The nurse is caring for a patient with head trauma who was admitted to the surgical intensive care unit following a motorcycle crash
What is an important assessment that will assist the nurse in early identification of an endocrine disorder commonly associated with this condition? a. Daily weight
b. Fingerstick glucose
c. Lung sound auscultation
d. Urine osmolality
D
Diabetes insipidus may result from traumatic brain injury. It results in passage of large volumes of dilute urine. Urine osmolality is low in individuals with diabetes insipidus, and urine specific gravity assessments should be incorporated into the care of at-risk patients. Even though daily weight monitoring is important in the assessment of fluid balance disorders, it is not specific in determining cause. Urine specific gravity measuring would be a more specific means of identifying diabetes insipidus. Blood glucose values would be abnormal in diabetes mellitus but not diabetes insipidus. Changes in breath sounds accompany fluid overload states such as SIADH. Diabetes insipidus is a hypovolemic condition.
You might also like to view...
The nursing student is conducting a teaching session with adolescents regarding sexually transmitted infections in a Planned Parenthood clinic. Which of the following aspects of the nursing scope of practice does this reflect?
1. Promoting health and wellness 2. Providing direct care to clients 3. Restoring health 4. Preventing illness
Which of the following is an example of a theory from a physiological background that is used by nurses as a framework for nursing studies?
a. Gate control theory of pain b. Health promotion model c. Social cognitive theory d. Theory of coping
The pregnant client calls the clinic and tells the nurse that she is experiencing leg cramps and is awakened by the cramps at night. The nurse would tell the client to _____ the knee when the cramps occur
1. Dorsiflex the foot while extending 2. Dorsiflex the foot while flexing 3. Plantar flex the foot while flexing 4. Plantar flex the foot while extending
The failure of the cardiac sphincter to open properly is associated with the following features EXCEPT:
A. There is malfunction of the nerve plexus in the esophagus. B. Esophageal musculature undergoes hypertrophy. C. It can be treated using botulium toxin. D. Normal esophageal contraction allows for the passage of the food into the stomach. E. It can be treated through eriodic stretching or surgical excision of the muscle fibers in the constricted area.