Author Question: The nurse is teaching a client about the need for supplemental thyroid hormone following a ... (Read 49 times)

gonzo233 · **on:** Jul 23, 2018

The nurse is teaching a client about the need for supplemental thyroid hormone following a hypophysectomy because of an anterior pituitary adenoma. The client says, I thought thyroid hormone came from a gland in my neck.

Which follow-up statement by the nurse is most appropriate?
1. Your thyroid gland no longer gets messages from the pituitary.
2. You will only need to take thyroid hormone until healing occurs.
3. You need this hormone because your TSH is too high since surgery.
4. Your thyroid gland was damaged because of the long surgical procedure.

Question 2

The nurse is reviewing the pathophysiology of type 1 diabetes mellitus with a client newly diagnosed with the disorder. How will the nurse explain the control of pancreatic hormones in this disorder?

Standard Text: Select all that apply.
1. Cells in the pancreas sense the level of glucose in the blood.
2. Depending on the level of glucose in the blood, the pancreas will either secrete insulin or stop the secretion of insulin.
3. Nerve impulses to the pancreas stimulate the release of insulin.
4. The pancreas reacts to other hormone levels in the blood.
5. Insulin is secreted in response to hormone levels within other digestive system organs.

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

Answer to Question 1

Correct Answer: 1
Rationale 1: A hypophysectomy removes the anterior pituitary. Hormones normally produced by this portion of the pituitary are lacking. TSH is absent, so the thyroid gland does not receive messages to make thyroid hormone, and a life-long supplement is needed.
Rationale 2: This statement does not explain the role of the pituitary gland in thyroid regulation.
Rationale 3: The client's TSH level is not too high from surgery.
Rationale 4: The thyroid is in the neck, and the pituitary gland is in the cranium.
Global Rationale: A hypophysectomy removes the anterior pituitary. Hormones normally produced by this portion of the pituitary are lacking. TSH is absent, so the thyroid gland does not receive messages to make thyroid hormone, and a life-long supplement is needed. The TSH level is not too high following surgery. The thyroid is in the neck and the pituitary gland is in the cranium.

Answer to Question 2

Correct Answer: 1,2
Rationale 1: The pancreas functions through humoral stimuli and senses the level of glucose in the blood.
Rationale 2: Because the pancreas functions through humoral stimuli and senses the level of glucose in the blood, it either secretes insulin or stops the secretion of insulin.
Rationale 3: The pancreas does not respond to neuronal stimuli.
Rationale 4: The pancreas does not respond to hormonal stimuli.
Rationale 5: The pancreas does not respond to hormonal stimuli.
Global Rationale: Because the pancreas functions through humoral stimuli and senses the level of glucose in the blood, it either secretes insulin or stops the secretion of insulin. This function is not neuronal or hormonal.