You are preparing a 24-year-old patient with diabetes insipidus (DI) for discharge from the hospital. Which statement indicates that the patient needs additional teaching?

Correct Answer: D

Rationale: Patients with diabetes insipidus require lifelong vasopressin therapy, and the patient should not attempt to wean off the medication without medical guidance.

Correct Answer: C

Rationale: Pulmonary congestion is a common sign of fluid overload, as excess fluid can accumulate in the lungs, leading to difficulty breathing.

Correct Answer: C

Rationale: Increasing responsiveness is a sign of improvement, indicating that the patient is recovering from the acute phase of DKA.

Correct Answer: D

Rationale: After a thyroidectomy, a sore throat and difficulty swallowing can indicate potential complications such as bleeding or hematoma formation around the surgical site, which requires prompt assessment.

Correct Answer: C

Rationale: Cortisol is secreted by the adrenal cortex, a key hormone in the stress response and in regulating metabolism.

Correct Answer: A

Rationale: The insulin pump allows for tight glycemic control with more precise adjustments in insulin delivery.

Correct Answer: C

Rationale: Nephrogenic diabetes insipidus treatment typically includes thiazide diuretics to help concentrate urine by promoting sodium excretion and enhancing water retention.

Correct Answer: B

Rationale: Increasing fluid intake helps prevent kidney stones and other complications of hyperparathyroidism by reducing calcium levels and preventing dehydration.

Correct Answer: D

Rationale: Monitoring lying and standing blood pressure every 4 hours is a routine task that can be delegated to the nursing assistant to ensure proper blood pressure management post-operatively.