A client is scheduled for an adrenocorticotropic hormone (ACTH) stimulation test to help diagnose suspected Addison's disease. What should the nurse include when teaching the client about this test?
This test measures the kidneys' response to ACTH.
If you have Addison's disease, plasma cortisol levels will rise in response to ACTH.
You will take a dose of ACTH by mouth the evening before the test.
ACTH is a hormone that is normally produced by the pituitary gland.
The Correct Answer is D
A. The ACTH stimulation test measures the adrenal glands' response to ACTH, not the kidneys.
B. In Addison’s disease, the adrenal glands are damaged and unable to produce sufficient cortisol even when stimulated by ACTH. Therefore, plasma cortisol levels will not rise significantly in response to
ACTH administration in individuals with Addison’s disease.
C. The ACTH stimulation test involves administering ACTH via injection, not orally.
D. ACTH (adrenocorticotropic hormone) is produced by the pituitary gland and stimulates the adrenal glands to produce cortisol. The ACTH stimulation test assesses how well the adrenal glands respond to ACTH, which is crucial for diagnosing conditions like Addison’s disease, where the adrenal glands do not respond appropriately.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Guillain-Barre Syndrome is not a contagious disease. It is an autoimmune disorder that occurs when the immune system mistakenly attacks the peripheral nerves. GBS is not spread through respiratory droplets or any other form of infection transmission.
B. Guillain-Barre Syndrome causes demyelination in the peripheral nervous system, not the central nervous system. The central nervous system includes the brain and spinal cord, whereas the peripheral nervous system comprises the nerves outside the brain and spinal cord.
C. Guillain-Barre Syndrome is not a genetic disorder. It is considered an autoimmune condition that can be triggered by an infection or other environmental factors. While there may be genetic predispositions that affect susceptibility to autoimmune conditions, GBS itself is not classified as a genetic disorder.
D. Guillain-Barre Syndrome primarily affects the peripheral nervous system. It involves an immune- mediated attack on the peripheral nerves, leading to symptoms such as muscle weakness, tingling, and loss of reflexes.
Correct Answer is B
Explanation
A. Canned tomato soup is often high in sodium, and grilled cheese sandwiches typically contain processed cheese, which is also high in sodium.
B. A low-sodium diet is essential for managing heart failure as it helps to reduce fluid retention and decrease the workload on the heart.
C. Frozen lasagna, especially those with a tomato sauce, can be high in sodium. Caesar salad dressing is often made with anchovies and Parmesan cheese, both of which are high in sodium.
D. Deli meats and processed cheese are both high in sodium and should be avoided or consumed in moderation on a low-sodium diet.
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