Diabetes Insipidus Diagnosis Tests

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Questions and Answers

What is the primary advantage of using SPECT scans over PET scans?

  • Lower cost (correct)
  • Higher resolution images
  • Ability to provide true 3D information
  • Shorter scan time

How are radioisotopes able to cross the blood-brain barrier during SPECT scans?

  • Injection of a radiopharmaceutical agent via IV (correct)
  • Oral ingestion of the radioisotopes
  • Inhalation of the radioisotopes
  • Application of the radioisotopes to the skin

Where is the patient positioned during a SPECT scan?

  • In a loud and bright room
  • On an MRI machine
  • On an x-ray table in a quiet dark room (correct)
  • Standing upright

What type of information can SPECT scans provide?

<p>True 3D information (A)</p> Signup and view all the answers

In the provided text, what change in brain activity was observed in the three-year-old patient after 9 months?

<p>Increased brain activity (A)</p> Signup and view all the answers

What was the improvement observed in the three-year-old patient after 9 months?

<p>Regained normal vision and improved neurological function (A)</p> Signup and view all the answers

What is the purpose of the Vasopressin Administration Test?

<p>To differentiate between central and nephrogenic diabetes insipidus (B)</p> Signup and view all the answers

What is the first-line treatment for chronic neurogenic diabetes insipidus?

<p>Thiazide diuretic (HCTZ) (B)</p> Signup and view all the answers

In the Vasopressin Administration Test, if there is a significant increase in urine osmolality, it indicates:

<p>Central diabetes insipidus (D)</p> Signup and view all the answers

What is the recommended treatment for both dehydration and hypernatremia after assessing fluid status and serum sodium levels?

<p>Low-sodium diet with thiazide diuretics (B)</p> Signup and view all the answers

When is DDAVP (nasal vasopressin) usually ineffective for treating diabetes insipidus?

<p>In nephrogenic diabetes insipidus (D)</p> Signup and view all the answers

What is the purpose of the Vasopressin Administration Test if there is a little to no increase in urine osmolality?

<p>To differentiate between central and nephrogenic diabetes insipidus (A)</p> Signup and view all the answers

What is important to maintain for managing life-threatening hypocalcemia?

<p>A patent IV line and calcium gluconate 10% solution (D)</p> Signup and view all the answers

What is the purpose of administering anticonvulsants to a client with increased intracranial pressure (ICP)?

<p>To prevent seizures (D)</p> Signup and view all the answers

What is a common symptom of neurologic disease?

<p>Symptom-free periods (A)</p> Signup and view all the answers

How is life-threatening hypocalcemia managed to raise calcium levels?

<p>IV calcium gluconate (A)</p> Signup and view all the answers

Why should the nurse instruct the client to avoid Valsalva's maneuver?

<p>To avoid worsening intracranial pressure (ICP) (B)</p> Signup and view all the answers

Why is it important to keep calcium gluconate 10% solution available?

<p>For IV administration to raise calcium levels (C)</p> Signup and view all the answers

How do hyperosmotic agents like Mannitol work in managing increased intracranial pressure?

<p>By drawing fluid from brain cells (D)</p> Signup and view all the answers

What is the purpose of corticosteroids in the management of increased intracranial pressure?

<p>To stabilize cell membranes and reduce cerebral edema (D)</p> Signup and view all the answers

What should be done to prevent seizures in the context of neurologic assessments?

<p>Keep a tracheostomy set available (A)</p> Signup and view all the answers

Which intervention is part of nursing management in neurology to watch out for cardiac complications?

<p>Keep a tracheostomy set and endotracheal tube available (C)</p> Signup and view all the answers

Why is it essential for the nurse to monitor electrolyte levels and acid-base balance in a client with increased intracranial pressure?

<p>To ensure physiological stability and prevent complications (D)</p> Signup and view all the answers

What is the role of beta blockers like Propranolol in managing intracranial pressure?

<p>To maintain cerebral perfusion at a normal level (D)</p> Signup and view all the answers

What is the term used for a stroke caused by a blood vessel leaking into the brain?

<p>Hemorrhagic stroke (A)</p> Signup and view all the answers

In the assessment of a stroke, which of the following is NOT considered a generalized sign?

<p>Homonymous hemianopsia (C)</p> Signup and view all the answers

Which stage of stroke development involves progressive symptom development over hours to days?

<p>Stroke in evolution (B)</p> Signup and view all the answers

What is the primary purpose of maintaining complete bed rest for a patient in the acute stage of a stroke?

<p>Reduce stress on the brain (A)</p> Signup and view all the answers

Which diagnostic test for stroke may show occlusion or malformation of blood vessels?

<p>Cerebral arteriography (D)</p> Signup and view all the answers

What is the main cause of permanent damage in a stroke according to the provided text?

<p>Death of neurons due to interrupted blood flow (D)</p> Signup and view all the answers

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