Porth Patho CH 31

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A client with hyperthyroidism is being treated with medication that blocks the activity of thyroid-stimulating hormone. Her care team has determined that she has been overproducing TSH. This client will have lost her ability to:

have negative feedback regulation.

While reviewing the major actions of follicle-stimulating hormone (FSH), the faculty points out that in males, this hormone is responsible for the:

sperm production.

Which of the following is the role of glucagon in initiating the breakdown of glycogen?

First messenger

A nurse who works in the office of an endocrinologist is orienting a new staff member. Which teaching point should the nurse include in the orientation?

"A single hormone can act on not only one process or organ but often on several different locations or processes."

Which of the following hormones exert paracrine action?

Estrogen Progesterone

The nurse is assessing a client with thyrotoxicosis and the nurse is explaining how the thyroid gland is stimulated to release thyroid hormones. The nurse should describe what process?

Action of releasing hormones from hypothalamus

When hormones act locally rather than being secreted into the bloodstream, their actions are termed what?

Autocrine and paracrine

The endocrine system is closely linked with the nervous system. What neurotransmitter can also act as a hormone?

Epinephrine

Which hormone triggers the positive feedback mechanism that controls the secretion of luteinizing hormone (LH) levels?

Estrogen

Which of the following statements is correct about hormone transport? Select all that apply.

Insulin is unbound. Prolactin is unbound. Glucocorticoids are bound.

Which of the following body functions is regulated by several hormones?

Lipolysis

What is the most common mechanism of hormone control?

Negative Feedback

A nursing instructor is teaching a group of students about the action of hormones. The instructor determined that teaching was effective when the students' recognize the local action of hormones as:

Paracrine -relating to or denoting a hormone which has effect only in the vicinity of the gland secreting it.

Which gland is often referred to as the master gland because it secretes many hormones?

Pituitary

The nurse is caring for a client who is receiving exogenous corticosteroids for rheumatoid arthritis. Recognizing that hormone levels are regulated by negative feedback, which of these laboratory test results does the nurse anticipate uncovering when reviewing the medical record?

Reduction in ACTH

The nurse is teaching a client who has been newly diagnosed with hypothyroidism about the function of the thyroid. Which of these does the nurse explain to the client is the role of the thyroid gland?

The thyroid gland is responsible for increasing the metabolic rate.


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