Nokea
Which of the following is the response to low plasma levels of calcium?
- A. Secretion of calcitonin
- B. Secretion of the beta cells of the islets of Langerhans
- C. Inhibition of the adenohypophyseal release of ACTH
- D. Secretion of PTH
Correct Answer: D
Rationale: The correct answer is D: Secretion of PTH. Low plasma levels of calcium trigger the parathyroid glands to release parathyroid hormone (PTH) to increase calcium levels. PTH acts on the bones to stimulate calcium release, on the kidneys to increase calcium reabsorption, and on the intestines to enhance absorption.
A: Secretion of calcitonin is incorrect because calcitonin is released in response to high calcium levels to lower them.
B: Secretion of the beta cells of the islets of Langerhans is incorrect as these cells secrete insulin in response to high blood glucose levels.
C: Inhibition of the adenohypophyseal release of ACTH is incorrect as ACTH is related to stress response, not calcium regulation.
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Which is a nutritionally essential amino acid?
- A. taunine
- B. leucine
- C. glutamate
- D. alanine
Correct Answer: B
Rationale: Rationale for correct answer (B - leucine): Leucine is an essential amino acid, meaning it cannot be synthesized by the body and must be obtained through diet. It plays a crucial role in protein synthesis, muscle repair, and growth. It is essential for overall health and well-being.
Summary of why other choices are incorrect:
A - taurine: Taurine is a conditionally essential amino acid, not nutritionally essential.
C - glutamate: Glutamate is a non-essential amino acid, as the body can synthesize it.
D - alanine: Alanine is a non-essential amino acid, as the body can also produce it.
Priority Decision: When caring for a patient with metabolic syndrome, what should the nurse give the highest priority to teaching the patient about?
- A. Achieving a normal weight
- B. Eliminating red meat from the diet
- C. Performing daily aerobic exercise
- D. Monitoring the blood glucose periodically
Correct Answer: A
Rationale: Achieving and maintaining a normal weight is the highest priority in managing metabolic syndrome and preventing further complications.
Adrenaline combination with local anesthetics has the following effects EXCEPT:
- A. Reduces the absorption of local anesthetic
- B. Increases the duration of its local anesthetic activity
- C. Decreases the toxicity of the local anesthetic
- D. Increases blood flow to the injection area
Correct Answer: D
Rationale: Correct Answer: D. Increases blood flow to the injection area.
Rationale:
1. Adrenaline is a vasoconstrictor that reduces blood flow in the injection area.
2. By constricting blood vessels, adrenaline limits the absorption of the local anesthetic, leading to prolonged local action.
3. Adrenaline also helps in reducing the systemic toxicity of the local anesthetic by limiting its absorption.
4. Therefore, the correct answer is D as adrenaline does not increase blood flow to the injection area.
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.
What preoperative instruction should the nurse give to the patient scheduled for a subtotal thyroidectomy?
- A. How to support the head with the hands when turning in bed
- B. Coughing should be avoided to prevent pressure on the incision
- C. Head and neck will need to remain immobile until the incision heals
- D. Any tingling around the lips or in the fingers after surgery is expected and temporary
Correct Answer: A
Rationale: It is important to teach the patient how to support the head when turning to avoid tension on the incision and reduce the risk of bleeding or stress on the surgical site.