A patient is scheduled for surgery to remove a tumor of the anterior pituitary. Which hormone should the nurse expect to be affected by this surgery? Select all that apply.
Thyroid stimulating hormone (TSH)
Prolactin
Oxytocin
Gonadotropin hormones
Adrenocorticotropic hormone (ACTH)
Correct Answer : A,B,D,E
A. Thyroid stimulating hormone (TSH): The anterior pituitary gland secretes TSH, which regulates the thyroid gland's function. Surgery on the anterior pituitary can potentially disrupt the production and regulation of TSH.
B. Prolactin: The anterior pituitary gland also produces prolactin. Surgery on the anterior pituitary can affect prolactin production.
C. Oxytocin: Oxytocin is produced by the posterior pituitary, not the anterior pituitary. Surgery on the anterior pituitary would not directly impact oxytocin production.
D. Gonadotropin hormones: These include follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are important for reproductive function. The anterior pituitary secretes these hormones, so surgery on the anterior pituitary can impact their production.
E. Adrenocorticotropic hormone (ACTH): ACTH is essential for the stimulation of cortisol release from the adrenal glands. The production of ACTH is regulated by the anterior pituitary, so surgery in this area can affect ACTH levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Incorrect. This statement describes the cause of diabetes mellitus, not Addison's disease.
B. Incorrect. Overproduction of growth hormone is associated with conditions like acromegaly or gigantism, not Addison's disease.
C. Correct. Addison's disease is caused by the lack of production of aldosterone by the adrenal gland.
D. Incorrect. Overproduction of parathormone is associated with hyperparathyroidism, not Addison's disease.
Correct Answer is ["4"]
Explanation
One gram is equal to 1000 milligrams, one milliliter is equal to 0.2 teaspoons, and one teaspoon is equal to 5 milliliters. Using these conversion factors, the nurse can perform the following steps:
- Multiply the prescribed amount of cough syrup by 1000 to get the equivalent in milligrams: 0.4 g x 1000 = 400 mg
- Divide the equivalent in milligrams by the dosage strength of the syrup to get the equivalent in milliliters: 400 mg / 100 mg/5 mL = 20 mL
- Multiply the equivalent in milliliters by 0.2 to get the equivalent in teaspoons: 20 mL x 0.2 = 4 teaspoons
Therefore, the nurse will instruct the client to take 4 teaspoons of cough syrup every 4 hours.
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