Author Question: A nurse assesses clients with potential endocrine disorders. Which clients are at high risk for ... (Read 70 times)

RODY.ELKHALIL · **on:** Jun 25, 2018

A nurse assesses clients with potential endocrine disorders. Which clients are at high risk for adrenal insufficiency? (Select all that apply.)

a. A 22-year-old female with metastatic cancer
b. A 43-year-old male with tuberculosis
c. A 51-year-old female with asthma
d. A 65-year-old male with gram-negative sepsis
e. A 70-year-old female with hypertension

Question 2

A nurse cares for a client who is prescribed vasopressin (DDAVP) for diabetes insipidus. Which assessment findings indicate a therapeutic response to this therapy? (Select all that apply.)

a. Urine output is increased.
b. Urine output is decreased.
c. Specific gravity is increased.
d. Specific gravity is decreased.
e. Urine osmolality is increased.
f.
Urine osmolality is decreased.

bpool94 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, B, D
Metastatic cancer, tuberculosis, and gram-negative sepsis are primary causes of adrenal insufficiency. Active tuberculosis is a contributing factor for syndrome of inappropriate antidiuretic hormone. Hypertension is a key manifestation of Cushing's disease. These are not risk factors for adrenal insufficiency.

Answer to Question 2

ANS: A, D, F
Diabetes insipidus causes urine output to be greatly increased, with a low urine osmolality, as evidenced by a low specific gravity. Effective treatment results in decreased urine output that is more concentrated, as evidenced by an increased specific gravity.