A patient with hormone imbalance is demonstrating symptoms of dehydration and excessive urination. The nurse realizes that which hormone is most directly associated with these symptoms?
1. Antidiuretic hormone (ADH)
2. Adrenocorticotropic hormone (ACTH)
3. Follicle stimulating hormone (FSH)
4. Thyroid-stimulating hormone (TSH)
1
Rationale 1: Antidiuretic hormone decreases urine production by causing the renal tubules to reabsorb water from the urine and return it to the circulating blood. This patient is demonstrating excessive urination, which might indicate an alteration in this hormone.
Rationale 2: ACTH stimulates the production and release of adrenocortical hormones such as glucocorticoids, mineralocorticoids, and androgens. The effects of these hormones on water balance are not as direct as those of another hormone.
Rationale 3: FSH stimulates estrogen secretion and follicle maturation in females and spermatogenesis in males. It does not have a direct relationship to the patient's symptoms.
Rationale 4: Thyroid-stimulating hormone stimulates thyroid function. Alteration in this hormone does not have as direct a relationship to the patient's symptoms as another hormone does.
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