A patient with a suspected prolactinoma reports absent menstrual periods and milky breast discharge. Which hormone level does the nurse expect to be elevated?

Correct answer: C. Prolactin

  • A. Adrenocorticotropic hormone
  • B. Antidiuretic hormone
  • C. Prolactin
  • D. Thyroid-stimulating hormone

Explanation

Excess prolactin can suppress reproductive hormones and cause amenorrhoea with galactorrhoea. A prolactin-secreting pituitary adenoma is a common endocrine cause. The other hormones are associated with adrenal, water-balance and thyroid regulation rather than this typical pattern.

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About Endocrine and Diabetes Nursing

Covers diabetes mellitus, insulin therapy, hypoglycaemia, diabetic ketoacidosis, hyperosmolar states and common thyroid, adrenal and pituitary disorders. It includes blood glucose monitoring, diet, foot care, sick-day management and the clinical differences between type 1 and type 2 diabetes and between diabetic ketoacidosis and hyperosmolar hyperglycaemic state.

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