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A client has a tumor of the posterior pituitary gland. A nurse planning care should include which nursing interventions? Select all that apply.

a. Weigh the client daily
b. Restrict Fluids
c. Measure urine specific gravity
d. Encourage intake of coffee or tea
e.. Monitor intake and output

User Gurnzbot
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Answer:

A, C, E

The posterior pituitary gland secretes the hormone vasopressin (also called antidiuretic hormone, or ADH), which regulates water balance in the body. A tumor in the posterior pituitary gland can cause alterations in ADH secretion and lead to imbalances in fluid and electrolyte levels in the body.

Therefore, the nursing interventions that should be included in the care plan for a client with a tumor of the posterior pituitary gland are:

a. Weigh the client daily: This is important to monitor fluid balance and detect any changes in weight that may indicate fluid retention or dehydration.

c. Measure urine specific gravity: This is a measure of the concentration of urine, which can indicate whether the body is retaining or excreting fluids properly.

e. Monitor intake and output: This is important to monitor fluid balance and detect any changes in urinary output that may indicate fluid retention or dehydration.

In contrast, options b and d are not appropriate nursing interventions for a client with a tumor of the posterior pituitary gland. Restricting fluids would worsen dehydration and imbalances in fluid and electrolyte levels, and encouraging intake of coffee or tea could worsen dehydration due to the diuretic effects of caffeine.

User Fja
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