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Confused states

Question 17

A 50-year-old male patient presents with polyuria and extreme thirst. He was given exogenous ADH. For which of the following conditions would this treatment be effective?

a. Neurogenic diabetes insipidus
b. Psychogenic diabetes insipidus
c. Nephrogenic diabetes insipidus
d. SIADH

Question 18

While planning care for a patient with hypothyroidism, which principle should the nurse remember? The basal metabolic rate is unusually _____ with hypothyroidism.

a. High
b. Low
c. Steady
d. Variable

Question 19

If a patient’s posterior pituitary is removed, which hormone would the nurse expect to decrease?

a. PRF
b. ADH
c. ACTH
d. GH

Question 20

An aide asks the nurse what is the most common cause of elevated levels of antidiuretic hormone (ADH) secretion. How should the nurse respond?

a. Autoimmune disease
b. Cancer
c. Pregnancy
d. Heart failure

Question 21

What common neurologic disturbances should the nurse assess for in a patient with a pituitary adenoma?

a. Coma
b. Visual disturbances
c. Confused states
d. Breathing abnormalities

Question 22

A 50-year-old female presents with lightheadedness and overall abnormal feelings. Hyperaldosteronism is diagnosed. Which of the following symptoms would the nurse expect?

a. Hypovolemia
b. Hypotension
c. Hypokalemia
d. Hyponatremia

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