The ______ secrete(s) ______ which promotes Nat and water retention.
adrenal medulla, epinephrine
pancreas; cortisol
kidneys; corticosterone
adrenal cortex aldosterone
thyroid; calcitonin
The Correct Answer is D
A. adrenal medulla, epinephrine: The adrenal medulla secretes catecholamines like epinephrine in response to acute sympathetic stimulation. These hormones primarily influence cardiovascular and metabolic activity, such as increasing heart rate and glycogenolysis. They do not have a direct mineralocorticoid effect on renal sodium or water retention.
B. pancreas; cortisol: Cortisol is a glucocorticoid produced by the adrenal cortex, not the pancreas, in response to systemic stress. While it has minor mineralocorticoid activity at very high levels, its primary role involves metabolic regulation and immune suppression. The pancreas focuses on glucose homeostasis through insulin and glucagon.
C. kidneys; corticosterone: The kidneys secrete renin and erythropoietin but do not synthesize corticosterone. Corticosterone is a corticosteroid produced in the adrenal glands of many species. While the kidney is the target for mineralocorticoids, it does not produce them as a local or systemic secretion.
D. adrenal cortex aldosterone: The zona glomerulosa of the adrenal cortex secretes aldosterone, a potent mineralocorticoid. This hormone acts on the distal tubules of the kidney to stimulate the reabsorption of sodium ions, which leads to osmotic water retention. It is a critical component of the renin-angiotensin-aldosterone system.
E. thyroid; calcitonin: Calcitonin is secreted by the parafollicular cells of the thyroid gland to lower blood calcium levels. It inhibits osteoclast activity and promotes calcium excretion by the kidneys. It has no significant effect on the renal handling of sodium or the retention of total body water.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. immediately before the P wave: The period before the P wave represents the end of the previous cardiac cycle or the quiescent period of diastole. During this time, the atria are filling but have not yet received the signal to contract. Electrical activity must be recorded before any mechanical action can take place.
B. During the P wave: The P wave on an electrocardiogram represents atrial depolarization, which is the electrical signal for the atria to contract. Atrial systole, the mechanical contraction, begins shortly after the start of this wave as the electrical signal spreads through the myocardium. This coordination ensures blood is pumped into the ventricles.
C. during the Q wave: The Q wave is the initial downward deflection of the QRS complex, signaling the start of ventricular depolarization. By this stage, atrial systole is concluding and the atrioventricular valves are beginning to close. The focus of the cardiac cycle has shifted from the atria to the ventricles.
D. during the S-T segment: This segment represents the plateau phase of ventricular action potentials, during which the ventricles are actively contracting. Atrial tissue is undergoing repolarization and is in a state of diastole during this period. The atria are filling with blood while the ventricles are in systole.
E. immediately after the T wave: The T wave represents ventricular repolarization, and the period immediately following it is part of early diastole for the entire heart. During this phase, both the atria and ventricles are relaxed and filling passively. There is no systolic activity occurring in any chamber at this time.
Correct Answer is B
Explanation
A. O; AB: A person with type A blood cannot donate to someone with type O blood because the recipient's anti-A antibodies would attack the donor's cells. Furthermore, a type A individual cannot receive from type AB because the donor's B antigens would react with the recipient's anti-B antibodies. This combination would cause two separate hemolytic reactions.
B. AB; O: Type A individuals can donate to type AB recipients because AB blood lacks both anti-A and anti-B antibodies to attack the donor cells. Conversely, type A individuals can receive from type O donors because O cells lack A and B antigens, making them "invisible" to the recipient's antibodies. This reflects the principles of universal recipient and donor status.
C. A; B: While a type A person can donate to another type A person, they cannot donate to or receive from type B. Type B blood contains anti-A antibodies that would destroy type A cells, and type A blood contains anti-B antibodies that would destroy type B cells. This represents a fundamental ABO incompatibility.
D. B: A: This choice incorrectly suggests that a type A person can donate to type B. The anti-A antibodies in the type B recipient would cause immediate agglutination and hemolysis of the donated cells. Compatibility in the ABO system requires a matching antigen profile or the absence of specific target antigens.
E. 0:0: While a type A person can receive from a type O donor, they cannot donate back to a type O recipient. The type O recipient has both anti-A and anti-B antibodies, which would aggressively target the A antigens on the donor's red blood cells. Type O can only receive red blood cells from other type O individuals.
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