Author Question: A patient is admitted with a long history of mental illness Her husband states she has been ... (Read 27 times)

ap345 · **on:** Jun 25, 2018

A patient is admitted with a long history of mental illness

Her husband states she has been drinking up to 10 gallons of water each day for the past 2 days and refuses to eat. The patient is severely dehydrated and soaked with urine. The nurse suspects

a. central diabetes insipidus (DI).
b. nephrogenic DI.
c. psychogenic (dipsogenic) DI.
d. iatrogenic DI.

Question 2

A patient's condition has deteriorated

Changes in condition include trachea shift, absence of breath sounds on the left side, and hypotension. A chest tube was inserted on the left side with 1800 mL of blood removed. The nurse expects that the patient will be taken to surgery for a

a. thoracotomy.
b. cardiac tamponade.
c. splenectomy.
d. pneumothorax.

kristenb95 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

C
Psychogenic diabetes insipidus (DI) is a rare form of the disease that occurs with compulsive drinking of more than 5 L of water a day. Long-standing psychogenic DI closely mimics nephrogenic DI because the kidney tubules become less responsive to antidiuretic hormone as a result of prolonged conditioning to hypotonic urine.

Answer to Question 2

A
Thoracotomy may be necessary for patients who require persistent blood transfusions or who have significant bleeding (200 mL/hr for 2 to 4 hours or more than 1500 mL on initial tube insertion) or when there are injuries to major cardiovascular structures.