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A nurse is caring for a client with signs of acromegaly. The nurse is aware that which class of drugs are used to inhibit the release of anterior pituitary hormones?

A.

Hormone replacement

B.

Dopamine Agonists

C.

Levothyroxine medications

D.

Corticosteroids

Answer and Explanation

The Correct Answer is B

A. Hormone replacement is generally used to supplement deficiencies rather than inhibit excess hormone release.  

 

B. Dopamine agonists, such as bromocriptine, are used to inhibit the release of growth hormone from the anterior pituitary, which is beneficial in treating acromegaly, a condition caused by excess growth hormone.  

 

C. Levothyroxine is a thyroid hormone replacement and is not effective in controlling pituitary hormone release.  

 

D. Corticosteroids do not inhibit growth hormone release and are typically used to manage inflammation rather than for pituitary hormone control.


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Correct Answer is B

Explanation

A. Profound hypocalcemia is not associated with hyperthyroidism; it is more common in hypoparathyroidism.

B. Thyroid Storm is a life-threatening complication of hyperthyroidism, characterized by high fever, tachycardia, hypertension, and altered mental status. It requires immediate medical intervention to prevent serious outcomes.

C. Diabetes Insipidus is unrelated to hyperthyroidism and typically occurs due to antidiuretic hormone dysfunction.

D. Severe hypotension is not a typical complication of hyperthyroidism; rather, hypertension is more likely due to increased metabolic rate and cardiac output.

Correct Answer is C

Explanation

A. Diplopia is a concerning symptom but does not indicate immediate deterioration in neurological status like a change in GCS does.

B. Ataxia is also significant but is less acute than a drop in GCS score.

C. A change in the Glasgow Coma Scale score from 13 to 11 indicates a worsening level of consciousness and necessitates immediate reporting, as it may suggest increased intracranial pressure or other complications.

D. A decrease in heart rate from 76 to 69 bpm is not significant enough in the context of TBI to warrant immediate reporting, as it remains within a normal range.

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