The control system in the body acts in many ways to maintain homeostasis. These homeostasis control systems regulate the function of the cell, integrate the function of different organ systems, and do what else?

Feed cells under tress

Act on invading organisms

Control vital functions

Shut down the body at death

Answer and Explanation

The Correct Answer is C

A) Feed cells under stress:
The primary function of the homeostasis control systems is not to directly "feed" cells under stress, but to regulate internal balance and ensure all systems are functioning optimally, particularly in response to changes in the environment or internal states. "Feeding" or providing nutrients is a broader metabolic process rather than a direct function of the homeostasis control systems.

B) Act on invading organisms:
While the immune system, which plays a role in defending the body against invading organisms, is a part of overall body regulation, homeostasis itself is more concerned with maintaining internal stability. The control systems of the body regulate physiological processes such as temperature, pH, and fluid balance rather than directly targeting external organisms like bacteria or viruses, which would fall under the immune response.

C) Control vital functions:
Homeostasis control systems are integral in maintaining the body's internal environment, ensuring stability for vital functions such as temperature, heart rate, blood pressure, and respiratory rate. These systems help adjust these functions in response to various internal and external stimuli to maintain optimal conditions for survival, making this the most accurate answer.

D) Shut down the body at death:
While the control systems ultimately cease to function at death, the purpose of homeostasis during life is to maintain the balance of bodily functions, not to cause the cessation of life. The homeostatic mechanisms are about maintaining life and health, preventing "shutdown" until the point of death.

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Correct Answer is D

Explanation

A) A patient with hypotension:
Patients with hypotension may have reduced blood flow to organs, which could potentially decrease the absorption and effectiveness of many medications, including opioids. As a result, the need for a higher dose is not typical. Instead, careful dosing and monitoring are required to avoid further lowering blood pressure, which could lead to more complications.

B) A patient with a concussion:
Concussions affect the brain and can lead to symptoms like dizziness, confusion, or nausea, which may alter how medications are metabolized or tolerated. However, a concussion does not typically require higher opioid doses. In fact, opioids should be used cautiously in such patients due to the risk of exacerbating neurological symptoms or respiratory depression.

C) A patient 3 days after surgery:
Patients recovering from surgery may require pain management, but the opioid dose typically adjusts based on their pain levels and recovery stage. While some patients may still need opioids for pain control, they may not require higher-than-expected doses. Over time, doses are often tapered as healing progresses, and pain lessens.

D) A patient with cancer:
Cancer patients, particularly those with advanced stages or chronic pain, may develop increased opioid tolerance. This means that over time, they may require higher doses to achieve the same level of pain relief. This phenomenon is known as "opioid tolerance," where the body becomes less responsive to the drug, necessitating dose adjustments.

A. A 41-yr-old man with kidney stones B. A 62-yr-old woman with acute renal failure C. A 35-yr-old woman with cervical cancer D. A 50-yr-old man with cirrhosis of the liver

Correct Answer is D

Explanation

A) A 41-year-old man with kidney stones:
Kidney stones primarily affect the urinary system, and while the kidneys play a role in drug excretion, kidney stones themselves do not directly interfere with drug metabolism. Drug metabolism occurs mainly in the liver, so alterations due to kidney stones would be less likely. The liver is where most drug metabolism takes place, so drug metabolism in this case would likely be unaffected by kidney stones.

B) A 62-year-old woman with acute renal failure:
Acute renal failure impacts the kidneys' ability to filter and excrete drugs, but it doesn't directly affect the liver's ability to metabolize drugs. Renal failure can lead to drug accumulation due to decreased clearance, but metabolism (primarily liver function) is not usually altered unless the patient also has hepatic dysfunction.

C) A 35-year-old woman with cervical cancer:
Cervical cancer itself does not directly affect drug metabolism. While cancer treatments like chemotherapy or radiation therapy can affect liver and kidney function (which could impact drug metabolism), cervical cancer itself does not typically alter the metabolic pathways that drugs undergo in the body.

D) A 50-year-old man with cirrhosis of the liver:
Cirrhosis of the liver significantly impacts the liver's ability to metabolize drugs. The liver is the primary organ responsible for drug metabolism, and cirrhosis can lead to a decreased ability to break down medications, potentially resulting in drug toxicity or suboptimal therapeutic effects.

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The control system in the body acts in many ways to maintain homeostasis. These homeostasis control systems regulate the function of the cell, integrate the function of different organ systems, and do what else?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which patient may require a higher-than-expected dose of an opioid analgesic?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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