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pharm hesi v1 315 Questions With 100- Correct Answers.
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10/7/24, 3:01 PMpharm hesi v1 315
Jeremiah
Terms in this set (205)
What hormone stimulates the release of c
the follicle-stimulating hormone (FSH) from
both male and female glands? The male and female glands respond to luteinizing hormone (LH) and FSH, which are
A) Growth hormone-releasing hormone released from the anterior pituitary in response to stimulation from GnRH that is
(GHRH) released from the hypothalamus. GHRH stimulates the release of the growth
B) Thyrotropin-releasing hormone (TRH) hormone, which targets cell growth. TRH stimulates the thyroid-stimulating hormone,
C)Gonadotropin-releasing hormone which targets the thyroid gland. PRH stimulates the release of prolactin, which is
(GnRH) necessary for milk production.
D)Prolactin-releasing hormone (PRH)
A nurse is providing patient education to a b
patient as part of her work in a fertility It would be important to explain that the woman's ova do not increase or decrease
clinic. The nurse explains possible reasons from birth to childbearing years. The nurse will stress that all the ova that a woman
for infertility. When explaining how the will have will be present at birth. The patient should understand that if she does not
ovaries are involved in conception, what ovulate 1 month or for several months, it is not because she has done something to
will the nurse stress? her body to cause this. Ova slowly degenerate over a lifetime or they are released
once a month until menopause is complete. Each ovum is contained in a storage site
A) Ova quickly degenerate and most are called a follicle, which produces the female sex hormones, estrogen and
absorbed in the body before the age of 12. progesterone.
B) The ovaries at birth contain all of the ova
that a woman will have.
C) Ova aggregate, causing millions to be
contained in a storage site called a follicle.
D) Follicles produce only estrogen; the
uterus produces progesterone.
The nursing instructor is discussing the D
physiology of pregnancy with her clinical Feedback:
group. What hormone, produced during In a pregnant woman, both estrogen and progesterone hormones have specific
pregnancy, would the instructor tell the functions. High levels of both hormones are needed for the maintenance of
students helps to maintain the pregnancy pregnancy.
until birth of the fetus?
A) High levels of estrogen only
B) High levels of estrogen, low levels of
progesterone
C) Low levels of estrogen, high levels of
progesterone
D) High levels of estrogen and
progesterone
1/21
,10/7/24, 3:01 PM
The nursing instructor is talking with her C
class of students about the female Feedback:
reproductive system. A student is trying to Progesterone has an anti-insulin effect to generate a higher blood glucose
understand the role of progesterone in the concentration to allow for rapid diffusion of glucose to the developing embryo.
body. What nonreproductive affect does Body temperature and appetite are increased by progesterone. Uterine motility is
progesterone have on the body? decreased to provide increased chance that implantation can occur.
A)Decreased body temperature
B)Decreased appetite C)Anti-
insulinD)Increased uterine motility
B
Feedback:
What hormone causes ovulation to occur? When the circulating estrogen level rises high enough, it stimulates a massive release
A)Adrenocorticotropic hormone (ACTH) of LH from the anterior pituitary causing one of the developing follicles to burst and
B)Luteinizing hormone (LH) release the ovum with its stored hormones into the system. ACTH targets the adrenal
C) Prolactin corticosteroid hormone, which helps prepare the body for the "fight or flight"
D) Follicle-stimulating hormone (FSH) response. Prolactin is responsible for milk production and FSH in combination with
LH stimulate follicles on the outer surface of the uterus to grow and develop and
also stimulates the release of estrogen and progesterone.
A 16-year-old girl comes to the clinic C Feedback:
complaining of severe menstrual cramps. Prostaglandins in the uterus stimulate uterine contractions to clamp off vessels in the
The girl is concerned about the pain and lining of the uterus, which is the cause of the cramping. The decrease of estrogen
worried that "something is wrong." The and progesterone after the involution of the corpus luteum triggers the release of
nurse explains to the patient that she has follicle- stimulating hormone (FSH) and luteinizing hormone (LH). The decreased
cramping during her menstrual period levels of FSH and LH cause the inner lining of the uterus to slough off because the
because of what? vascular system is no longer being stimulated. High, not low, levels of plasminogen
in the uterus prevent clotting of the lining as the vessels shear off.
A) An increase in the levels of estrogen and
progesterone, which cause uterine
contractions
B) Low levels of plasminogen in the uterus
that cause the shedding of the lining of the
uterus
C) Prostaglandins in the uterus, which
stimulate uterine contractions to clamp off
vessels as the lining of her uterus sheds
D) An increase in progesterone and a
decrease of estrogen cause the lining of
the uterus to slough away
What drug would the nurse expect to C
administer if beta-specific adrenergic Isoproterenol is a beta-specific adrenergic agonist used to prevent bronchospasm
agonist effects are desired to prevent during anesthesia. Phenylephrine is an alpha-specific adrenergic agonist. Both
bronchospasm during anesthesia? dobutamine and ephedrine are alpha- and beta-adrenergic agonists.
A)Dobutamine (Dobutrex) B)Ephedrine
(generic) C)Isoproterenol (Isuprel)
D)Phenylephrine (Neo-Synephrine)
2/21
, 10/7/24, 3:01 PM
The nurse is preparing discharge teaching A
for four patients. Which patient should be Feedback:
advised by the nurse that over-the-counter Phenylephrine, a potent vasoconstrictor and alpha1-agonist with little or no effect on
cold and allergy preparations contain the heart or bronchi, is used in many combination cold and allergy products. Patients
phenylephrine and should be avoided? with hypertension should avoid these drugs because serious increases in blood
A)A 47-year-old woman with pressure could occur. Use of this drug in patients with diabetes and gout are not
hypertensionB)A 52-year-old man with contraindicated. An upper respiratory infection may be an indication for the drug.
adult onset diabetes
C) A 17-year-old girl with symptoms of an
upper respiratory infection
D) A 62-year-old man with gout
The nurse is writing a plan of care for a B
patient receiving an alpha-specific Sympathetic stimulation will cause hypertension and increased heart rate so it is
adrenergic agonist. What should this plan important these be monitored. Sympathetic stimulation will also result in increased
of care include? sweating, decreased gastrointestinal activity, and a sense of anxiety and heightened
A) Monitoring the patient for diarrhea awareness. Diarrhea, dehydration, fatigue, and lethargy would not be expected.
B)Monitoring blood pressure and heart
rate every 2 to 4 hours
C)Assessing skin turgor for dehydration
D)Assessing for fatigue and lethargy
A nurse receives an order for clonidine Ans:C
(Catapres) for a 25-year-old pregnant Feedback:
woman. What is the nurse's priority action? The nurse would consult with the physician to ensure awareness of the pregnancy
A) Weigh the patient to obtain correct and desire to administer this drug. There are no adequate studies about use during
dose/kg/day. pregnancy and lactation, so use should be reserved for situations in which the
B) Have a second nurse check the dose benefit to the mother outweighs any potential risk to the fetus or neonate. The nurse
before administering the drug. should question the prescriber regarding this order. It would not be necessary to
C) Consult with the physician about the implement the other options.
order.
D) Make sure the patient is wearing a fetal
monitor.
The nursing students are studying Ans:D
sympathomimetic drugs. How do these Drugs that are generally sympathomimetic are called alpha-agonists (stimulate
drugs act on the body? alpha- receptors) and beta-agonists (stimulate beta- receptors). These agonists
A) Stimulate beta receptors and block stimulate all of the adrenergic receptors; that is they affect both alpha and beta-
alpha- receptors receptors.
B) Stimulate alpha-receptors and block
beta- receptors
C) Block adrenergic receptorsD)Stimulate
both alpha and beta-receptors
How does ephedrine act on the body? Ans:A Feedback:
A) Stimulates the release of norepinephrine Ephedrine stimulates the release of norepinephrine from nerve endings and acts
B) Acts indirectly on beta-adrenergic directly on adrenergic receptor sites. Therefore, the other options are incorrect.
receptor sites
C) Stimulates the release of dopamine
D) Acts indirectly on alpha-adrenergic
receptor sites
3/21
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