Nokea
Exemplify hormones secreted by the anterior pituitary.
- A. anti-diuretic hormone and oxytocin
- B. ACTH and insulin
- C. growth hormone and LH
- D. thyroxine and cortisol
Correct Answer: C
Rationale: The correct answer is C: growth hormone and LH. The anterior pituitary gland secretes these hormones. Growth hormone regulates growth, metabolism, and body composition, while LH (luteinizing hormone) plays a role in reproductive function.
A: Anti-diuretic hormone and oxytocin are produced by the posterior pituitary gland.
B: ACTH (adrenocorticotropic hormone) is secreted by the anterior pituitary, but insulin is produced by the pancreas.
D: Thyroxine is released by the thyroid gland, and cortisol is produced by the adrenal glands, not the anterior pituitary.
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A patient is admitted to the hospital with thyrotoxicosis. On physical assessment of the patient, what should the nurse expect to find?
- A. Hoarseness and laryngeal stridor
- B. Bulging eyeballs and dysrhythmias
- C. Elevated temperature and signs of heart failure
- D. Lethargy progressing suddenly to impairment of consciousness
Correct Answer: C
Rationale: Thyrotoxicosis often causes hyperthermia, tachycardia, and signs of heart failure due to increased metabolic demand from excessive thyroid hormone levels.
What is the role of the adrenal gland during moments of danger?
- A. Secrete hormones that lower metabolism.
- B. Secrete hormones that speed up digestion.
- C. Secrete hormones that increase heart rate and blood pressure.
- D. Secrete hormones that decrease heart rate and blood pressure.
Correct Answer: C
Rationale: The correct answer is C because during moments of danger, the adrenal gland secretes hormones like adrenaline and cortisol to prepare the body for a "fight or flight" response. These hormones increase heart rate and blood pressure to supply more oxygen and nutrients to the muscles, enabling the body to react quickly to the danger. Choices A, B, and D are incorrect because lowering metabolism, speeding up digestion, and decreasing heart rate and blood pressure are not adaptive responses to danger.
Which row shows the correct order of reactivity for the elements?
- A. silver, calcium, carbon, potassium
- B. silver, carbon, calcium, potassium
- C. sodium, hydrogen, zinc, gold
- D. sodium, zinc, hydrogen, gold
Correct Answer: D
Rationale: The correct order of reactivity for elements is based on their tendency to lose electrons. In this case, sodium is the most reactive as it readily loses an electron to form a stable ion. Zinc is less reactive compared to sodium but more reactive than hydrogen and gold. Hydrogen is less reactive than both zinc and sodium. Gold is the least reactive among the options given. Therefore, the correct order of reactivity is sodium > zinc > hydrogen > gold, which matches option D. Choices A, B, and C do not follow the correct order of reactivity for the elements listed, making them incorrect.
The neurotransmitter released at the end of most sympathetic nerve fibers is:
- A. Epinephrine
- B. Noradrenaline
- C. Acetylcholine
- D. Acetylcholinesterase
Correct Answer: B
Rationale: The correct answer is B: Noradrenaline. Sympathetic nerve fibers release noradrenaline as the primary neurotransmitter to activate the fight-or-flight response. Noradrenaline acts on adrenergic receptors to increase heart rate, blood pressure, and blood flow to muscles. Epinephrine (choice A) is also released in the sympathetic nervous system but mainly by the adrenal glands. Acetylcholine (choice C) is the primary neurotransmitter in the parasympathetic nervous system. Acetylcholinesterase (choice D) is an enzyme that breaks down acetylcholine and is not a neurotransmitter.
Individualized nutrition therapy for patients using conventional, fixed insulin regimens should include teaching the patient to
- A. eat regular meals at regular times.
- B. restrict calories to promote moderate weight loss.
- C. eliminate sucrose and other simple sugars from the diet.
- D. limit saturated fat intake to 30% of dietary calorie intake.
Correct Answer: A
Rationale: Patients with fixed insulin regimens should eat regular meals to match insulin action and prevent hypoglycemia.