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NURS 3366 - Exam Questions With Correct Answers

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NURS 3366 - Exam Questions With Correct Answers

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NURS 3366 - Exam Questions With || || || || || ||




Correct Answers || ||




the endocrine system is dependent on
|| || || || ||




negative feedback systems || ||




negative feedback system || ||




A reaction that causes a decrease in function in response
|| || || || || || || || || ||



to some kind of stimulus.
|| || || ||




negative feedback system: example 1|| || || ||




a HIGH blood level of a circulating hormone (a hormone is
|| || || || || || || || || ||



basically a chemicalmessenger) will
|| || || || ||



automaticallysuppress the gland that secreted it and/or || || || || || || ||



otherglands in the feedback loop, thusdecreasing || || || || || ||



secretion of that hormone || || ||




negative feedback system: example 2|| || || ||




a LOW blood level of a circulating hormone will
|| || || || || || || || ||



automatically stimulate the glandthat secreted it and/or || || || || || || ||

,other glands in the feedback loop.. the result is that
|| || || || || || || || || ||



therewill be MORE of the hormone in circulation
|| || || || || || ||




pituitary gland ||




AKA hypophysis AKA master gland located in brain near
|| || || || || || || || ||



base of skull|| ||




pituitary gland secretes || ||




1. antidiuretic hormone (ADH)
|| || ||




2. thyroid-stimulating hormone (TSH)
|| || ||




3. adrenocorticotropic hormone (ACTH)
|| || ||




ADH normally released when..
|| || ||




process that the body uses tocompensate for ("fix") low
|| || || || || || || || ||



fluid volume: when the pituitary detects that circulating
|| || || || || || || ||



fluid volume is low, (the body has a high osmolality or
|| || || || || || || || || || ||



high blood concentration) it secretes ADH > ADH "tells"
|| || || || || || || || ||



kidneys to "hang onto" water by decreasing urine output
|| || || || || || || || ||



> fluids are conserved and fluid volume in the body goes
|| || || || || || || || || || ||



up.

,normal ADH process:
|| ||




low volume/high osmolality alerts pituitary > ADH
|| || || || || || ||



released from the pituitary > ADH tells kidney to hang on
|| || || || || || || || || || ||



to water > ADH released from pituitary > kidneys sense
|| || || || || || || || || ||



low fluid volume, low BP, and high blood concentration >
|| || || || || || || || || ||



kidneys secrete renin (RAAS activated) > angiotensin I >
|| || || || || || || || ||



angiotensin II > peripheral vasoconstriction and || || || || || ||



aldosterone release from adrenal gland || || || ||




diabetes insipidus (DI) (ADH problem)
|| || || ||




undersecretion; means “to pass too much urine;” || || || || || || ||



insipidus means “flavorless” (refers to the fact that the
|| || || || || || || || ||



urine has no color because it is very dilute)
|| || || || || || || ||




two causes for diabetes insipidus (DI)
|| || || || ||




renal or CNS problems
|| || ||

, renal problems (diabetes insipidus)
|| || ||




"sick" kidneys often have adecreased response of renal
|| || || || || || || ||



tubules to ADH || ||




CNS problems (diabetes insipidus)
|| || ||




1. a lesion such as a pituitary tumor causes the gland
|| || || || || || || || || || ||



todiminishits secretion of ADH || || ||




2. acute abnormality in the brain such as head injury
|| || || || || || || || || ||



orother causes of cerebral edema & IICP in the brain
|| || || || || || || || || ||



canput pressure on the pituitary gland & cause it
|| || || || || || || || ||



todiminish ADH secretion || ||




decrease in ADH due to ____ whereas increase in ADH due
|| || || || || || || || || ||



to ____
|| ||




diabetes insipidus; SIADH || ||




decrease in ADH = || || ||




kidneys will allow more H2O in urine (polyuria) > increase
|| || || || || || || || ||



in UO > decrease in H2O in body > increase in osmolality
|| || || || || || || || || || || ||

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