Nokea
Which is NOT part of the normal content of gastric juice?
- A. HPO42-
- B. mucus
- C. lipase
- D. amylase
Correct Answer: D
Rationale: The correct answer is D: amylase. Gastric juice primarily consists of hydrochloric acid, pepsin, and mucus. Amylase is an enzyme produced in the pancreas, not in the stomach. It functions in the small intestine to break down carbohydrates. Therefore, amylase is not a normal component of gastric juice. Choices A, B, and C are incorrect because HPO42- (phosphate ions), mucus, and lipase are all typically found in gastric juice.
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Which change in vital signs would you instruct a nursing assistant to report immediately for a patient with hyperthyroidism?
- A. Increased and rapid heart rate
- B. Decreased systolic blood pressure
- C. Increased respiratory rate
- D. Decreased oral temperature
Correct Answer: A
Rationale: Increased and rapid heart rate is a critical sign of hyperthyroidism and requires immediate reporting, as it could indicate an exacerbation of the condition or potential complications.
Regarding iron:
- A. it is more readily absorbed in the ferric form
- B. men lose about 0.6mg/d
- C. average daily iron intake is 40mg
- D. ascorbic acid reduces iron absorption
Correct Answer: B
Rationale: The correct answer is B because men lose about 0.6mg of iron per day through various physiological processes like shedding skin cells and hair. This loss must be replenished through dietary intake to maintain iron balance. Choice A is incorrect as iron is more readily absorbed in the ferrous form. Choice C is incorrect as the average daily iron intake is around 18mg. Choice D is incorrect ascorbic acid enhances iron absorption rather than reducing it.
Selective beta2 stimulants frequently cause:
- A. Skeletal muscle tremors
- B. Tolerance
- C. Tachycardia
- D. All of the above
Correct Answer: D
Rationale: Selective beta2 stimulants typically cause skeletal muscle tremors due to their action on beta2 receptors in skeletal muscles. They can also lead to tolerance with prolonged use, requiring higher doses for the same effect. Additionally, they can cause tachycardia by stimulating beta2 receptors in the heart. Therefore, all of the above choices (A, B, and C) are correct.
Regulating hormones from the hypothalamus ________.
- A. enter venous circulation and travel to the heart, which pumps the hormone-containing blood to the pituitary
- B. enter the hepatic portal system, which feeds the pituitary
- C. travel by arteries to the pituitary
- D. first enter into the hypophyseal portal system
Correct Answer: D
Rationale: The correct answer is D because hormones from the hypothalamus first enter the hypophyseal portal system before reaching the pituitary gland. This system allows direct communication between the hypothalamus and the pituitary gland, enabling precise control over hormone release. Choices A, B, and C are incorrect because they do not accurately describe the normal pathway of hormone regulation from the hypothalamus to the pituitary gland. Option A is incorrect as hormones do not travel to the heart before reaching the pituitary. Option B is incorrect because hormones do not enter the hepatic portal system to reach the pituitary. Option C is incorrect as hormones do not travel to the pituitary through arteries.
While awaiting surgery for removal of an adrenal tumor that has produced Cushing syndrome, Mrs. A. has been placed on a strict diet to help manage her symptoms. The nurse's evaluation that the diet has been helpful includes observations that Mrs. A.
- A. has gained 5 lb
- B. has consistently low blood sugar values
- C. maintains blood pressure within normal limits
- D. becomes more moody
Correct Answer: C
Rationale: Maintaining normal blood pressure is an important goal in the management of Cushing syndrome.