Nokea
The neurohypophysis or posterior lobe of the pituitary gland is not a true endocrine gland because ________.
- A. it is strictly a part of the neural system and has little or nothing to do with hormonal release
- B. embryonically it was an endocrine tissue, but in the adult human it is no longer functional
- C. it is unable to function as an endocrine tissue because it is actually part of the neural system due to its location
- D. it is only a hormone storage area that receives hormones from the hypothalamus for release
Correct Answer: D
Rationale: The correct answer is D because the neurohypophysis stores hormones produced by the hypothalamus for release into the bloodstream. The neurohypophysis does not produce its own hormones but acts as a storage and release site.
A is incorrect as the neurohypophysis does play a role in hormonal release through the release of hormones produced by the hypothalamus. B is incorrect as the neurohypophysis remains functional in adults. C is incorrect as the neurohypophysis does function as an endocrine tissue by releasing hormones into the bloodstream.
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Regarding parathyroid glands, All the following statements are true Except:
- A. They are four small yellowish brown ovoid glands
- B. They lie in relation to the posterior border of thyroid lobes
- C. Release of its hormones is controlled by pituitary gland
- D. Its hormone controls blood calcium level
Correct Answer: C
Rationale: The correct answer is C because the release of hormones by the parathyroid glands is actually controlled by the levels of calcium in the blood, not by the pituitary gland.
A: True - Parathyroid glands are four small yellowish brown ovoid glands.
B: True - They lie in relation to the posterior border of thyroid lobes.
D: True - The hormone produced by the parathyroid glands, parathyroid hormone (PTH), controls blood calcium levels by stimulating the release of calcium from bones and increasing the absorption of calcium from the intestines.
PTH:
- A. lowers plasma calcium.
- B. stimulates osteoclastic activity.
- C. is an iodine-containing hormone.
- D. stimulates osteoblastic activity and causes blood calcium levels to increase.
Correct Answer: B
Rationale: The correct answer is B: stimulates osteoclastic activity. Parathyroid hormone (PTH) acts on bones to stimulate osteoclasts, which are responsible for breaking down bone tissue to release calcium into the bloodstream. This process helps increase blood calcium levels. Choices A, C, and D are incorrect because PTH actually increases plasma calcium levels, is not an iodine-containing hormone, and does not stimulate osteoblastic activity.
What gland is located just superior to the kidneys?
- A. Pituitary
- B. Pancreas
- C. Ovaries
- D. Adrenal
Correct Answer: D
Rationale: The correct answer is D: Adrenal. The adrenal glands are located just superior to the kidneys. They are responsible for producing hormones such as cortisol, adrenaline, and aldosterone. The other choices are incorrect because the pituitary gland is located in the brain, the pancreas is located in the abdominal cavity, and the ovaries are located in the pelvic region. The adrenal glands are the only glands located just superior to the kidneys, making choice D the correct answer.
Mrs. J, a 40-year-old woman, was recently diagnosed with hypothyroidism. Which of the following is most likely to be included in her treatment plan?
- A. A high-protein diet
- B. Thyroid hormone replacement therapy
- C. A high-fiber diet
- D. Low-sodium medications
Correct Answer: B
Rationale: Thyroid hormone replacement therapy is the mainstay of treatment for hypothyroidism to restore normal thyroid function.
A nurse is taking care of a client with hyperosmolar hyperglycemic nonketotic syndrome. Which of the following is a priority area for the nurse in evaluating a client with hyperosmolar hyperglycemic nonketotic syndrome?
- A. Skin color
- B. Hydration status
- C. Temperature
- D. Response to diet
Correct Answer: B
Rationale: The priority concern for clients with hyperosmolar hyperglycemic nonketotic syndrome is their hydration status, as dehydration is a key factor in this condition.