Nokea
You are caring for a diabetic patient who is developing DKA. Which delegated task is most appropriate?
- A. Ask the unit clerk to page the physician to come to the unit.
- B. Ask the LPN/LVN to administer IV insulin according to the sliding scale.
- C. Ask the nursing assistant to check the patient's level of consciousness.
- D. Ask the nursing assistant to get the patient a cup of orange juice.
Correct Answer: C
Rationale: Checking the patient's level of consciousness is a crucial assessment for a patient developing DKA, and this task can be delegated to the nursing assistant.
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A deficiency of insulin causes:
- A. hypocalcemia.
- B. hyperglycemia.
- C. Cushing syndrome.
- D. adrenal shock.
Correct Answer: B
Rationale: The correct answer is B: hyperglycemia. Insulin deficiency leads to an inability to regulate blood sugar levels, resulting in elevated blood glucose levels. Without insulin, glucose cannot enter cells for energy utilization, leading to hyperglycemia. The other choices are incorrect because: A: Hypocalcemia is low calcium levels, not caused by insulin deficiency. C: Cushing syndrome is a hormonal disorder caused by prolonged exposure to high levels of cortisol, not related to insulin deficiency. D: Adrenal shock is a life-threatening condition due to insufficient adrenal gland function, not directly caused by insulin deficiency.
The primary role of the parathyroid gland is:
- A. To maintain metabolic homeostasis
- B. To regulate serum calcium levels
- C. To send hormonal signals to other endocrine glands
- D. To receive hormonal signals from the hypothalamus
Correct Answer: B
Rationale: The correct answer is B: To regulate serum calcium levels. The parathyroid gland secretes parathyroid hormone (PTH) to regulate calcium levels in the blood. PTH increases calcium levels by stimulating bone resorption, enhancing calcium absorption in the intestines, and promoting calcium reabsorption in the kidneys. Choices A, C, and D are incorrect because the primary function of the parathyroid gland is specifically related to calcium regulation, not general metabolic homeostasis, signaling to other glands, or receiving signals from the hypothalamus.
The enzyme amylase breaks down?
- A. Carbohydrates
- B. Proteins
- C. Fats
Correct Answer: A
Rationale: The correct answer is A: Carbohydrates. Amylase is an enzyme that specifically breaks down carbohydrates, such as starch and glycogen, into simpler sugars like glucose. It does this by catalyzing the hydrolysis of alpha-1,4-glycosidic linkages in polysaccharides. Proteins are broken down by protease enzymes, not amylase. Fats are broken down by lipase enzymes. Choice D is incomplete and does not provide a relevant option.
Superior mesenteric artery is …………to the neck of the pancreas and ………….to uncinate process
- A. Posterior, inferior
- B. Anterior, posterior
- C. Posterior, superior
- D. Posterior, anterior
Correct Answer: D
Rationale: The correct answer is D because the superior mesenteric artery is located posterior to the neck of the pancreas and anterior to the uncinate process. This is anatomically accurate as the artery runs behind the neck of the pancreas and in front of the uncinate process. Choice A is incorrect as it places the artery inferior to the neck of the pancreas. Choice B is incorrect as it positions the artery in front of the neck of the pancreas and behind the uncinate process. Choice C is incorrect as it suggests the artery is above the neck of the pancreas and behind the uncinate process, which is not accurate in anatomical terms.
Pro-opiomelanocortin (POMC) is a prohormone for __________.
- A. ACTH
- B. growth hormone
- C. thyroxin
- D. insulin
Correct Answer: A
Rationale: Rationale: POMC is processed into various peptide hormones, including adrenocorticotropic hormone (ACTH). ACTH is produced by the pituitary gland and stimulates the adrenal glands to release cortisol. This is why option A is correct. Growth hormone, thyroxin, and insulin are not derived from POMC, making options B, C, and D incorrect.