A patient candidate for organ donation has developed diabetes insipidus. What will the nurse most likely assess in this patient?
1. Large urine output and low urine specific gravity
2. Low urine output and high serum sodium
3. High urine specific gravity and high serum glucose
4. Large urine output and low serum sodium
1
Rationale 1: DI develops in 40% to 70% of organ donors and results in production of large volumes of dilute urine. Typical findings include: Urine output greater than 300 mL/hr and urine specific gravity less than 1.010.
Rationale 2: A low urine output is not a manifestation of diabetes insipidus.
Rationale 3: A high urine specific gravity is not a manifestation of diabetes insipidus.
Rationale 4: Low serum sodium is not a manifestation of diabetes insipidus.
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In the majority culture of America, coughing, sweating, and diarrhea are symptoms of an illness. For some individuals of Mexican-American origin, however, these symptoms are a normal part of living. The nurse recognizes that this difference is true,
probably because Mexican-Americans: a. Have less efficient immune systems and are often ill. b. Consider these symptoms part of normal living, not symptoms of ill health. c. Come from Mexico, and coughing is normal and healthy there. d. Are usually in a lower socioeconomic group and are more likely to be sick.
Flexion of the fetal head, a fetal mechanism of labor, assists it to move through the maternal pelvis by:
a. allowing the narrowest part of the skull to enter the pelvic outlet b. causing lightening c. facilitating engagement d. shortening the entire birth process
Because aspirin can be purchased without a prescription order form, it is called a(n):
a. prescription drug. c. legend drug. b. over-the-counter drug. d. illicit drug.
During the initial prenatal visit, the pregnant teenager states that she does not know how she got pregnant. The nurse can help to educate her regarding anatomy by doing what?
1. Allowing her to witness a pelvic exam on another teenager 2. Encouraging her to ask her mother about the physiology of pregnancy 3. Including anatomic models and drawings in the teaching session 4. Discussing the process of fetal development with the client