We have a patient with a recently diagnosed adrenal cortical adenoma. Among the pertinent cushinoid signs and symptoms are hypertension and weight gain from fluid retention, and hypernatremia and hypokalemia. Which of the following drugs would be the most rational to prescribe, alone or adjunctively, to specifically antagonize both the renal and the systemic effects of the hormone excess?

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Drugs Affecting the Female Reproductive System NCLEX Quizlet Questions

Question 1 of 5

We have a patient with a recently diagnosed adrenal cortical adenoma. Among the pertinent cushinoid signs and symptoms are hypertension and weight gain from fluid retention, and hypernatremia and hypokalemia. Which of the following drugs would be the most rational to prescribe, alone or adjunctively, to specifically antagonize both the renal and the systemic effects of the hormone excess?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

When teaching about hypoglycemia, the nurse will make sure that the patient is aware of the early signs of hypoglycemia, including:

Correct Answer: D

Rationale: The correct answer is D because confusion and sweating are classic early signs of hypoglycemia. Confusion occurs due to the brain not receiving enough glucose, while sweating is the body's response to low blood sugar levels. Choice A, hypothermia and seizures, are not typical early signs of hypoglycemia. Hypothermia is a severe condition and seizures usually occur in more advanced stages. Choice B, nausea and diarrhea, are not common early signs of hypoglycemia. They may occur in some cases but are not the primary indicators. Choice C is incomplete, and therefore, cannot be considered a valid option.

Question 3 of 5

The nurse is reviewing instructions for a patient with type 2 diabetes who also takes insulin injections as part of the therapy. The nurse asks the patient, What should you do if your fasting blood glucose is 47 mg/dL? Which response by the patient reflects a correct understanding of insulin therapy?

Correct Answer: B

Rationale: Correct Answer: B - "I will give myself the regular insulin." Rationale: 1. Correct response as the patient has low blood glucose (47 mg/dL). 2. Regular insulin helps lower blood glucose levels efficiently. 3. Immediate action needed to prevent hypoglycemia. 4. Calling the doctor (choice A) delays treatment. Taking an oral form of glucose (choice C) may not act fast enough.

Question 4 of 5

At what time should the nurse administer the patient’s sliding scale Insulin Aspart?

Correct Answer: A

Rationale: The correct answer is A: 1 hour before the meal tray arrives. This timing allows the insulin to start working before the patient starts eating, preventing blood sugar spikes. Choice B is too early, leading to potential hypoglycemia. Choice C (1215) and D are specific times without considering the patient's meal schedule. Timing insulin administration is crucial to match peak action with meal consumption, making choice A the most appropriate option.

Question 5 of 5

Several actions of growth hormone are exerted through the elaboration of:

Correct Answer: D

Rationale: The correct answer is D, Insulin like growth factor-1 (IGF-1). Growth hormone stimulates the production of IGF-1 in the liver, which mediates many of its growth-promoting effects. IGF-1 acts on target tissues to promote cell growth and division. A is incorrect because growth hormone does not directly act through cyclic AMP. B is incorrect as cyclic GMP is not a major mediator of growth hormone actions. C, somatostatin, is a hormone that inhibits growth hormone release and does not play a direct role in mediating growth hormone effects. In summary, the correct answer, D, is supported by the fact that IGF-1 is a key downstream mediator of growth hormone actions.

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