17-year-old student with type 1 diabetes asks the nurse which hormone causes the blood glucose level to rise. When responding the nurse should explain in language that the client can understand that liver glycogenolysis is stimulated by a hormone secreted by the islets of Langerhans Which hormone is this?

Insulin

Epinephrine

Glucagon

Adrenocorticotropic hormone (ACTH)

Answer and Explanation

The Correct Answer is C

A. Insulin is responsible for lowering blood glucose levels by promoting the uptake and storage of glucose in cells.

B. Epinephrine (adrenaline) can raise blood glucose levels in response to the "fight or flight" stress response, but it's not primarily responsible for stimulating liver glycogenolysis.

C. Glucagon is produced by the alpha cells in the islets of Langerhans and plays a crucial role in increasing blood glucose levels. It promotes the breakdown of glycogen (glycogenolysis) in the liver and the production of glucose from non-carbohydrate sources (gluconeogenesis).

D. Adrenocorticotropic hormone (ACTH) is produced by the anterior pituitary gland and stimulates the adrenal cortex to release cortisol, which can also contribute to raising blood glucose levels but isn't primarily responsible for liver glycogenolysis.

In the context of diabetes management, understanding the role of glucagon is important because it helps individuals know how to manage hypoglycemia (low blood sugar) by administering glucagon or consuming fast-acting sources of glucose.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","E"]

Explanation

A. Monitoring level of consciousness (LOC): Monitoring the child's level of consciousness is essential as changes in LOC can be an important indicator of the progression of meningitis.

B. Administration of IV antibiotics: Antibiotics are a critical component of the treatment for bacterial meningitis. Early administration of appropriate antibiotics is crucial to control the infection.

C. Decreasing environmental stimuli: Reducing environmental stimuli, such as noise and light, can help minimize discomfort and agitation in a child with meningitis.

D. Increasing IV fluids above maintenance is not typically part of the standard management of bacterial meningitis. Maintaining hydration and electrolyte balance is important, but increasing fluids significantly above maintenance may not be necessary and should be determined based on the child's clinical condition.

E. Instituting droplet precautions: Bacterial meningitis is contagious, and it is important to isolate the child and implement appropriate infection control measures, including droplet precautions, to prevent the spread of the infection to others.

A. Altered level of consciousness and treaty pulse B. Bounding pulses and mottled skin C. Capillary refill of 2 seconds and blood pressure of 96/47 mmHg D. Extremities warm to the touch and pale skin

Correct Answer is A

Explanation

A.Altered level of consciousness and thready pulse.

In a child after heart surgery to correct Tetralogy of Fallot (TOF), a thready pulse and altered level of consciousness can be indicative of poor cardiac output. This may suggest that the heart is not effectively pumping blood to meet the body's needs.

B. Bounding pulses and mottled skin: Bounding pulses and mottled skin are not typical signs of decreased cardiac output. Bounding pulses are often associated with increased cardiac output.

C. Capillary refill of 2 seconds and blood pressure of 96/47 mmHg: A capillary refill of 2 seconds is within the normal range, and a blood pressure of 96/47 mmHg is reasonable for a child. These findings do not necessarily indicate poor cardiac output.

D. Extremities warm to the touch and pale skin: Warm extremities and pale skin are not typical signs of decreased cardiac output. Cold extremities and cyanosis may be more concerning signs.

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Naxlex Comprehensive Predictor Exams

Nursing care management of the child with bacterial meningitis includes which interventions? (Select all that apply).

Correct Answer is ["A","B","C","E"]

Explanation

When assessing a child after heart surgery to correct Tetralogy of Fallot (TOP) which finding should alert the nurse to suspect a le carat output?

Correct Answer is A

Explanation

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