Walden NURS6501 Anniversary 9 Quiz latest 2017
A accommodating wants to apperceive what can account ACTH to be released.How should the assistant respond?
a. Aerial serum levels of cortisol
A apprentice asks the adviser which of the afterward is the best almighty artlessly occurring glucocorticoid. How should the adviser respond?
A accommodating has researched lipid-soluble hormones on the Internet. Which advice indicates the accommodating has a acceptable understanding? Lipid-soluble hormone receptors cantankerous the claret film by:
c. Active transport
A 45-year-old changeable has animated thyroxine production.Which of the afterward would accompany this condition?
a. Increased thyroid-releasing hormone (TRH)
b. Increased antecedent pituitary stimulation
c. Decreased T4
d. Decreased thyroid-stimulating hormone (TSH)
A 40-year-old macho undergoes anaplasty for a PTH-secreting bump in which the parathyroid is removed. Which of the afterward would the assistant apprehend afterward surgery?
a. Increased serum calcium
b. Decreased cartilage formation
c. Decreased calcium reabsorption in the kidney
d. Increased calcitonin
A 35-year-old changeable with Graves ache is accepted to a medical-surgical unit. While the assistant is reviewing the lab tests, which after-effects would the assistant apprehend to find?
a. Aerial levels of circulating thyroid-stimulating antibodies
b. Ectopic beard of thyroid-stimulating hormone (TSH)
c. Low circulating levels of thyroid hormones
d. Increased apportionment of iodine
A 12-year-old macho is anew diagnosed with blazon 1 DM. Which of the afterward tests should the assistant acclimate the accommodating to best affirm the diagnosis?
a. Fasting claret glucose levels
b. Random serum glucose levels
c. Genetic testing
d. Glycosylated claret measurements
A 25-year-old macho presents with fatigue, constipation, and animal dysfunction. Tests acknowledge all pituitary hormones are accustomed and no masses are present. The assistant suspects the best acceptable account of his affection is a dysfunction in the:
a. Antecedent pituitary
b. After pituitary
c. Pars intermedia
d. Pituitary stalk
While planning affliction for a accommodating from accepted anesthesia, which assumption should the assistant remember? A ancillary aftereffect of some accepted analgesic agents is _____ diabetes insipidus.
When insulin binds to its receptors on beef cells, an access in glucose uptake by the beef beef occurs. This is an archetype of a _____ aftereffect by a hormone.
Diabetes insipidus, diabetes mellitus (DM), and SIADH allotment which of the afterward appraisal manifestations?
An endocrinologist abandoned a new hormone and begin it to be a water-soluble amine. Which of the afterward is best like this new hormone?
a. Advance hormone (GH)
b. Luteinizing hormone (LH)
c. Antidiuretic hormone (ADH)
A 54-year-old accommodating with pulmonary tuberculosis (lung infection) is evaluated for affection of inappropriate ADH beard (SIADH).Which of the afterward electrolyte imbalances would be accepted in this patient?
A accommodating wants to apperceive why ADH is important in the body.What is the nurse’s best response? ADH is important in:
a. The body’s baptize antithesis and urine concentration
b. Maintaining electrolyte levels and concentrations
c. Follicular maturation
d. Regulation of metabolic processes
A 35-year-old changeable took corticosteroid analysis for several months. Which of the afterward would the assistant apprehend to find?
a. Renal toxicity
b. Episodes of hypoglycemia
d. Blazon 2 DM
If the accommodating has a botheration with the pineal gland, which actuality would the assistant monitor?
A 50-year-old macho accommodating presents with polyuria and acute thirst. He was accustomed exogenous ADH. For which of the afterward altitude would this analysis be effective?
a. Neurogenic diabetes insipidus
b. Psychogenic diabetes insipidus
c. Nephrogenic diabetes insipidus
While planning affliction for a accommodating with hypothyroidism, which assumption should the assistant remember? The basal metabolic amount is almighty _____ with hypothyroidism.
If a patient’s after pituitary is removed, which hormone would the assistant apprehend to decrease?
An abettor asks the assistant what is the best accepted account of animated levels of antidiuretic hormone (ADH) secretion. How should the assistant respond?
a. Autoimmune disease
d. Heart failure
What accepted neurologic disturbances should the assistant appraise for in a accommodating with a pituitary adenoma?
b. Beheld disturbances
c. Confused states
d. Breathing abnormalities
A 50-year-old changeable presents with lightheadedness and all-embracing aberrant feelings. Hyperaldosteronism is diagnosed. Which of the afterward affection would the assistant expect?
A 19-year-old changeable with blazon 1 DM was accepted to the hospital with the afterward lab values: serum glucose 500 mg/dl (high), urine glucose and ketones 4+ (high), and arterial pH 7.20 (low). Her parents accompaniment that she has been ailing with the “flu” for a week. Which of the afterward statements best explains her acidotic state?
a. Increased insulin levels advance protein breakdown and ketone formation.
b. Her amoral diabetes has led to renal failure.
c. Low serum insulin promotes lipid accumulator and a agnate absolution of ketones.
d. Insulin absence promotes lipid metabolism and ketone formation.
A 25-year-old macho presents to his primary affliction provider advertisement changes in facial features. CT browse reveals a accumulation on the antecedent pituitary, and lab tests acknowledge acutely animated advance hormone (GH). Which of the afterward would the assistant additionally apprehend to find?
a. Decreased IGF-1
c. Animal dysfunction
d. Height increases
A assistant recalls insulin has an aftereffect on which of the afterward groups of electrolytes?
a. Sodium, chloride, phosphate
b. Calcium, magnesium, potassium
c. Hydrogen, bicarbonate, chloride
d. Potassium, magnesium, phosphate
A 12-year-old changeable is anew diagnosed with blazon 1 DM. When the parents ask what causes this, what is the nurse’s best response?
a. A familial, autosomal ascendant gene defect
b. Obesity and abridgement of exercise
c. Immune abolition of the pancreas
d. Hyperglycemia from bistro too abounding sweets
When a accommodating wants to apperceive what best frequently causes hypoparathyroidism, how should the assistant reply? It is best frequently acquired by:
a. Pituitary hyposecretion
b. Parathyroid adenoma
c. Parathyroid gland injury
d. Hypothalamic inactivity
A 50-year-old macho accommodating is amiss in ADH production.Which of the afterward appraisal allegation would the assistant apprehend to find?
a. Increased claret volume
b. Increased urine osmolality
c. Increased urine volume
d. Increased arterial vasoconstriction
A 30-year-old macho was diagnosed with hypothyroidism.Synthesis of which of the afterward would abatement in this patient?
a. Corticosteroid B globulin
b. Sex hormone-binding globulin
c. Thyroid-binding globulin
A 22-year-old macho is accepted to the accelerated affliction assemblage with a bankrupt arch abrasion abiding in a motorcycle accident. The abrasion has acquired astringent accident to the after pituitary. Which of the afterward complications should the assistant anticipate?
a. Dilutional hyponatremia
b. Dehydration from polyuria
c. Cardiac arrest from hyperkalemia
d. Metabolic acidosis
A accommodating has aerial levels of hormones. To acclimate to the aerial hormone concentrations, the patient’s ambition beef accept the accommodation for:
a. Negative feedback
b. Positive feedback
A 25-year-old changeable with Graves ache is accepted to a medical-surgical unit. Palpation of her close would best acceptable reveal:
a. A normal-sized thyroid
b. A baby detached thyroid nodule
c. Multiple detached thyroid nodules
d. Diffuse thyroid enlargement
A 30-year-old macho presents to his primary affliction provider advertisement beheld disturbances. CT reveals a pituitary bump and lab tests acknowledge animated prolactin. He is diagnosed with prolactinoma. Which of the afterward treatments would the assistant advice implement?
a. Dopaminergic agonists
A 3-year-old macho was diagnosed with complete hypothyroidism. The parents ask the assistant if larboard basic what will happen.What is the nurse’s best response? If larboard untreated, the adolescent would have:
a. Mental amentia and bantam growth
b. Increased accident of adolescence thyroid cancer
c. Hyperactivity and absorption arrears disorder
d. Liver, kidney, and pancreas failure
Visual disturbances are a accepted accident in patients with basic Graves disease. The endocrinologist explains to the accommodating that the capital account of these complications is:
a. Decreased claret breeze to the eye
b. Orbital edema and appendage of the eyeball
c. TSH neurotoxicity to retinal cells
d. Local lactic acidosis