2. A client with severe head trauma sustained from a car accident is admitted to ICU. The client’s urine output suddenly rises to 200ml/hour 36 hours later, leading the nurse to suspect diabetes insipidus. Which of the following laboratory finding support the nurse’s suspicion of diabetes insipidus? Above normal urine and serum osmolality level Below normal urine and serum osmolality levels Above normal urine osmolality level, below normal serum osmolality level Below normal urine osmolality level, above normal serum osmolality level
4. A client with severe head trauma sustained from a car accident is admitted to ICU. The client’s urine output suddenly rises to 200ml/hour 36 hours later, leading the nurse to suspect diabetes insipidus. Which of the following laboratory finding support the nurse’s suspicion of diabetes insipidus? Above normal urine and serum osmolality level Below normal urine and serum osmolality levels Above normal urine osmolality level, below normal serum osmolality level Below normal urine osmolality level, above normal serum osmolality level
5. Rationale: In diabetes insipidus, polyuria causes dilute urine resulting in below level urine osmolality level. At the same time polyuria depletes the body of water, causing dehydration that leads to above normal serum osmolality level.
7. 2. When assessing a client with syndrome of inappropriate anti diuretic hormone (SIADH), a nurse should be aware that which of the following signs suggest that the client is experiencing complications? Chvosteks signs Neck vein distention Weight loss polyuria
9. 2. When assessing a client with syndrome of inappropriate anti diuretic hormone (SIADH), a nurse should be aware that which of the following signs suggest that the client is experiencing complications? Chvosteks signs Neck vein distention Weight loss polyuria
10. Rationale: SIADH causes overproduction of anti diuretic hormone, which leads to fluid retention. Severe SIADH can cause such complications as fluid overload, signaled by neck vein distention.
12. 3. Which hormone is secreted by the pituitary gland? Choose all that apply. Anti diuretic hormone Growth hormone Lutenizing hormone Oxytocin calcitonin
14. 3. Which hormone is secreted by the pituitary gland? Choose all that apply. Anti diuretic hormone Growth hormone Lutenizing hormone Oxytocin calcitonin
17. 4. A patient with SIADH asks the nurse why he has gain 10 pounds. Which response is best? “SIADH” causes an increase in appetite. As soon as you are effectively treated, the weight should drop back to normal for you” “you are retaining a lot of sodium and potassium, and that causes you to gain a lot of water weight” “you have too much of a hormone in your system that causes you to retain water.” “your kidneys are not working correctly, so they can’t get rid of extra water from your system”
19. 4. A patient with SIADH asks the nurse why he has gain 10 pounds. Which response is best? “SIADH” causes an increase in appetite. As soon as you are effectively treated, the weight should drop back to normal for you” “you are retaining a lot of sodium and potassium, and that causes you to gain a lot of water weight” “you have too much of a hormone in your system that causes you to retain water.” “your kidneys are not working correctly, so they can’t get rid of extra water from your system”
21. 5. Which assessment finding should the nurse expect to see in the patient with uncontrollable diabetes insipidus? Choose all that apply. Edema Polyuria Heat intolerance Diarrhea Polydipsia Dehydration
23. 5. Which assessment finding should the nurse expect to see in the patient with uncontrollable diabetes insipidus? Choose all that apply. Edema Polyuria Heat intolerance Diarrhea Polydipsia Dehydration
25. 6. Which action by the nurse is most important following hypophysectomy? Performing a routine neurological assessment Encouraging the patient to cough and breathe deeply Monitoring for tracheal edema Assisting with use of an incentive spirometer for deep inhalation
27. 6. Which action by the nurse is most important following hypophysectomy? Performing a routine neurological assessment Encouraging the patient to cough and breathe deeply Monitoring for tracheal edema Assisting with use of an incentive spirometer for deep inhalation
29. 7. A client had suffered a closed head injury after vehicular accident. The client’s urinary output has been 2000 to 4000 ml/day. A secondary diabetes insipidus has been made. A medication intranasal route has been ordered for treatment of DI. What would that be? Vasopressin Hydrocortisone Declamycin aldactone
31. 7. A client had suffered a closed head injury after vehicular accident. The client’s urinary output has been 2000 to 4000 ml/day. A secondary diabetes insipidus has been made. A medication intranasal route has been ordered for treatment of DI. What would that be? Vasopressin Hydrocortisone Declamycin aldactone
