Mr. M has just had a subtotal thyroidectomy. During the first 12 hours postoperatively, which of the following should be included in his nursing care?
- A. Instructing the patient to avoid moving the head
- B. Monitoring for signs of hemorrhage and shock
- C. Administering medications to reduce thyroid hormone levels
- D. Preparing the patient for thyroid replacement therapy
Correct Answer: B
Rationale: Postoperative care after a thyroidectomy focuses on monitoring for complications like hemorrhage, which can be life-threatening.
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Which of the following hormones is released in response to a nerve impulse?
- A. ADH
- B. cortisol
- C. testosterone
- D. insulin
Correct Answer: A
Rationale: The correct answer is A: ADH (Antidiuretic Hormone). ADH is released in response to a nerve impulse to regulate water balance in the body by increasing water reabsorption in the kidneys. Nerve impulses trigger the release of ADH from the posterior pituitary gland. Cortisol (B) is released in response to stress, testosterone (C) is a sex hormone, and insulin (D) is released in response to high blood sugar levels, not nerve impulses.
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.
Which row identifies the product at each electrode?
- A. bromide ions, lead ions
- B. bromine, lead
- C. lead ions, bromide ions
- D. lead, bromine
Correct Answer: D
Rationale: The correct answer is D because lead is the product at the cathode (negative electrode) during electrolysis, while bromine is the product at the anode (positive electrode). Lead is reduced at the cathode to form lead metal, and bromine is oxidized at the anode to form bromine gas. This is in line with the general rule that cations are attracted to the cathode and are reduced, while anions are attracted to the anode and are oxidized.
Choice A is incorrect as bromide ions are reduced at the cathode, not lead ions. Choice B is incorrect because bromine is produced at the anode, not lead. Choice C is incorrect because lead ions are reduced at the cathode, not bromide ions.
Alcohol suppresses the secretion of ______ and thus _______ the reabsorption of water from the kidneys.
- A. ADH: decreases
- B. ADH: increases
- C. aldosterone: decreases
- D. aldosterone: increases
Correct Answer: A
Rationale: The correct answer is A. Alcohol suppresses the secretion of ADH (antidiuretic hormone), which leads to a decrease in the reabsorption of water from the kidneys. ADH is responsible for increasing water reabsorption, so suppressing it results in more water being excreted. Choices B, C, and D are incorrect because alcohol does not affect aldosterone secretion, and aldosterone primarily regulates sodium reabsorption rather than water reabsorption. ADH is the hormone directly involved in water reabsorption in the kidneys, making choice A the correct answer.
Which of the following is least associated with the adrenal medulla?
- A. Catecholamines
- B. Epinephrine and norepinephrine
- C. Fight-or-flight response
- D. Sugar, salt, and sex
Correct Answer: D
Rationale: The correct answer is D because the adrenal medulla is primarily involved in the production of catecholamines, specifically epinephrine and norepinephrine, which are associated with the fight-or-flight response. This response is triggered by stress and prepares the body for action by increasing heart rate, dilating airways, and redirecting blood flow. On the other hand, the regulation of sugar, salt, and sex hormones is mainly controlled by the adrenal cortex, not the adrenal medulla. Therefore, while choices A, B, and C are directly related to the adrenal medulla's function, choice D is least associated with it.