The nurse in the surgical unit is caring for a 58-year-old male client.
Day 2
0700:Second day after surgery to remove a pituitary tumor that made too much adrenocorticotropic hormone (ACTH) and caused Cushing disease. Very weak and nauseated; vomited once. Dizzy when sitting up. Drinking normal amounts of fluid; urine pale yellow, about 1,400 mL in 24 hours. Fasting glucose 58 mg/dL (reference range 70–99 mg/dL). Potassium 4.3 mEq/L (reference range 3.5–5.0 mEq/L). Alert and oriented.
The nurse has reviewed the Nurses' Notes and the Vital Signs from 0700 on Day 2.
Drag words from the choices below to fill in each blank in the following sentence.
The findings are consistent with Word Choice, and the client will need Word Choice until the pituitary recovers.
Word Choices
adrenal insufficiency
excess cortisol
diabetes insipidus
cortisol replacement medicine
cortisol-lowering medicine