A patient is scheduled for a water deprivation test. What should ...

[tichca]

A patient is scheduled for a water deprivation test. What should the nurse instruct the patient to prepare for this test?
 
  Select all that apply.
 
  1. Expect this test to take 16 hours to complete.
  2. Abstain from smoking as directed by the health care provider.
  3. A sedative will be provided prior to the beginning of the test.
  4. Do not eat or drink anything as directed by the health care provider.
  5. Blood and urine samples will be collected every hour during the test.

Question 2

During a physical assessment the nurse suspects a patient is experiencing hypothyroidism. What skin assessment findings did the nurse use to make this assumption?
 
  Select all that apply.
 
  1. rough, dry skin
  2. smooth, flushed skin
  3. yellowish cast to the skin
  4. areas of hyperpigmentation
  5. purple striae over the abdomen

[Sarahjh]

Answer to Question 1

Correct Answer: 2, 4, 5
For the water deprivation test, the patient should be instructed not to smoke as directed by the health care provider. For the water deprivation test, the patient should be instructed to not eat or drink as directed by the health care provider. For the water deprivation test, blood samples for osmolality are taken when urine samples are collected each hour. The test will take up to 8 hours to complete. A sedative is not needed for this test.

Answer to Question 2

Correct Answer: 1, 3
Rough, dry skin is often seen in patients with hypothyroidism. A yellowish cast to the skin might indicate hypothyroidism. Smooth, flushed skin can be a sign of hyperthyroidism. Areas of hyperpigmentation may be seen in patients with Addison disease or Cushing syndrome. Purple striae over the abdomen may be present in patients with Cushing syndrome.