HESI LPN-RN
While reviewing the laboratory reports of a client, the nurse finds that the client has low sodium
levels. Which hormonal imbalance should the nurse suspect in the client?
Epinephrine
Glucagon
Calcitonin
Cortisol - correct anwersCortisol
Cortisol is the glucocorticoid secreted by the adrenal cortex that maintains sodium and water
balance. Therefore, reduced sodium levels in the client indicate a cortisol imbalance.
Additionally, depleted sodium levels in a client indicate hyponatremia. Epinephrine is a
catecholamine, which helps in maintaining homeostasis. Glucagon increases blood glucose
levels and does not play a role in maintaining electrolyte balance. Calcitonin helps in regulating
serum calcium levels.
A nurse is teaching a birthing/prenatal class about breast-feeding. Which hormone stimulates
the production of milk during lactation?
Inhibin
Estrogen
, Prolactin
Progesterone - correct anwersProlactin
Prolactin is the hormone that initiates and produces milk during lactation. Inhibin prevents the
secretions of follicle stimulating hormone and gonadotropin releasing hormone. Estrogen and
progesterone are the sex hormones produced by the ovaries.
While performing patterned, paced breathing during the transition phase of labor, a client
experiences tingling and numbness of the fingertips. What should the nurse do?
Multiple choice question
Tell the client to breathe into a paper bag.
Place an oxygen mask over the client's face.
Call the primary healthcare provider to report the client's response.
Instruct the client to begin taking slow deep breaths. - correct anwersTell the client to breathe
into a paper bag.
A paper bag enables the client to rebreathe carbon dioxide, which helps correct the respiratory
alkalosis resulting from hyperventilation. The client's oxygen level is increased; the client needs
to increase the carbon dioxide level and decrease the oxygen level. The client should rebreathe
her own exhalations first; if alkalosis persists, more intensive treatment may be needed. Carbon
dioxide is too dilute in room atmosphere; deep breaths will not resolve the alkalosis.
A nurse is caring for a client with the diagnosis of schizophrenia, paranoid type. What should
the nurse plan for the client's initial care?
Multiple choice question
While reviewing the laboratory reports of a client, the nurse finds that the client has low sodium
levels. Which hormonal imbalance should the nurse suspect in the client?
Epinephrine
Glucagon
Calcitonin
Cortisol - correct anwersCortisol
Cortisol is the glucocorticoid secreted by the adrenal cortex that maintains sodium and water
balance. Therefore, reduced sodium levels in the client indicate a cortisol imbalance.
Additionally, depleted sodium levels in a client indicate hyponatremia. Epinephrine is a
catecholamine, which helps in maintaining homeostasis. Glucagon increases blood glucose
levels and does not play a role in maintaining electrolyte balance. Calcitonin helps in regulating
serum calcium levels.
A nurse is teaching a birthing/prenatal class about breast-feeding. Which hormone stimulates
the production of milk during lactation?
Inhibin
Estrogen
, Prolactin
Progesterone - correct anwersProlactin
Prolactin is the hormone that initiates and produces milk during lactation. Inhibin prevents the
secretions of follicle stimulating hormone and gonadotropin releasing hormone. Estrogen and
progesterone are the sex hormones produced by the ovaries.
While performing patterned, paced breathing during the transition phase of labor, a client
experiences tingling and numbness of the fingertips. What should the nurse do?
Multiple choice question
Tell the client to breathe into a paper bag.
Place an oxygen mask over the client's face.
Call the primary healthcare provider to report the client's response.
Instruct the client to begin taking slow deep breaths. - correct anwersTell the client to breathe
into a paper bag.
A paper bag enables the client to rebreathe carbon dioxide, which helps correct the respiratory
alkalosis resulting from hyperventilation. The client's oxygen level is increased; the client needs
to increase the carbon dioxide level and decrease the oxygen level. The client should rebreathe
her own exhalations first; if alkalosis persists, more intensive treatment may be needed. Carbon
dioxide is too dilute in room atmosphere; deep breaths will not resolve the alkalosis.
A nurse is caring for a client with the diagnosis of schizophrenia, paranoid type. What should
the nurse plan for the client's initial care?
Multiple choice question
