A client with an excessive alcohol intake has a reduced amount of ...

[justinmsk]

A client with an excessive alcohol intake has a reduced amount of antidiuretic hormone (ADH). The nurse anticipates the client will exhibit:
 
  1. Hematuria
  2. An increased blood pressure
  3. Dry mucous membranes
  4. A low serum sodium level

Question 2

A client is going to have a cystoscopy. Which of the following reflects the correct information that should be taught before the procedure?
 
  1. Are you allergic to iodine?
  2. There will be no need to have a special consent form.
  3. You will need to have fluids restricted the evening before the cystoscopy.
  4. You will probably be given sedatives before the procedure.

[Sophiapenny]

Answer to Question 1

ANS: 3
Alcohol inhibits the release of ADH, resulting in increased water loss in urine. The client may show signs of decreased fluid volume (dehydration), including dry mucous membranes. The ef-fects of excessive alcohol intake and reduced antidiuretic hormone will not cause hematuria. Having decreased levels of antidiuretic hormone will lead to increased urine production. The cli-ent may exhibit a decreased blood pressure resulting from decreased fluid volume and an in-creased serum sodium level with dehydration.

Answer to Question 2

ANS: 4
Although this procedure may be accomplished using local anesthesia, it is more commonly per-formed using general anesthesia or conscious sedation to avoid unnecessary anxiety and trauma for the client. A cystoscopy involves direct visualization. No contrast dye is used; therefore the nurse does not need to ask if the client is allergic to iodine. A signed consent form is obtained. Fluids are not restricted before or after the procedure. The flushing action helps remove bacteria from the urethra.

[justinmsk]

TYSM

[dawsa925]

Thanks for the timely response, appreciate it