A client asks the nurse why they have to drink so much water when they have Nephrogenic Diabetes Insipidus. What is the best explanation by the nurse?
"Your kidneys are producing too much urine, so you need to replenish the lost fluids."
"Drinking more water helps to stimulate the production of antidiuretic hormone in your body."
"Excessive thirst is a common symptom of Nephrogenic Diabetes Insipidus, and drinking more water can help alleviate it."
"You need to dilute your urine to prevent kidney stones from forming."
The Correct Answer is A
A) Correct. In Nephrogenic Diabetes Insipidus, the kidneys produce excessive amounts of dilute urine, leading to fluid loss. Drinking more water helps
replenish the lost fluids.
B) Incorrect. Drinking more water does not directly stimulate the production of antidiuretic hormone in Nephrogenic Diabetes Insipidus, as the primary issue lies in the kidneys' response to ADH.
C) Incorrect. While excessive thirst is a symptom of Nephrogenic Diabetes Insipidus, the main reason for increased water intake is to compensate for the excessive urine production.
D) Incorrect. Diluting urine to prevent kidney stones is not the primary reason for increased water intake in Nephrogenic Diabetes Insipidus.
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Related Questions
Correct Answer is C
Explanation
A) Incorrect. The glomerulus is primarily responsible for the initial filtration of blood in the nephron, but it is not the part primarily affected in Nephrogenic Diabetes Insipidus.
B) Incorrect. The renal tubules play a crucial role in reabsorbing water and electrolytes, but in Nephrogenic Diabetes Insipidus, it is primarily the collecting ducts that are affected.
C) Correct. Nephrogenic Diabetes Insipidus primarily affects the collecting ducts, where the final adjustments to urine composition occur.
D) Incorrect. Bowman's capsule is involved in the initial filtration of blood, but it is not the primary site of dysfunction in Nephrogenic Diabetes Insipidus.
Correct Answer is B
Explanation
A) Incorrect. A blood glucose test measures the concentration of glucose in the blood and is not specific to diagnosing Nephrogenic Diabetes Insipidus.
B) Correct. The urine osmolality test assesses the concentration of solutes in the urine, providing information about the kidney's ability to reabsorb water. In Nephrogenic Diabetes Insipidus, urine osmolality remains low even when a person is dehydrated.
C) Incorrect. An electrocardiogram (ECG) is a test used to evaluate the electrical activity of the heart and is not specific to diagnosing Nephrogenic Diabetes Insipidus.
D) Incorrect. A complete blood count (CBC) measures various components of the blood, such as red blood cells, white blood cells, and platelets. It is not specific to diagnosing Nephrogenic Diabetes Insipidus.
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