While reviewing a medical record, the nurse notes that a client's ACTH levels are low. The nurse knows this deficit will primarily impact the client's level of:
1. thyroxine.
2. insulin.
3. corticosteroids.
4. epinephrine.
Correct Answer: 3
Rationale 1: ACTH does not impact thyroxine.
Rationale 2: ACTH does not impact insulin.
Rationale 3: ACTH stimulates the adrenal cortex to produce corticosteroids.
Rationale 4: ACTH does not impact epinephrine.
Global Rationale: ATCH stimulates the adrenal cortex to produce corticosteroids. It does not directly affect thyroxin, insulin, or epinephrine.
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The substance produced in the body that acts a strong sleep inducer is
a. acetylcholine. b. melanin. c. melatonin. d. serotonin.
The client has just experienced a 90-second grand mal seizure and has the arterial blood gas values shown below. How should the nurse be prepared to intervene? pH 6.88, HCO3– 22 mEq/L, PCO2 60 mm Hg, PO2 50 mm Hg
A. Applying oxygen by mask or nasal cannula B. Applying a paper bag over the client's nose and mouth C. Administering 50 mL of sodium bicarbonate intravenously D. Administering 50 mL of 20% glucose and 20 units of regular insulin
A nurse is conducting education on anxiety and stress management. Which of the following should be identified as the most important initial step in learning how to manage anxiety?
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