A patient who had a hypophysectomy 3 days ago begins to have 3000 ...

[PhilipSeeMore]

A patient who had a hypophysectomy 3 days ago begins to have 3000 mL of urine output every shift and complains of thirst and a dry mouth. Which problem does the nurse suspect?
 
  a. Overreaction to diuretics
  b. Diabetes insipidus (DI)
  c. Diabetes mellitus
  d. Glucose intolerance

Question 2

The nurse is educating a patient who has gastroesophageal reflux disease (GERD) about dietary modification. Which information is most important for the nurse to include in the teaching plan?
 
  a. Avoid highly seasoned or spiced foods.
  b. Drink ginger ale or lemon lime soda rather than cola.
  c. Use a straw to drink all fluids.
  d. Eating three meals spaced evenly apart.

[joshbk44]

Answer to Question 1

B
DI is a complication of a hypophysectomy. The posterior lobe of the pituitary gland controls urinary output; when this portion of the pituitary is removed or damaged, there is no secretion of antidiuretic hormone to stop excessive urine output.

Answer to Question 2

A
Avoiding highly seasoned or spicy food should be incorporated into diet changes for the patient with GERD. The avoidance of carbonated beverages with meals and the use of a straw do not reduce the impact of GERD. The frequency of dietary intake does not influence GERD.