Which row shows the correct order of reactivity for the elements?
- A. silver, calcium, carbon, potassium
- B. silver, carbon, calcium, potassium
- C. sodium, hydrogen, zinc, gold
- D. sodium, zinc, hydrogen, gold
Correct Answer: D
Rationale: The correct order of reactivity for elements is based on their tendency to lose electrons. In this case, sodium is the most reactive as it readily loses an electron to form a stable ion. Zinc is less reactive compared to sodium but more reactive than hydrogen and gold. Hydrogen is less reactive than both zinc and sodium. Gold is the least reactive among the options given. Therefore, the correct order of reactivity is sodium > zinc > hydrogen > gold, which matches option D. Choices A, B, and C do not follow the correct order of reactivity for the elements listed, making them incorrect.
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We have an emergency clinical situation, which requires a drug to produce both bronchodilation and raise blood pressure. Which one of the following drugs can achieve these two goals?
- A. Atropine
- B. Adrenaline
- C. Isoproterenol
- D. Noradrenaline
Correct Answer: B
Rationale: Rationale:
1. Adrenaline is a non-selective adrenergic agonist that acts on both alpha and beta receptors.
2. Activation of beta-2 receptors in the lungs causes bronchodilation.
3. Activation of alpha-1 receptors in blood vessels raises blood pressure.
4. Atropine (A) is a muscarinic antagonist, not adrenergic.
5. Isoproterenol (C) primarily targets beta receptors, not alpha for blood pressure.
6. Noradrenaline (D) mainly acts on alpha receptors, not beta for bronchodilation.
Which patient's nursing care would be most appropriate for the charge nurse to assign to the LPN, under the supervision of the RN team leader?
- A. A 51-year-old patient with bilateral adrenalectomy just returned from the post-anesthesia care unit
- B. An 83-year-old patient with type 2 diabetes and chronic obstructive pulmonary disease
- C. A 38-year-old patient with myocardial infarction who is preparing for discharge
- D. A 72-year-old patient admitted from long-term care with mental status changes
Correct Answer: A
Rationale: The care of a patient who just returned from surgery (bilateral adrenalectomy) is appropriate for an LPN under supervision, as it requires monitoring for complications and maintaining patient stability.
What is the role of the adrenal gland during moments of danger?
- A. Secrete hormones that lower metabolism.
- B. Secrete hormones that speed up digestion.
- C. Secrete hormones that increase heart rate and blood pressure.
- D. Secrete hormones that decrease heart rate and blood pressure.
Correct Answer: C
Rationale: The correct answer is C because during moments of danger, the adrenal gland secretes hormones like adrenaline and cortisol to prepare the body for a "fight or flight" response. These hormones increase heart rate and blood pressure to supply more oxygen and nutrients to the muscles, enabling the body to react quickly to the danger. Choices A, B, and D are incorrect because lowering metabolism, speeding up digestion, and decreasing heart rate and blood pressure are not adaptive responses to danger.
Mr. B, diagnosed with hypothyroidism, is being discharged after starting thyroid hormone therapy. Which of the following would indicate that the treatment is effective?
- A. A decrease in weight
- B. Normal serum thyroid hormone levels
- C. Relief of fatigue
- D. Increased appetite
Correct Answer: B
Rationale: Effective treatment for hypothyroidism is indicated by normalization of thyroid hormone levels, which helps alleviate symptoms like fatigue and weight gain.
A patient suspected of having acromegaly has an elevated plasma growth hormone (GH) level. In acromegaly, what would the nurse also expect the patient's diagnostic results to indicate?
- A. Hyperinsulinemia
- B. Plasma glucose of <70 mg/dL (3.9 mmol/L)
- C. Decreased GH levels with an oral glucose challenge test
- D. Elevated levels of plasma insulin-like growth factor-1 (IGF-1)
Correct Answer: D
Rationale: In acromegaly, elevated plasma IGF-1 levels are expected, as it is a key mediator of GH effects.