Author Question: A patient with hyperthyroidism is experiencing vision changes. What teaching should the nurse ... (Read 56 times)

moongchi · **on:** Jun 25, 2018

A patient with hyperthyroidism is experiencing vision changes. What teaching should the nurse provide to preserve this patient's sight?

Select all that apply.

1. Apply eye shields.
2. Instill artificial tears.
3. Wear eyeglasses with tinted lenses.
4. Apply warm compresses to the eyes every 4 hours.
5. Notify the health care provider about vision changes.

Question 2

A patient recovering from a closed head injury has a urine specific gravity of 1.010 g/mL. The previous intake and output totals were 1,200 mL intake and 10,000 mL output.

Which order from the health care provider should the nurse question for this patient?
1. desmopressin (Minirin) 0.2 mg by mouth daily
2. oral fluid restriction of 800 mL per day
3. 3 normal saline at 100 mL per hour
4. computed tomography scan of head

phuda · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 2, 3, 5
Measures to protect the eyes from injury and maintain visual acuity include applying eye shields, instilling artificial tears to moisten the eyes, using tinted glasses, and notifying the health care provider about any vision changes. The application of warm compresses would not help preserve this patient's visual acuity.

Answer to Question 2

Correct Answer: 1

Desmopressin acetate is administered intranasally or parenterally and is the treatment of choice for SIADH that cannot be treated by correcting the underlying cause. Strategies for correcting the underlying cause of SIADH include treating the hyponatremia with intravenous hypertonic saline, and replacing fluid based on a calculation that adds fluid losses from the prior hour to an hourly base rate of fluid. A CT scan is an appropriate diagnostic tool.