle. A 24-hour urine collection provides a more accurate reflection of hormone secretion over time compared to a random specimen.