A client is admitted with dehydration and excessive urination. The nurse realizes that the client might be experiencing an alteration in which of the following hormones?
1. Antidiuretic hormone (ADH)
2. Follicle-stimulating hormone (FSH)
3. Adrenocorticotropic hormone (ACTH)
4. Thyroid-stimulating hormone (TSH)
Antidiuretic hormone (ADH)
Rationale: Antidiuretic hormone, or ADH, decreases urine production by causing the renal tubules to reabsorb water form the urine and return it to the circulating blood. This client is demonstrating excessive urination, which might indicate an alteration in this hormone. FSH (follicle-stimulating hormone) functions in ovum and sperm formation. ACTH (adrenocorticotropic hormone) stimulates the adrenal function. TSH (thyroid-stimulating hormone) stimulates thyroid function. Alteration in these hormones does not have as direct of a relationship to the client's symptoms as ADH does.
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