Nokea
Which of the following evidences anticholinergic side effects:
- A. Excessive salivation
- B. Bradycardia
- C. Diarrhea and colic
- D. Tachycardia
Correct Answer: D
Rationale: The correct answer is D: Tachycardia. Anticholinergic medications block the action of acetylcholine, leading to increased heart rate (tachycardia) by inhibiting the parasympathetic nervous system. Excessive salivation (choice A) is a cholinergic effect, not anticholinergic. Bradycardia (choice B) is not consistent with anticholinergic side effects. Diarrhea and colic (choice C) are more commonly associated with cholinergic, not anticholinergic, effects.
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To prevent hyperglycemia or hypoglycemia related to exercise, what should the nurse teach the patient using glucose-lowering agents about the best time for exercise?
- A. Only after a 15-g carbohydrate snack is eaten
- B. About 1 hour after eating when blood glucose levels are rising
- C. When glucose monitoring reveals that the blood glucose is in the normal range
- D. When blood glucose levels are high, because exercise always has a hypoglycemic effect
Correct Answer: B
Rationale: Exercising about 1 hour after eating helps to ensure blood glucose is rising and reduces the risk of hypoglycemia.
Nervousness, increased body temperature, and increased blood-pressure are indications of _______.
- A. diabetes mellitus
- B. hypoglycemia
- C. hypothyroidism
- D. hyperthyroidism
Correct Answer: D
Rationale: The correct answer is D: hyperthyroidism. Nervousness, increased body temperature, and increased blood pressure are classic symptoms of hyperthyroidism. This condition is characterized by an overactive thyroid gland, leading to an excess production of thyroid hormones. These hormones can cause an increase in metabolism, leading to symptoms such as nervousness, heat intolerance, and elevated heart rate. Diabetes mellitus (A) is not associated with increased body temperature or blood pressure. Hypoglycemia (B) is characterized by low blood sugar levels, leading to symptoms such as dizziness and confusion, not increased body temperature. Hypothyroidism (C) is characterized by an underactive thyroid gland, leading to symptoms such as fatigue, weight gain, and cold intolerance, not increased body temperature or blood pressure.
A patient with acromegaly is treated with a transsphenoidal hypophysectomy. What should the nurse do postoperatively?
- A. Ensure that any clear nasal drainage is tested for glucose.
- B. Maintain the patient flat in bed to prevent cerebrospinal fluid (CSF) leakage.
- C. Assist the patient with toothbrushing every 4 hours to keep the surgical area clean.
- D. Encourage deep breathing, coughing, and turning to prevent respiratory complications.
Correct Answer: A
Rationale: Clear nasal drainage should be tested for glucose to rule out cerebrospinal fluid leakage, which can occur after transsphenoidal surgery.
Adrenocorticotropic hormone (ACTH) stimulates the ___ to produce and release its hormones.
- A. anterior pituitary
- B. adrenal medulla
- C. kidneys
- D. adrenal cortex
Correct Answer: D
Rationale: The correct answer is D: adrenal cortex. ACTH stimulates the adrenal cortex to produce and release its hormones, including cortisol. The anterior pituitary produces ACTH, but it does not release hormones itself. The adrenal medulla is primarily stimulated by the sympathetic nervous system, not ACTH. The kidneys are not directly stimulated by ACTH to produce and release hormones. Therefore, the adrenal cortex is the correct choice as it directly responds to ACTH stimulation.
Aldosterone:
- A. is a mineralocorticoid secreted by the adrenal cortex.
- B. functions in the regulation of blood glucose levels.
- C. stimulates the kidney to excrete sodium and reabsorb potassium.
- D. All is applicable.
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct:
1. Aldosterone is a mineralocorticoid hormone secreted by the adrenal cortex.
2. It plays a key role in regulating electrolyte balance, specifically sodium and potassium levels.
3. Aldosterone acts on the kidneys to increase sodium reabsorption and potassium excretion.
4. This hormone helps to maintain blood pressure and fluid balance in the body.
Summary of why other choices are incorrect:
- Choice B (functions in the regulation of blood glucose levels): Aldosterone does not play a significant role in blood glucose regulation.
- Choice C (stimulates the kidney to excrete sodium and reabsorb potassium): This statement is partially true, but aldosterone actually stimulates sodium reabsorption and potassium excretion.
- Choice D (All is applicable): While aldosterone has various functions, not all statements apply to its actions.