Endocrine Disorders - NCLEX with correct answers rated A+

Endocrine Disorders - NCLEXAfter a hypophysectomy for acromegaly, what should be the priority of postoperative nursing care? A. Frequent monitoring of serum and urine osmolarity B. Parenteral administration of a growth hormone receptor antagonist C. Keeping the patient in a recumbent position for 2 days D. Patient teaching relate to lifelong ACTH and TSH hormone replacement - correct answer A. Frequent monitoring of serum and urine osmolarity A possible postoperative complication after hypophysectomy is transient diabetes insipidus (DI). This may occur because of loss of antidiuretic hormone (ADH), which is stored in the posterior lobe of the pituitary, or cerebral edema related to manipulation of the pituitary during surgery. To assess for DI, monitor urine output and serum and urine osmolarity closely. The patient has small cell lung cancer. Which finding indicates a complication of the condition? A. Serum sodium level: 128 mg/dL B. Serum potassium level: 4.5 mEq C. Urine output: 30 mL/hour D. Urine specific gravity: 1.012 - correct answer A. Serum sodium level: 128 mg/dL Malignancy, especially small cell lung cancer, can cause syndrome of inappropriate antidiuretic hormone (SIADH), which results in increased reabsorption of water and dilutional hyponatremia. The other three options are normal findings. The patient has SIADH with a serum sodium level of 128 mEq/L. What action do you anticipate? A. Increase sodium-rich foods. B. Rapidly infuse hypertonic intravenous (IV) fluids. C. Restrict fluids. D. Administer calcitonin. - correct answer C. Restrict fluids. When symptoms of SIADH are mild and the serum sodium level is more than 125 mEq/L, the only treatment may be restriction of fluids to 800 to 1000 mL per day. Severe hyponatremia (less than 120 mEq/L) may be treated with slow infusion of hypertonic saline.