Nokea
Where Are Islets of Langerhans Found?
- A. Anterior pituitary
- B. Cortex
- C. Spleen
- D. Endocrine pancreas
Correct Answer: D
Rationale: The Islets of Langerhans are clusters of cells in the pancreas that regulate blood sugar levels. Choice D, Endocrine pancreas, is correct because the Islets of Langerhans are specifically located in the pancreas. Choices A, B, and C are incorrect because the Islets of Langerhans are not found in the anterior pituitary, cortex, or spleen. The pancreas is the primary organ associated with blood sugar regulation, making it the correct location for the Islets of Langerhans.
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Some medications for relief of cold/allergy symptoms contain pseudoephedrine, which acts as a decongestant. If a patient who is taking an MAO inhibitor takes pseudoephedrine, what is the likely outcome?
- A. Acute bronchospasm/asthma due to ACh release from the adrenal medulla
- B. Hypertensive crisis, possible stroke
- C. Heart rate and contractile force would drop significantly and quickly
- D. The cold symptoms would quickly get worse (increased secretions)
Correct Answer: B
Rationale: Step 1: MAO inhibitors prevent the breakdown of neurotransmitters like norepinephrine.
Step 2: Pseudoephedrine stimulates the release of norepinephrine.
Step 3: The combination can lead to excessive norepinephrine, causing hypertension and potential stroke.
Therefore, the likely outcome when a patient taking an MAO inhibitor also takes pseudoephedrine is a hypertensive crisis and possible stroke (Choice B).
Summary:
- Choice A (acute bronchospasm/asthma due to ACh release from the adrenal medulla) is incorrect because pseudoephedrine does not directly cause this response.
- Choice C (heart rate and contractile force would drop significantly and quickly) is incorrect as pseudoephedrine tends to increase heart rate and blood pressure.
- Choice D (the cold symptoms would quickly get worse - increased secretions) is incorrect as pseudoephedrine is a decongestant and would not worsen cold symptoms
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.
Complete the following sentence: The main target for antidiuretic hormone is the…
- A. Pancreas
- B. Liver
- C. Uterus
- D. Kidney
Correct Answer: D
Rationale: The correct answer is D: Kidney. Antidiuretic hormone (ADH) acts on the kidneys to regulate water balance by increasing water reabsorption, thus reducing urine output. This hormone helps maintain proper fluid balance in the body. The other choices (A: Pancreas, B: Liver, C: Uterus) are incorrect because they do not play a direct role in water balance regulation or response to ADH stimulation. The kidney is the main target organ for ADH due to its crucial role in water reabsorption and urine concentration.
How many hormones are produced by the posterior pituitary?
- B. 1
- C. 2
- D. 6
Correct Answer: C
Rationale: The correct answer is C: 2. The posterior pituitary produces two hormones: oxytocin and vasopressin. Oxytocin is involved in childbirth and breastfeeding, while vasopressin helps regulate water balance in the body. Option A is incorrect because the posterior pituitary does produce hormones. Option B is incorrect as there are two hormones produced, not just one. Option D is incorrect as the posterior pituitary does not produce six hormones. In summary, the posterior pituitary gland produces two hormones, making option C the correct answer.
In evaluating the effectiveness of a new insulin dosage for a diabetic patient, the nurse would
- A. check the urine for sugar and acetone
- B. collect a 24-hour urine specimen for acetone determination
- C. weigh the patient daily
- D. rotate the site of injection
Correct Answer: A
Rationale: Checking urine for sugar and acetone provides a quick measure of whether the insulin dosage is adequate in controlling blood glucose levels.