A patient who had a hypophysectomy 3 days ago begins to have 3000 mL of urine output every shift and complains of thirst and a dry mouth. The nurse interprets these signs as possible:
a. overreaction to diuretics.
b. diabetes insipidus.
c. diabetes mellitus.
d. glucose intolerance.
B
Diabetes insipidus is a complication of a hypophysectomy. The posterior lobe of the pituitary gland controls urinary output; when this portion of the pituitary is removed or damaged, there is no secretion of antidiuretic hormone to stop excessive urine output.
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A physician reported a case of possible nursing negligence to the state board of nursing. What action will be taken by the board?
1. The complaint will be screened and an investigation initiated if appropriate. 2. Nothing will be done as only another professional nurse is qualified to report nursing negligence. 3. The nurse or nurses will be placed on probation pending investigation of the complaint. 4. The incident will be recorded as a "first strike" against the nurse or nurses involved.
The teratogenic effects of alcohol may cause which of these conditions?
a. cirrhosis c. Korsakoff's psycho-sis b. fetal alcohol syn-drome d. Wernicke's encephalopathy
Which substances act as neurotransmitters in the peripheral nervous system? You may select more than one answer
1. Acetylcholine 2. Norepinephrine 3. Serotonin 4. Dopamine 5. Epinephrine
The nurse documents which finding as normal after performing the Barlow-Ortolani maneuver on an infant?
a. The clavicles are immobile and without crepitus. b. Each shoulder remains in a "hunched up" position. c. No clicking is noted when the hips are abducted and adducted. d. Both feet are held in the varus position when stroked on the soles.