A patient is scheduled for surgery to remove a tumor of the anterior pituitary. Which hormone should the nurse expect to be affected by this surgery? Select all that apply.

Thyroid stimulating hormone (TSH)

Prolactin

Oxytocin

Gonadotropin hormones

Adrenocorticotropic hormone (ACTH)

Answer and Explanation

Correct Answer : A,B,D,E

A. Thyroid stimulating hormone (TSH): The anterior pituitary gland secretes TSH, which regulates the thyroid gland's function. Surgery on the anterior pituitary can potentially disrupt the production and regulation of TSH.

B. Prolactin: The anterior pituitary gland also produces prolactin. Surgery on the anterior pituitary can affect prolactin production.

C. Oxytocin: Oxytocin is produced by the posterior pituitary, not the anterior pituitary. Surgery on the anterior pituitary would not directly impact oxytocin production.

D. Gonadotropin hormones: These include follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are important for reproductive function. The anterior pituitary secretes these hormones, so surgery on the anterior pituitary can impact their production.

E. Adrenocorticotropic hormone (ACTH): ACTH is essential for the stimulation of cortisol release from the adrenal glands. The production of ACTH is regulated by the anterior pituitary, so surgery in this area can affect ACTH levels.

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Correct Answer is C

Explanation

A. Flaccid muscles are associated with conditions like hypokalemia, not hypoparathyroidism. In hypoparathyroidism, there is a deficiency of parathyroid hormone (PTH), which leads to low calcium levels and can result in muscle spasms and tetany, not flaccid muscles.

B. While anorexia can occur in clients with various health conditions, it is not a specific finding associated with hypoparathyroidism.

C. Correct. Hypoparathyroidism is characterized by low levels of parathyroid hormone (PTH), which leads to low calcium levels in the blood. This can cause symptoms such as numbness, tingling, and muscle cramps, especially in the extremities.

D. A positive Chvostek's sign is associated with hypocalcemia, which can be caused by hypoparathyroidism. Therefore, a negative Chvostek's sign would not be an expected finding in a client with hypoparathyroidism.

A. Tachycardia B. Moist clammy skin C. Polydipsia D. Blurred vision E. Polyuria

Correct Answer is ["A","B","D"]

Explanation

A. Tachycardia - This is an increased heart rate, which can occur in response to low blood sugar levels.

B. Moist clammy skin - Sweating and clamminess are common symptoms of hypoglycemia.

C. Polydipsia - This is excessive thirst, which is not typically a manifestation of hypoglycemia. It is more commonly associated with hyperglycemia (high blood sugar levels).

D. Blurred vision - This can occur when the eyes are not receiving enough glucose due to low blood sugar levels.

E. Polyuria - This is excessive urination, which is not typically a manifestation of hypoglycemia. It is more commonly associated with hyperglycemia.

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A patient is scheduled for surgery to remove a tumor of the anterior pituitary. Which hormone should the nurse expect to be affected by this surgery? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has hypoparathyroidism. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

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