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Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.
1. Androgens2. Calcitonin3. Triiodothyronine4. Thyroxine5. ThyomamineCorrect Answer: 2,3,4Rationale 1: Androgens are male sex steroid hormones produced by the adrenal glands.Rationale 2: Calcitonin is secreted by the thyroid. The primary function of calcitonin is to inhibit bone resorption.Rationale 3: Triiodothyronine or T3 is secreted by the thyroid gland.Rationale 4: Thyroxine or T4is secreted by the thyroid gland.Rationale 5: Thyomamine is not a hormone.Global Rationale: Cognitive Level: ApplyingClient Need: Physiological IntegrityClient Need Sub: Physiological AdaptationNursing/Integrated Concepts: Nursing Process: PlanningLearning Outcome: 45-2Question 12Type: MCSAFollowing thyroid surgery, a patient develops hypercalcemia. The nurse would suspect which etiology?1. Damage to the part of the thyroid that produces T3hormone2. Stimulation of the area of the thyroid that produces antidiuretic hormone3. Damage to parathyroid tissues4. Decrease in the amount of available thyroid-stimulating hormoneCorrect Answer: 3Rationale 1: Deficiency of T3hormone would not change the calcium level.Rationale 2: Antidiuretic hormone is produced by the posterior pituitary.
Rationale 3: The parathyroid glands are embedded in thyroid tissue and can be inadvertently damaged during thyroid surgery. Parathyroid hormone functions to maintain calcium balance.Rationale 4: Thyroid-stimulating hormone is produced in the anterior pituitary.Global Rationale: Cognitive Level: AnalyzingClient Need: Physiological IntegrityClient Need Sub: Physiological AdaptationNursing/Integrated Concepts: Nursing Process: AssessmentLearning Outcome: 45-2Question 13Type: MCSAA patient is diagnosed with a disorder of autocrine regulation. Which explanation of this condition would the nurse provide to the patient and family?1. “The cells that produce some of your body’s hormones are not recognizing that sufficient hormone is present.”2. “Your blood is not circulating hormones well enough to get them to the places they need to be in your body.”3. “Some of your hormones are not able to travel to their neighboring cells to do their work.”4. “Your nervous system is not working with your endocrine system correctly.”Correct Answer: 1Rationale 1: Autocrine regulation occurs when hormones communicate with the cells producing them to indicate levels are sufficient.Rationale 2: Blood-borne communication occurs when hormones travel through the circulation to target organs.Rationale 3: Paracrine communication occurs when hormones diffuse through interstitial fluids and act on cellular receptors in neighboring cells.