A nurse cares for clients with hormone disorders. Which are common key features of hormones? (Select all that apply.)
- A. Hormones may travel long distances to get to their target tissues.
- B. Continued hormone activity requires continued production and secretion.
- C. Control of hormone activity is caused by negative feedback mechanisms.
- D. Most hormones are stored in the target tissues for use later.
- E. Most hormones cause target tissues to change activities by changing gene activity.
Correct Answer: A,B,C
Rationale: Hormones travel to target tissues, require continuous production for activity, and are regulated by negative feedback. They are not stored in target tissues, nor do they typically alter gene activity.
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A nurse assesses a client diagnosed with adrenal hypofunction. Which client statement should the nurse correlate with this diagnosis?
- A. I have a terrible craving for potato chips.
- B. I cannot seem to get enough water.
- C. I no longer have an appetite for anything.
- D. I get hungry even after eating a meal.
Correct Answer: A
Rationale: Adrenal hypofunction can lead to hyponatremia, causing salt cravings, as seen in the clients desire for potato chips.
A nurse cares for a client who has excessive catecholamine release. Which assessment finding should the nurse correlate with this condition?
- A. Decreased blood pressure
- B. Increased pulse
- C. Decreased respiratory rate
- D. Increased urine output
Correct Answer: B
Rationale: Catecholamines activate the sympathetic nervous system, leading to tachycardia (increased pulse) as part of the fight-or-flight response.
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 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 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.
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