The nurse is aware that the patient has central diabetes insipidus because the disease was the result of the patient's having:
a. brain surgery to remove a tumor.
b. a kidney disorder.
c. habitually consumed excessive amounts of water.
d. a thyroid disorder.
A
Central diabetes insipidus is caused by insult to the pituitary by brain injury or invasive surgery.
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The nurse is doing preconception counseling with an adult client with no prior pregnancies. Which client statement indicates that teaching has been effective?
A) "I can continue to drink alcohol throughout my pregnancy." B) "A beer once a week will not damage the fetus." C) "I don't need to stop drinking alcohol until my pregnancy is confirmed." D) "I can't drink alcohol while breastfeeding, because it will pass into the breast milk."
The patient undergoes a cardiac catheterization that requires the use of contrast dyes during the procedure. To detect signs of contrast-induced kidney injury, the nurse should:
a. not be concerned unless urine output decreases. b. evaluate the patient's serum creatinine for up to 72 hours after the procedure. c. obtain an order for a renal ultrasound. d. evaluate the patient's post void residual volume to detect intrarenal injury.
How is the Whipple triad described? (Select all that apply.)
a. Symptoms of hypoglycemia are present. b. Low blood glucose levels are documented when symptoms are present. c. Symptoms can be reproduced with an in-jection of regular insulin, 10 units. d. Muscular activity does not have any effect on blood glucose. e. Symptoms improved when the blood glu-cose level rises.
Which of the following would be considered as being an independent nursing intervention?
a. Teaching a postoperative client how to cough and deep breathe b. Maintaining an intravenous infusion of normal saline at 100 mL per hour c. Monitoring the client's blood sugar before every meal d. Irrigating an open wound and applying medicated ointment