The hypothalamic-pituitary-adrenal axis plays an essential role in the regulation of the human body's stress response, which is a physiological reaction to a perceived harmful event | When the stress response is triggered, the hypothalamus regulates the level of activity of the pituitary gland, the sympathetic nervous system and the adrenal gland to stimulate release of hormones including adrenaline and cortisol

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Question 1 of 5

The hypothalamic-pituitary-adrenal axis plays an essential role in the regulation of the human body's stress response, which is a physiological reaction to a perceived harmful event | When the stress response is triggered, the hypothalamus regulates the level of activity of the pituitary gland, the sympathetic nervous system and the adrenal gland to stimulate release of hormones including adrenaline and cortisol

Correct Answer: A

Rationale: The Assertion (A) is TRUE as the HPA axis regulates stress responses. The Reason (R) is TRUE, detailing how the hypothalamus triggers hormone release during stress. R explains A by describing the mechanism of the HPA axis in stress.

Question 2 of 5

Which should the nurse include in the plan of care when administering intranasal desmopressin (DDAVP) to a client?

Correct Answer: A

Rationale: Intranasal desmopressin is most effective when sprayed high into the nasal cavity for absorption.

Question 3 of 5

Which should the nurse anticipate will be included in a client's treatment plan to limit the incidence of serious adverse effects when prescribing corticosteroids?

Correct Answer: A

Rationale: Alternate-day dosing reduces adverse effects by mimicking natural cortisol cycles.

Question 4 of 5

The nurse recognizes which disorder as the most common cause of hyperthyroidism?

Correct Answer: D

Rationale: Graves's disease is the most common cause of hyperthyroidism and is an autoimmune disorder involving antibodies (thyroid-stimulating immunoglobulins) that bind to the thyroid gland, resulting in the enlargement of the thyroid gland and subsequent hypersecretion of thyroid hormone.

Question 5 of 5

The nurse administers which medication to the patient diagnosed with hypoparathyroidism?

Correct Answer: C

Rationale: Vitamin D is needed for calcium absorption from the bowel, helping to correct the hypocalcemia associated with hypoparathyroidism.

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