Nokea
A nurse cares for a client with a deficiency of aldosterone. Which assessment finding should the nurse correlates with this deficiency?
- A. Increased urine output
- B. Vasoconstriction
- C. Blood glucose of 90 mg/L
- D. Normal sodium levels
Correct Answer: A
Rationale: Aldosterone, the major mineralocorticoid, maintains extracellular fluid volume. It promotes sodium and water reabsorption and potassium excretion in the kidney tubules. A client with an aldosterone deficiency will have increased urine output due to decreased reabsorption of sodium and water.
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A nurse assesses a female client who presents with hirsutism. Which question should the nurse ask when assessing this client?
- A. How do you plan to pay for your treatments?
- B. How do you feel about yourself?
- C. What medications are you prescribed?
- D. What are you doing to prevent this from happening?
Correct Answer: B
Rationale: Hirsutism, or excessive hair growth, can result from endocrine disorders and may cause a disruption in body image, especially for female clients. Asking about self-perception addresses the psychosocial impact of the condition.
A nurse evaluates laboratory results for a male client who reports fluid secretion from his breasts. Which hormone value should the nurse assess first?
- A. Posterior pituitary hormones
- B. Adrenal medulla hormones
- C. Anterior pituitary hormones
- D. Parathyroid hormone
Correct Answer: C
Rationale: Breast fluid secretion in males is often due to elevated prolactin levels, which is secreted by the anterior pituitary gland. Assessing anterior pituitary hormones is the priority.
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 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.
A nurse cares for a client with excessive production of thyrocalcitonin (calcitonin). For which electrolyte imbalance should the nurse assess?
- A. Potassium
- B. Sodium
- C. Calcium
- D. Magnesium
Correct Answer: C
Rationale: Parafollicular cells produce thyrocalcitonin (calcitonin), which regulates serum calcium levels. Excessive calcitonin can lead to hypocalcemia by inhibiting bone resorption and increasing calcium excretion.