Author Question: A client with an adrenal tumor experiences frequent infections. The nurse understands that the ... (Read 24 times)

809779 · **on:** Jul 23, 2018

A client with an adrenal tumor experiences frequent infections. The nurse understands that the frequent infections are secondary to:

1. decreased blood glucose.
2. lipolysis.
3. bone demineralization.
4. suppression of the immune response.

Question 2

A client has had one adrenal gland removed. The nurse anticipates the need to administer medication to raise the blood pressure and closely mimic the effects of:

1. gonadocorticoids.
2. mineralocorticoids.
3. glucocorticoids.
4. cortisone.

amcvicar · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Decreased blood glucose does not cause frequent infections.
Rationale 2: There is no link between lipolysis and immune suppression.
Rationale 3: There is no link between bone demineralization and frequent infections.
Rationale 4: A tumor of the adrenal gland can cause hypersecretion of glucocorticoids. This leads to suppression of the inflammatory and immune responses and contributes to frequent infections.
Global Rationale: A tumor of the adrenal gland can cause hypersecretion of glucocorticoids. This leads to suppression of the inflammatory and immune responses and contributes to frequent infections. There is no link between decreased blood glucose, lipolysis, or bone demineralization and frequent infections.

Answer to Question 2

Correct Answer: 2
Rationale 1: Gonadocorticoids do not raise the blood pressure.
Rationale 2: Aldosterone is the predominant mineralocorticoid. Its primary function is to conserve sodium and water, thereby maintaining blood pressure.
Rationale 3: Glucocorticoids do not raise the blood pressure.
Rationale 4: Cortisone does not raise the blood pressure.
Global Rationale: Aldosterone is the predominant mineralocorticoid. Its primary function is to conserve sodium and water, thereby maintaining blood pressure. The remaining hormones have other functions.