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A Patient Being Treated for Acute Tubular Necrosis (ATN)develops Mild

Question 22

Multiple Choice

A patient being treated for acute tubular necrosis (ATN) develops mild polyuria.The nurse responds to questions about why this occurring by stating


A) "Since he was oliguric for so long, he probably has rebound polyuria. As long as his blood pressure is stable, he is not hypovolemic, so I would not worry."
B) "I am glad you noticed this change. It happened so gradually that we did not see it. We should call the doctor and get him to measure ADH."
C) "His renal tubules are recovering, so he is making more urine, but he is not able to concentrate urine well, because he is not fully recovered."
D) "We had better measure his blood sugar. He may have developed diabetes, and what you see is osmotic diuresis from glucose in the urine."

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