Nokea
Mr. Johnson received his first dose of Lente insulin at 7:30 A.M. When should he be observed for signs of hypoglycemia?
- A. 10-11 A.M.
- B. 4-6 P.M.
- C. Between 2 A.M. and breakfast
- D. Immediately after the injection
Correct Answer: B
Rationale: Lente insulin has an onset of action that typically peaks 4-6 hours after injection, so this is when signs of hypoglycemia are most likely to occur.
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All of the following are effects of chronic tobacco smoking EXCEPT:
- A. Peripheral vascular disease
- B. Cardiac arrhythmias
- C. Hypotension
- D. Increased gastric secretion
Correct Answer: C
Rationale: The correct answer is C: Hypotension. Chronic tobacco smoking typically causes vasoconstriction, leading to increased blood pressure rather than hypotension. Peripheral vascular disease (A), cardiac arrhythmias (B), and increased gastric secretion (D) are common effects of chronic tobacco smoking due to the harmful impact on blood vessels, heart function, and gastrointestinal system.
To ensure accurate results of a fasting blood glucose analysis, the nurse instructs the patient to fast for at least how long?
- A. 2 hours
- B. 4 hours
- C. 8 hours
- D. 12 hours
Correct Answer: C
Rationale: A fasting blood glucose test requires the patient to fast for at least 8 hours to ensure accurate results.
Which of the following is most responsive to treatment with thyroxine?
- A. Diabetes mellitus
- B. Hyperglycemia
- C. Myxedema
- D. Graves’ disease
Correct Answer: C
Rationale: Rationale:
1. Myxedema is caused by hypothyroidism, which can be effectively treated with thyroxine.
2. Thyroxine is a synthetic form of thyroid hormone that helps restore thyroid hormone levels.
3. Myxedema symptoms such as fatigue, weight gain, and cold intolerance improve with thyroxine treatment.
Summary of Incorrect Choices:
A. Diabetes mellitus and hyperglycemia are not directly related to thyroid hormone levels.
B. Hyperglycemia is not primarily treated with thyroxine.
D. Graves' disease is a thyroid disorder characterized by hyperthyroidism, which requires different treatments than hypothyroidism.
The hypothalamus secretes releasing and inhibiting hormones that regulate the production and secretion of hormones from the:
- A. adrenal cortex
- B. anterior pituitary gland
- C. posterior pituitary gland
- D. thyroid gland
Correct Answer: B
Rationale: The correct answer is B: anterior pituitary gland. The hypothalamus secretes releasing and inhibiting hormones that travel to the anterior pituitary gland through the hypophyseal portal system, where they regulate the production and secretion of various hormones. This control mechanism ensures proper hormonal balance in the body. Choices A, C, and D are incorrect because the adrenal cortex, posterior pituitary gland, and thyroid gland are not directly regulated by the hypothalamus through releasing and inhibiting hormones.
Chief cells secrete:
- A. HCl
- B. pepsinogen
- C. intrinsic factor
- D. HCO3-
Correct Answer: B
Rationale: Chief cells in the stomach secrete pepsinogen, which is the inactive precursor of pepsin, an enzyme that helps break down proteins. This is the correct answer because pepsinogen is the primary product secreted by chief cells. HCl is secreted by parietal cells, intrinsic factor is secreted by parietal cells in the stomach, and HCO3- is secreted by the pancreas to neutralize stomach acid in the duodenum.