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A nurse is providing education regarding the adrenal cortex production of mineralocorticoids. The nurse should include that mineralocorticoids influence which of the following?

A.

Major effects on the metabolism of almost all organs of the body

B.

Fluid and electrolyte balance

C.

Regulate carbohydrate and protein metabolism

D.

The release of the ACTH from the anterior lobe of the pituitary gland

Answer and Explanation

The Correct Answer is B

A. While hormones from the adrenal cortex do influence various metabolic processes, mineralocorticoids primarily focus on fluid and electrolyte balance rather than having major effects on all organs' metabolism.  

 

B. Mineralocorticoids, such as aldosterone, play a crucial role in regulating fluid and electrolyte balance by promoting sodium retention and potassium excretion in the kidneys.  

 

C. Regulation of carbohydrate and protein metabolism is mainly the function of glucocorticoids, not mineralocorticoids.  

 

D. The release of ACTH is regulated by corticotropin-releasing hormone (CRH) from the hypothalamus, not directly influenced by mineralocorticoids.


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View Related questions

Correct Answer is D

Explanation

A. Keeping the room brightly lit can be overstimulating and may increase ICP; therefore, a calm, dimly lit environment is preferable.

B. Encouraging coughing and deep breathing exercises could increase ICP and should be avoided unless specifically indicated.

C. Placing the client in a supine position is not recommended for clients with increased ICP; they should typically be positioned with the head elevated to promote venous drainage.

D. Implementing seizure precautions is critical as head injuries can lead to seizures, and ensuring the client's safety is a priority.

Correct Answer is A

Explanation

A. Assessing respiratory status and airway patency is the highest priority in this situation due to the risk of respiratory compromise from cervical spinal cord injuries, which can affect the diaphragm and other respiratory muscles.

B. While assessing extremity strength and sensation is important, it comes after ensuring the client’s airway and breathing are stable.

C. Pain management is essential, but addressing immediate life-threatening conditions takes precedence over pain assessment.

D. Assessing the client's level of consciousness is crucial for overall evaluation but does not take priority over ensuring adequate respiratory function in the context of a cervical spinal cord injury.

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