Pituitary Disorders Flashcards
Pituitary Disorders - Burke Textbook Chapter 35
A client newly diagnosed with SIADH is preparing for discharge. Which of the following teaching points should be included in the discharge instructions?
A. Teach the client how to measure urine output.
B. Encourage the client to eat a high-protein diet.
C. Instruct the client on how to take pulse qd.
D. Teach client to avoid crowds.
A. Teach the client how to measure urine output.
Rationale:
Clients with SIDAH have a decreased urine output. Urine production must be monitored along with fluid restriction. A high-protein diet is not needed for this client. SIADH does not alter heart rate, so check the pulse is not required. SIDAH client has no increased risk of infection from crowds.
Pituitary Disorders - Burke Workbook Chapter 35
A client, diagnosed with acromegaly, tells you taht he is having increased difficulty walking up the stairs at his house. Based on this statement, the nurse prepares a car plan for a nursing diagnosis of:
A. Disturbed Body Image related to physical changes.
B. Activity Intolerance related to joint pain.
C. Pain related to increased weight on joints.
D. Risk for injury.
B. Activity Intolerance related to joint pain.
Pituitary Disorders - ATI Med Surge Book Chapter 75
A nurse is caring for a client who has primary DI. THe client is oriented to person, place and time, but reports fatigue. Hgb is 35% and vitals signs are: blood pressure 110/68 mm Hg, pulse 102/min, respirations 18/min, and temperature 37.8º C (100.0º F). Which of the following data should the nurse expect? (Select all that apply)
A. Polydipsia B. Oliguria C. Nocturia D. Hypernatremia E. Hypokalemia
A. Polydipsia
C. Nocturia
D. Hypernatremia
Rationale:
Primary diabetes insipidus is caused by reduction in the secretion of ADH. Manifestations include increased thirst and excessive urination with reports of nocturia. DI causes excessive excretion of fluid and therefore, serum electrolyte will show hypernatremia and hyperkalemia.
