Complete the following sentence: Antidiuretic hormone is secreted from the…
- A. Adrenal cortex
- B. Thyroid gland
- C. Pancreas
- D. Posterior pituitary gland
Correct Answer: D
Rationale: The correct answer is D: Posterior pituitary gland. Antidiuretic hormone (ADH), also known as vasopressin, is produced in the hypothalamus and then transported to the posterior pituitary gland for secretion into the bloodstream. ADH plays a key role in regulating water balance by controlling the reabsorption of water in the kidneys. Choices A, B, and C are incorrect as they are not the primary sites of ADH production and secretion. The adrenal cortex produces hormones like cortisol and aldosterone, the thyroid gland produces hormones like thyroxine, and the pancreas produces insulin and glucagon.
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Alexa, a 32-year-old woman, has been diagnosed with metabolic syndrome. Nursing interventions would include teaching her about the typical accompanying signs and symptoms, such as:
- A. Weight loss, malar rash, and pharyngitis.
- B. Hypothyroidism, podagra, and elevated fasting glucose.
- C. Violaceous rash, pitting peripheral edema, and palpitation.
- D. Hypertension, low HDL, and elevated triglycerides.
Correct Answer: D
Rationale: Metabolic syndrome is characterized by a combination of hypertension, low HDL cholesterol, elevated triglycerides, abdominal obesity, and elevated fasting glucose.
The primary role of the parathyroid gland is:
- A. To maintain metabolic homeostasis
- B. To regulate serum calcium levels
- C. To send hormonal signals to other endocrine glands
- D. To receive hormonal signals from the hypothalamus
Correct Answer: B
Rationale: The correct answer is B: To regulate serum calcium levels. The parathyroid gland secretes parathyroid hormone (PTH) to regulate calcium levels in the blood. PTH increases calcium levels by stimulating bone resorption, enhancing calcium absorption in the intestines, and promoting calcium reabsorption in the kidneys. Choices A, C, and D are incorrect because the primary function of the parathyroid gland is specifically related to calcium regulation, not general metabolic homeostasis, signaling to other glands, or receiving signals from the hypothalamus.
The stimulus for producing insulin is __________.
- A. low blood amino acid concentration
- B. low blood glucose concentration
- C. low blood fatty acid concentration
- D. high blood glucose concentration
Correct Answer: D
Rationale: The correct answer is D: high blood glucose concentration. Insulin is released by the pancreas in response to increased blood glucose levels. High blood glucose signals the body to lower it by facilitating the uptake of glucose into cells. Low blood amino acid, fatty acid, or glucose concentrations would not stimulate insulin release as they do not directly regulate blood sugar levels.
The patient with newly diagnosed diabetes is displaying shakiness, confusion, irritability, and slurred speech. What should the nurse suspect is happening?
- A. DKA
- B. Hypoglycemia
- C. HHS
- D. Hyperglycemia
Correct Answer: B
Rationale: Shakiness, confusion, irritability, and slurred speech are common symptoms of hypoglycemia, which should be addressed promptly.
What is the most likely effect of a deficiency of aldosterone?
- A. High blood pressure
- B. Low level of potassium in the blood
- C. Low blood volume and hypotension
- D. Goiter formation
Correct Answer: C
Rationale: Rationale:
1. Aldosterone regulates sodium and water balance in the body.
2. Deficiency leads to decreased sodium reabsorption, causing low blood volume.
3. Low blood volume results in hypotension due to reduced blood flow to tissues.
4. Choices A and B are incorrect as aldosterone deficiency does not cause high blood pressure or low potassium levels.
5. Choice D is incorrect as goiter formation is mainly related to thyroid hormone imbalance, not aldosterone deficiency.