Nokea
Common nonspecific manifestations that may alert the nurse to endocrine dysfunction include
- A. goiter and alopecia.
- B. exophthalmos and tremors.
- C. weight loss, fatigue, and depression.
- D. polyuria, polydipsia, and polyphagia.
Correct Answer: C
Rationale: Weight loss, fatigue, and depression are nonspecific symptoms that can point to various endocrine disorders, including thyroid and adrenal conditions.
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Estrogen, progesterone, and testosterone:
- A. are feminizing hormones.
- B. induce virilization.
- C. are secreted by the gonads.
- D. are secreted by the adenohypophysis.
Correct Answer: C
Rationale: Estrogen, progesterone, and testosterone are indeed secreted by the gonads. Estrogen and progesterone are primarily produced by the ovaries in females, while testosterone is mainly produced by the testes in males. These hormones play crucial roles in reproductive functions and secondary sexual characteristics. Choices A and B are incorrect because testosterone induces virilization (masculinizing effects) while estrogen and progesterone are more associated with feminizing effects. Choice D is incorrect because estrogen, progesterone, and testosterone are not secreted by the adenohypophysis, which mainly produces and releases other hormones such as growth hormone and prolactin.
The secretion of which of the following would be least affected by a decrease in extracellular fluid volume?
- A. CRH
- B. Arginine vasopressin
- C. Dehydroepiandrosterone
- D. Estrogens
Correct Answer: D
Rationale: The correct answer is D: Estrogens. When extracellular fluid volume decreases, the body activates the renin-angiotensin-aldosterone system to retain water and sodium. Estrogen is not directly involved in regulating fluid balance, so its secretion would be least affected. CRH (choice A) stimulates the release of cortisol, which affects fluid balance. Arginine vasopressin (choice B) regulates water reabsorption in the kidneys. Dehydroepiandrosterone (choice C) is a precursor to sex hormones, including estrogen.
The alpha cells of the pancreas secrete _______ which targets the _______.
- A. glucagon; liver
- B. melatonin; liver
- C. glucagon; kidney
- D. calcitonin; thyroid
Correct Answer: A
Rationale: The correct answer is A: glucagon; liver. Alpha cells of the pancreas secrete glucagon, which targets the liver. Glucagon helps increase blood glucose levels by promoting glycogen breakdown in the liver. Melatonin is a hormone produced by the pineal gland, not the pancreas, and does not target the liver. Glucagon does not target the kidney, and calcitonin is produced by the thyroid gland and is involved in regulating calcium levels, not blood glucose levels.
Jane Doe, 23, received her NPH insulin injection at 7:30 A.M., but due to oversight and a long wait in the x-ray department, she has not eaten for 14 hours. The nurse can anticipate which complication?
- A. Dehydration
- B. Ketoacidotic coma
- C. Insulin reaction
- D. Hyperosmolar hyperglycemic coma
Correct Answer: C
Rationale: Not eating after insulin injection can cause hypoglycemia, or an insulin reaction, due to the lack of food to balance the insulin effect.
The correct term for the digestive tract that begins at the mouth and finishes at the anus is called?
- A. Digestive passage
- B. Elementary canal
- C. Alimentary canal
- D. Intestinal tract
Correct Answer: C
Rationale: The correct term for the digestive tract that begins at the mouth and finishes at the anus is called the alimentary canal. This term specifically refers to the entire passage through which food passes and is digested. The term "alimentary" pertains to nourishment or nutrition, making it the most accurate description of the digestive tract.
A: Digestive passage is too broad and vague, not specifying the entire route of digestion.
B: Elementary canal is not a commonly used term in anatomy to describe the digestive tract.
D: Intestinal tract specifically refers to the section of the digestive system that includes the small and large intestines, excluding the mouth, esophagus, and stomach.