Critical Care Exam 3 questions well
answered graded A+
The nurse recognizes that the patient with dysfunction of the posterior pituitary gland is at risk
for which disorder?
1. Acromegaly
2. Osteoporosis
3. Diabetes insipidus
4. Type 1 diabetes mellitus - ANS ✔✔3. Diabetes insipidus
The nurse correlates the action of which medication to the treatment of diabetes insipidus (DI)?
1. Pitocin
2. Synthroid
3. Vitamin D
4. Desmopressin (DDAVP) - ANS ✔✔4. Desmopressin (DDAVP)
The nurse prioritizes which nursing diagnosis to guide care for the patient diagnosed with
diabetes insipidus?
1. Fluid Volume Deficit
2. Alteration in Comfort
3. Body Image Disturbance
4. Sensory Perceptual Alteration - ANS ✔✔1. Fluid Volume Deficit
,Which parameter does the nurse use to guide the effectiveness of intravenous fluid
replacement in the patient with diabetes insipidus?
1. Skin turgor
2. Urine output total
3. Hemoglobin level
4. Serum sodium level - ANS ✔✔4. Serum sodium level
The nurse is reviewing discharge instructions with a patient being treated with desmopressin
(DDAVP) for diabetes insipidus (DI). What should the nurse direct the patient to do regarding
changes in body weight?
1. Decrease intake of fluids for a day.
2. Notify the healthcare provider.
3. Increase the intake of salty foods.
4. Take an extra dose of medication. - ANS ✔✔2. Notify the healthcare provider.
A patient with osteoarthritis develops syndrome of inappropriate antidiuretic hormone (SIADH).
What information in the patient's history does the nurse correlate to the development of this
disorder?
1. Male gender
2. Age 70 years
3. Use of NSAIDs
4. Use of diuretics - ANS ✔✔3. Use of NSAIDs
,A patient with syndrome of inappropriate antidiuretic hormone (SIADH) is experiencing a
headache and confusion. The nurse correlates which laboratory result to this clinical
presentation of SIADH?
1. Sodium 125 mEq/L
2. Calcium 8.7 mEq/L
3. Potassium 5.5 mEq/L
4. Hematocrit 50% - ANS ✔✔1. Sodium 125 mEq/L
The nurse monitors for which clinical manifestation in the patient diagnosed with syndrome of
inappropriate antidiuretic hormone (SIADH)?
1. Hematocrit 40%
2. Serum sodium 148 mEq/L
3. Urine specific gravity 1.035
4. Serum potassium 3.9 mEq/L - ANS ✔✔3. Urine specific gravity 1.035
The nurse is reviewing orders written for a patient with syndrome of inappropriate antidiuretic
hormone (SIADH). Which order should the nurse question?
1. No added salt diet
2. Fluid restriction 1 L/day
3. Intravenous fluids 0.9% normal saline 125 mL/hour
4. Furosemide (Lasix) 20 mg by mouth every day - ANS ✔✔1. No added salt diet
The nurse monitors for which therapeutic response to the administration of demeclocycline in
the patient being treated for syndrome of inappropriate antidiuretic hormone?
, 1. Increased heart rate
2. Decreased blood pressure
3. Increased mental status
4. Decreased urine output - ANS ✔✔4. Decreased urine output
In assessing a patient admitted with diabetes insipidus (DI), which clinical manifestations does
the nurse correlate with this diagnosis? Select all that apply.
1. Fatigue
2. Extreme thirst
3. Extreme hunger
4. Large amounts of urine output
5. Waking up to urinate during the night - ANS ✔✔1. Fatigue
2. Extreme thirst
4. Large amounts of urine output
5. Waking up to urinate during the night
In reviewing laboratory results from a patient demonstrating clinical manifestations of diabetes
insipidus (DI), which results does the nurse correlate with a definitive diagnosis? Select all that
apply.
1. Hematocrit 52%
2. White blood cells 8000
3. Serum sodium 150 mEq/L
4. Urine specific gravity 1.002
5. Serum potassium 5.5 mEq/L - ANS ✔✔1. Hematocrit 52%
3. Serum sodium 150 mEq/L
answered graded A+
The nurse recognizes that the patient with dysfunction of the posterior pituitary gland is at risk
for which disorder?
1. Acromegaly
2. Osteoporosis
3. Diabetes insipidus
4. Type 1 diabetes mellitus - ANS ✔✔3. Diabetes insipidus
The nurse correlates the action of which medication to the treatment of diabetes insipidus (DI)?
1. Pitocin
2. Synthroid
3. Vitamin D
4. Desmopressin (DDAVP) - ANS ✔✔4. Desmopressin (DDAVP)
The nurse prioritizes which nursing diagnosis to guide care for the patient diagnosed with
diabetes insipidus?
1. Fluid Volume Deficit
2. Alteration in Comfort
3. Body Image Disturbance
4. Sensory Perceptual Alteration - ANS ✔✔1. Fluid Volume Deficit
,Which parameter does the nurse use to guide the effectiveness of intravenous fluid
replacement in the patient with diabetes insipidus?
1. Skin turgor
2. Urine output total
3. Hemoglobin level
4. Serum sodium level - ANS ✔✔4. Serum sodium level
The nurse is reviewing discharge instructions with a patient being treated with desmopressin
(DDAVP) for diabetes insipidus (DI). What should the nurse direct the patient to do regarding
changes in body weight?
1. Decrease intake of fluids for a day.
2. Notify the healthcare provider.
3. Increase the intake of salty foods.
4. Take an extra dose of medication. - ANS ✔✔2. Notify the healthcare provider.
A patient with osteoarthritis develops syndrome of inappropriate antidiuretic hormone (SIADH).
What information in the patient's history does the nurse correlate to the development of this
disorder?
1. Male gender
2. Age 70 years
3. Use of NSAIDs
4. Use of diuretics - ANS ✔✔3. Use of NSAIDs
,A patient with syndrome of inappropriate antidiuretic hormone (SIADH) is experiencing a
headache and confusion. The nurse correlates which laboratory result to this clinical
presentation of SIADH?
1. Sodium 125 mEq/L
2. Calcium 8.7 mEq/L
3. Potassium 5.5 mEq/L
4. Hematocrit 50% - ANS ✔✔1. Sodium 125 mEq/L
The nurse monitors for which clinical manifestation in the patient diagnosed with syndrome of
inappropriate antidiuretic hormone (SIADH)?
1. Hematocrit 40%
2. Serum sodium 148 mEq/L
3. Urine specific gravity 1.035
4. Serum potassium 3.9 mEq/L - ANS ✔✔3. Urine specific gravity 1.035
The nurse is reviewing orders written for a patient with syndrome of inappropriate antidiuretic
hormone (SIADH). Which order should the nurse question?
1. No added salt diet
2. Fluid restriction 1 L/day
3. Intravenous fluids 0.9% normal saline 125 mL/hour
4. Furosemide (Lasix) 20 mg by mouth every day - ANS ✔✔1. No added salt diet
The nurse monitors for which therapeutic response to the administration of demeclocycline in
the patient being treated for syndrome of inappropriate antidiuretic hormone?
, 1. Increased heart rate
2. Decreased blood pressure
3. Increased mental status
4. Decreased urine output - ANS ✔✔4. Decreased urine output
In assessing a patient admitted with diabetes insipidus (DI), which clinical manifestations does
the nurse correlate with this diagnosis? Select all that apply.
1. Fatigue
2. Extreme thirst
3. Extreme hunger
4. Large amounts of urine output
5. Waking up to urinate during the night - ANS ✔✔1. Fatigue
2. Extreme thirst
4. Large amounts of urine output
5. Waking up to urinate during the night
In reviewing laboratory results from a patient demonstrating clinical manifestations of diabetes
insipidus (DI), which results does the nurse correlate with a definitive diagnosis? Select all that
apply.
1. Hematocrit 52%
2. White blood cells 8000
3. Serum sodium 150 mEq/L
4. Urine specific gravity 1.002
5. Serum potassium 5.5 mEq/L - ANS ✔✔1. Hematocrit 52%
3. Serum sodium 150 mEq/L
