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In a patient with an elevated serum cortisol, what would the nurse expect other laboratory findings to reveal?
- A. Hypokalemia
- B. Hyponatremia
- C. Hypoglycemia
- D. Decreased serum triglycerides
Correct Answer: A
Rationale: Elevated cortisol levels can lead to hypokalemia, as cortisol influences the balance of sodium and potassium in the body.
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Resistin, an insulin antagonist, is a hormone produced by the __________.
- A. adipose tissue
- B. heart
- C. liver
- D. hypothalamus
Correct Answer: A
Rationale: The correct answer is A: adipose tissue. Resistin is primarily produced by adipose tissue and is known to antagonize the action of insulin, leading to insulin resistance. Adipose tissue is a major source of various hormones, including resistin.
Option B: heart, and Option C: liver, are not the correct answers because resistin is not known to be produced by these organs.
Option D: hypothalamus, is also not the correct answer as resistin is not produced by the hypothalamus.
In summary, the correct answer is A because resistin is primarily produced by adipose tissue, which plays a significant role in insulin resistance.
Most hormones of the endocrine system are regulated by a:
- A. Negative feedback mechanism.
- B. Positive feedback mechanism.
- C. Hormone-receptor complex.
- D. Hormone-gene complex.
Correct Answer: A
Rationale: The correct answer is A: Negative feedback mechanism. This is because most hormones in the endocrine system are regulated by a negative feedback loop, where the release of a hormone is inhibited once a certain level of that hormone is reached in the body. This helps maintain homeostasis.
Incorrect choices:
B: Positive feedback mechanism - This is less common in hormone regulation as it leads to amplification of a response rather than maintaining balance.
C: Hormone-receptor complex - While hormones bind to receptors to exert their effects, this is not the primary mechanism of hormone regulation.
D: Hormone-gene complex - While hormones can affect gene expression, this is not the primary mechanism of hormone regulation in the endocrine system.
ACTH stimulates the:
- A. hypothalamus to secrete corticotropin-releasing hormone (CRH).
- B. adenohypophysis to secrete cortisol.
- C. adrenal cortex to secrete cortisol.
- D. adrenal medulla to secrete glucagon.
Correct Answer: C
Rationale: The correct answer is C because ACTH (adrenocorticotropic hormone) stimulates the adrenal cortex to secrete cortisol. Step 1: ACTH is released from the anterior pituitary gland. Step 2: ACTH stimulates the adrenal cortex to produce and release cortisol. Choice A is incorrect because CRH is secreted by the hypothalamus to stimulate ACTH release. Choice B is incorrect because cortisol is produced in the adrenal cortex, not the adenohypophysis. Choice D is incorrect because the adrenal medulla secretes adrenaline and noradrenaline, not glucagon.
A clinic nurse wants to evaluate the effectiveness of her health teaching about diet and insulin administration. Which of the following observations during the patient's next clinic visit would indicate that the patient had learned what she had been taught?
- A. A weight gain of 6 lb
- B. An elevated blood glucose
- C. Urine test negative for sugar and acetone
- D. Beginning hypertrophy at an injection site
Correct Answer: C
Rationale: A negative urine test for sugar and acetone would show that the patient has learned proper insulin administration and diet management.
Which patient should the nurse plan to teach how to prevent or delay the development of diabetes?
- A. An obese 50-year-old Hispanic woman
- B. A child whose father has type 1 diabetes
- C. A 34-year-old woman whose parents both have type 2 diabetes
- D. A 12-year-old boy whose father has maturity onset diabetes of the young (MODY)
Correct Answer: A
Rationale: An obese 50-year-old Hispanic woman is at high risk for developing type 2 diabetes and would benefit from education on prevention.