A client who has had intracranial surgery develops urine output in excess of 200 ml per hour. The nurse reports the findings, suspecting
a. diabetes insipidus.
b. fluid volume excess.
c. hyponatremia.
d. hyperkalemia.
A
A fairly common effect of pituitary surgery is the development of transient diabetes insipidus (DI) as a result of decreased secretion of antidiuretic hormone. The main clinical manifestations of DI are polyuria and polydipsia, with 2 to 5 L per day of dilute urine that has a specific gravity of 1.005 or less.
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