A client diagnosed with Nephrogenic Diabetes Insipidus complains of constant thirst and excessive urination. They ask the nurse why they always feel dehydrated. How should the nurse respond?
"Your body is not producing enough antidiuretic hormone, causing dehydration."
"The excessive urination is leading to dehydration because your body is losing too much water."
"Dehydration is a common symptom of Nephrogenic Diabetes Insipidus, and we will work on managing your fluid balance."
"Dehydration is a result of elevated blood sugar levels in Nephrogenic Diabetes Insipidus."
The Correct Answer is B
A) Incorrect. Nephrogenic Diabetes Insipidus is characterized by a reduced response of the renal tubules to antidiuretic hormone (ADH), leading to excessive urination and increased thirst.
B) Correct. In Nephrogenic Diabetes Insipidus, the kidneys are unable to reabsorb water effectively, leading to excessive urination and dehydration.
C) Incorrect. While managing fluid balance is important in Nephrogenic Diabetes Insipidus, the primary cause of dehydration in this condition is the excessive loss of water through urination.
D) Incorrect. Elevated blood sugar levels are not associated with Nephrogenic Diabetes Insipidus. This statement may be more applicable to diabetes mellitus.
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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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