The nurse is administering cortisol to a client. This intervention should result in:
1. increased secretion from the pituitary.
2. decreased level of consciousness.
3. increased secretion from the hypothalamus.
4. decreased secretion from the pituitary.
Correct Answer: 4
Rationale 1: Cortisol would not increase secretion from the pituitary.
Rationale 2: Cortisol does not affect level of consciousness.
Rationale 3: Cortisol would not increase secretion from the hypothalamus.
Rationale 4: When the serum level of cortisol rises, it provides negative feedback to the hypothalamus and pituitary to shut off further release of glucocorticoids.
Global Rationale: When the serum level of cortisol rises, it provides negative feedback to the hypothalamus and pituitary to shut off further release of glucocorticoids. Secretion from the pituitary or hypothalamus would not occur. Cortisol does not affect LOC.
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