The nurse is caring for a patient with a traumatic brain injury. Which of the following assessment findings alerts the nurse to possible diabetes insipidus?
a. Headache
b. Elevated blood glucose
c. Frequent urination
d. Confusion
ANS: C
Edema or direct injury affects the posterior portion of the pituitary gland or hypothalamus. Inadequate release of antidiuretic hormone results in polyuria and, if the patient is awake, polydipsia. Fluid replacement and intravenous vasopressin are used to maintain fluid and electrolyte balance. Headache and confusion are symptoms of intracranial pressure (ICP). Elevated glucose is a sign of diabetes mellitus, not insipidus.
You might also like to view...
A female patient has recurring bacterial vaginal infections. Which information should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "Wear only thong-type underwear.". 2. "Be sure to wash the perineal region daily and as necessary throughout the day.". 3. "Some women find that taking probiotics helps reduce infections.". 4. "Avoid sexual intercourse.". 5. "Use condoms when engaging in sexual activity.".
The female client scheduled for an invasive procedure the next day complains of headache and nausea and knocks over a glass of water onto the floor
Which intervention(s) should the nurse implement for therapeutic communication? (Select all that apply.) 1. Explain the procedure briefly 2. Teach with client's partner present 3. Give the client written information 4. Tell client she seems overwhelmed 5. Ask if this is her first hospitalization 6. State the procedure can be cancelled
The nurse manager is examining the descriptive statistics of increasing teen pregnancy rates in the community
Which inferential statistical research question would the nurse manager find most useful in investigating the reasons for increased frequency of teen pregnancy? 1. What providers do pregnant teens see for prenatal care? 2. What are the ages of the parents of pregnant teens in the community? 3. Do pregnant teens drink caffeinated beverages? 4. What do pregnant teens do for recreation?
The loss of equal amounts of fluid and electrolytes is called:
What will be an ideal response?