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Author Question: The client who has had intracranial surgery is experiencing diabetes insipidus. The nurse ... (Read 59 times)

karateprodigy

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The client who has had intracranial surgery is experiencing diabetes insipidus. The nurse understands that the client is experiencing which of the following problems?
 
  1. Water intoxication
  2. Excess production of dopamine
  3. Excess production of angiotensin II
  4. Insufficient production of antidiuretic hormone (ADH)

Question 2

The nurse identifies that a client is having occasional premature ventricular contractions (PVCs) on the cardiac monitor.
 
  The nurse reviews the client's laboratory results and determines that which of the following results would be consistent with the observation? 1. Serum sodium level of 150 mEq/L
  2. Serum chloride level of 95 mEq/L
  3. Serum calcium level of 11.5 mg/dL
  4. Serum potassium level of 2.8 mEq/L



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millet

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Answer to Question 1

4

Rationale: Diabetes insipidus results from insufficient ADH production, which in this case was because of head injury. This causes the kidneys to excrete large volumes of urine. Water intoxication represents the opposite problem of that experienced with diabetes insipidus. Excess production of dopamine and excess production of angiotensin II are not associated with diabetes insipidus.

Answer to Question 2

4

Rationale: The nurse assesses the client's serum laboratory study results for hypokalemia. The client may experience PVCs in the presence of hypokalemia, because this electrolyte imbalance increases the electrical instability of the heart. The electrolyte imbalances mentioned in the other options do not have this effect.





 

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