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concept of nursing 1
Pituitary Disorders
| Question | Answer |
|---|---|
| The nurse is caring for an older adult who sustained a closed head injury and notes that the patient has not urinated in the past four hours despite drinking 500 mL of fluid and receiving IV fluids at a rate of 150 mL/hr. | -- |
| Which condition should the nurse suspect in this patient? | Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) |
| The nurse is monitoring a patient recovering from the removal of a brain tumor. The nurse notes that the patient has an increase in urinary output to 450 mL of very light urine in the past hour. Which condition should the nurse suspect in this patient? | Diabetes insipidus (DI) |
| A nurse is assessing a patient with suspected hypopituitarism. Which findings would suggest that the patient may have a deficiency of adrenocorticotropic hormone (ACTH)? | Fasting hypoglycemia and headache |
| A patient is admitted to the intensive care unit because of low urine output, increased body weight, lethargy, and confusion. Serum sodium level is <120 mEq/L. What should the nurse do first? | Administer 3% sodium chloride IV at a slow rate |
| The nurse is preparing a patient with suspected diabetes insipidus (DI) for a water deprivation test on the following day. Which information should the nurse provide the patient? | -“Your weight will be measured before the test.” -“We will need to collect your urine in the morning.” -“You will need to refrain from drinking anything once the test is started.” |
| -- | -“Multiple specimens of your urine will be collected throughout the day.” |
| A nurse is managing a patient with diabetes insipidus (DI). Which order would the nurse question? | Administer 3% sodium chloride by intravenous (IV) infusion. |
| The nurse is caring for a patient with diabetes insipidus (DI) who is receiving desmopressin by subcutaneous injection. Which assessment components should the nurse monitor to determine the effectiveness of this treatment? | -Vital signs -Intake and output -Level of consciousness |
| A patient reports having headaches and nausea and appears lethargic on the fifth day after removal of a pituitary tumor. Which is the best explanation of these clinical manifestations? | The patient may be experiencing syndrome of inappropriate secretion of antidiuretic hormone (SIADH) caused by manipulation of the pituitary gland. |
| A patient recovering from a pituitary surgery reports persistent facial pain and headache, especially around the eyes. What are the best actions by the nurse? | -Keep the patient in bed. -Elevate the head of the bed. |
| A female patient with a history of pituitary surgery is speaking with the nurse. The patient becomes tearful when discussing how the surgery has permanently affected her life. | -- |
| Which factors should the nurse take into consideration when addressing the patient’s concern? | -After pituitary surgery, some people require lifelong hormone replacement therapy -The patient may have infertility resulting from the surgery and might benefit from a support group |
Created by:
Lightnning54
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