This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient is hospitalized with head trauma after a motor vehicle accident. The nurse caring for the ... (Read 30 times)

haleyc112

  • Hero Member
  • *****
  • Posts: 600
on: Jul 23, 2018
A patient is hospitalized with head trauma after a motor vehicle accident. The nurse caring for the patient notes a marked increase in the output of pale, dilute urine. The nurse suspects which condition?
 
  a. Diabetes insipidus
  b. Diabetes mellitus
  c. Syndrome of inappropriate antidiuretic hormone secretion (SIADH)
  d. Water intoxication

Question 2

A patient arrives in the emergency department with a heart rate of 128 beats per minute and a temperature of 105 F. The patient's skin feels hot and moist.
 
  The free T4 level is 4 ng/dL, the free T3 level is 685 pg/dL, and the TSH level is 0.1 microunits/mL. The nurse caring for this patient will expect to administer:
  a. intravenous levothyroxine.
  b. iodine-131 (131I).
  c. methimazole (Tapazole).
  d. propylthiouracil (PTU).


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

triiciiaa

  • Sr. Member
  • ****
  • Posts: 349
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Deficiency of antidiuretic hormone (ADH) produces hypothalamic diabetes insipidus, in which large volumes of dilute urine are produced. Head trauma can cause the hypothalamus to stop producing ADH. Diabetes mellitus is an endocrine disorder of the pancreas that causes the production of large volumes of nondilute urine. SIADH is a condition in which too much ADH is produced, causing oliguria. Water intoxication occurs with SIADH.

Answer to Question 2

ANS: D
Propylthiouracil is used for patients experiencing thyroid storm, and this patient is showing signs of that condition. Levothyroxine is given IV for hypothyroidism. 131I is used in patients over age 30 who have not responded to other therapies. Methimazole is used long term to treat hyperthyroidism, but PTU is more useful for emergency treatment.


haleyc112

  • Member
  • Posts: 600
Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

momolu

  • Member
  • Posts: 320
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

The toxic levels for lithium carbonate are close to the therapeutic levels. Signs of toxicity include fine hand tremor, polyuria, mild thirst, nausea, general discomfort, diarrhea, vomiting, drowsiness, muscular weakness, lack of coordination, ataxia, giddiness, tinnitus, and blurred vision.

Did you know?

On average, the stomach produces 2 L of hydrochloric acid per day.

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

Hip fractures are the most serious consequences of osteoporosis. The incidence of hip fractures increases with each decade among patients in their 60s to patients in their 90s for both women and men of all populations. Men and women older than 80 years of age show the highest incidence of hip fractures.

Did you know?

Individuals are never “cured” of addictions. Instead, they learn how to manage their disease to lead healthy, balanced lives.

Head shot, showing convex profile Head shot, showing convex profile
Kitagawa Utamaro, Shaving a Boy's Head. Kitagawa Utamaro, Shaving a Boy's Head.
Amniocentesis. The patient is examined with ultrasound to determine the placental site and to locate ... Amniocentesis. The patient is examined with ultrasound to determine the placental site and to locate ...
Patient Physical Status Classification Patient Physical Status Classification
Finish with bilateral stroking to the entire back. Stand at head of the table with fingers pointing ... Finish with bilateral stroking to the entire back. Stand at head of the table with fingers pointing ...
Video: Fermentation pathways

For a complete list of videos, visit our video library