The nurse is caring for a patient who has been experiencing infertility. Which statement indicates that the patient understands the impact of inadequate luteinizing hormone (LH) levels?

Correct Answer: D

Rationale: LH is produced by the anterior pituitary gland. It targets the ovaries. LH stimulates ovulation and production of progesterone. LH does not affect maintenance of secondary sex characteristics, fluid retention, or menstrual cycle regularity.

Correct Answer: A

Rationale: Endocrine disorders are caused by an imbalance in the production of hormone or by an alteration in the body's ability to use the hormones produced. Primary endocrine dysfunction means that an endocrine gland is either oversecreting or undersecreting hormone(s). Tumor or hyperplasia of the endocrine gland may lead to hypersecretion. Infection, mechanical damage, or an autoimmune response may be an inflammatory response in a gland and lead to hyposecretion. Secondary endocrine dysfunction occurs from factors outside the gland itself. Medications, trauma, hormone therapy, and other factors may cause secondary dysfunction. Long periods of limited mobility do not cause endocrine disorders.

Correct Answer: B

Rationale: ACTH (adrenocorticotrophic hormone) from the anterior pituitary stimulates the adrenal cortex to release corticosteroids like cortisol.

Correct Answer: D

Rationale: Oxytocin, released from the posterior pituitary, induces uterine contractions during labor and milk ejection during breastfeeding.

Correct Answer: A

Rationale: Soy sauce can interfere with thyroid function and should be avoided in hyperthyroidism.