Nokea
The secretion of this gland enhances a sympathetic response.
- A. Adrenal medulla
- B. Pancreas
- C. Adrenal cortex
- D. Parathyroid
Correct Answer: A
Rationale: The correct answer is A: Adrenal medulla. The adrenal medulla secretes adrenaline and noradrenaline, which are hormones that enhance the sympathetic response of the body. This response includes increased heart rate, dilation of airways, and increased blood flow to muscles. The other choices, B: Pancreas, C: Adrenal cortex, and D: Parathyroid, do not directly enhance sympathetic responses. The pancreas regulates blood sugar levels, the adrenal cortex produces cortisol and aldosterone, and the parathyroid regulates calcium levels. Therefore, only the adrenal medulla directly contributes to the sympathetic response, making it the correct choice.
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Verapamil is a drug used for treating hypertension. It should be used with caution with other drugs that can depress heart rate or contractility. Which drug, if given with verapamil, might therefore cause the greatest risk of depressing heart rate, contractile force, or impulse conduction?
- A. Albuterol
- B. Scopolamine
- C. Propranolol
- D. Isoproterenol
Correct Answer: C
Rationale: The correct answer is C: Propranolol. Verapamil is a calcium channel blocker that can depress heart rate and contractility. Propranolol is a beta-blocker that also decreases heart rate and contractile force. When combined, both drugs can have an additive effect leading to a significant decrease in heart rate and contractility, potentially causing bradycardia or heart failure.
Albuterol (A) is a beta-2 agonist that actually increases heart rate and contractility. Scopolamine (B) is an anticholinergic drug that may decrease heart rate, but its effect is not as significant as propranolol. Isoproterenol (D) is a beta agonist that increases heart rate and contractility, so its combination with verapamil would not pose the same risk as propranolol.
A nurse is teaching a client regarding a hormone that is released by beta islet cells in the pancreas. Which hormone is it?
- A. Progesterone
- B. Glucagon
- C. Insulin
- D. Parathormone
Correct Answer: C
Rationale: Insulin is released by beta cells in the pancreas and helps regulate blood sugar levels by promoting glucose uptake into cells.
Which part of pancreas lies near the hilum of the spleen?
- A. Head
- B. Neck
- C. Body
- D. Tail
Correct Answer: D
Rationale: Step 1: The pancreas is an elongated organ located behind the stomach.
Step 2: The tail of the pancreas is the left end of the organ and is closest to the hilum of the spleen.
Step 3: The spleen and the tail of the pancreas are adjacent to each other in the upper left quadrant of the abdomen.
Step 4: Therefore, the correct answer is D: Tail.
Summary:
- A: Head is incorrect as it is the right end of the pancreas, farther away from the spleen.
- B: Neck is incorrect as it is the narrow portion between the head and body, not near the spleen.
- C: Body is incorrect as it is the central and longest part of the pancreas, not near the spleen.
- D: Tail is correct as it is the left end of the pancreas, nearest to the hilum of the spleen.
Priority Decision: What is the priority nursing intervention during the management of the patient with pheochromocytoma?
- A. Administering IV fluids
- B. Administering β-adrenergic blockers
- C. Monitoring blood pressure
- D. Monitoring intake and output and daily weights
Correct Answer: B
Rationale: In managing pheochromocytoma, monitoring and controlling blood pressure is the priority intervention due to the risk of hypertensive crises caused by catecholamine secretion from the tumor.
When it becomes necessary to enlist the fight-or-flight response, a hormone that is released during the alarm phase of the general adaptation syndrome is ________.
- A. estrogen
- B. epinephrine
- C. angiotensinogen
- D. renin
Correct Answer: B
Rationale: The correct answer is B: epinephrine. During the alarm phase of the general adaptation syndrome, the body activates the fight-or-flight response to cope with stress. Epinephrine, also known as adrenaline, is released by the adrenal glands in response to stress or danger. It increases heart rate, boosts energy, and enhances focus, preparing the body to either fight the stressor or flee from it. Estrogen (A) is a sex hormone, not involved in the fight-or-flight response. Angiotensinogen (C) and renin (D) are part of the renin-angiotensin-aldosterone system, regulating blood pressure and fluid balance, not directly related to the fight-or-flight response.