Question 12

An endocrinologist isolated a new hormone and found it to be a water-soluble amine. Which of the following is most like this new hormone?

a. Growth hormone (GH)
b. Luteinizing hormone (LH)
c. Antidiuretic hormone (ADH)
d. Epinephrine

Question 13

A 54-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for syndrome of inappropriate ADH secretion (SIADH).Which of the following electrolyte imbalances would be expected in this patient?

a. Hyponatremia
b. Hyperkalemia
c. Hypernatremia
d. Hypokalemia

Question 14

A patient wants to know why ADH is important in the body.What is the nurse’s best response? ADH is important in:

a. The body’s water balance and urine concentration
b. Maintaining electrolyte levels and concentrations
c. Follicular maturation
d. Regulation of metabolic processes

Question 15

A 35-year-old female took corticosteroid therapy for several months. Which of the following would the nurse expect to find?

a. Renal toxicity
b. Episodes of hypoglycemia
c. Hypotension
d. Type 2 DM

Question 16

If the patient has a problem with the pineal gland, which substance would the nurse monitor?

a. Melatonin
b. Epinephrine
c. Cortisol
d. Somatostatin

Question 17

A 50-year-old male patient presents with polyuria and extreme thirst. He was given exogenous ADH. For which of the following conditions would this treatment be effective?

a. Neurogenic diabetes insipidus
b. Psychogenic diabetes insipidus
c. Nephrogenic diabetes insipidus
d. SIADH

Question 18

While planning care for a patient with hypothyroidism, which principle should the nurse remember? The basal metabolic rate is unusually _____ with hypothyroidism.

a. High
b. Low
c. Steady
d. Variable

Question 19

If a patient’s posterior pituitary is removed, which hormone would the nurse expect to decrease?

a. PRF
b. ADH
c. ACTH
d. GH

Question 20

An aide asks the nurse what is the most common cause of elevated levels of antidiuretic hormone (ADH) secretion. How should the nurse respond?

a. Autoimmune disease
b. Cancer
c. Pregnancy
d. Heart failure

Question 21

What common neurologic disturbances should the nurse assess for in a patient with a pituitary adenoma?

a. Coma
b. Visual disturbances
c. Confused states
d. Breathing abnormalities

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