A nurse is caring for a client with Nephrogenic Diabetes Insipidus. The client reports feeling lightheaded and dizzy. What action should the nurse take first?
Administer a dose of prescribed diuretics
Check the client's blood pressure and pulse
Increase the client's fluid intake immediately
Notify the healthcare provider about the symptoms
The Correct Answer is B
A) Incorrect. Administering diuretics without first assessing vital signs could potentially worsen the client's condition. It's important to determine the client's current hemodynamic status.
B) Correct. The client's report of feeling lightheaded and dizzy warrants an immediate assessment of blood pressure and pulse. This will provide crucial information about the client's cardiovascular status.
C) Incorrect. Increasing fluid intake may not be appropriate if the client is already experiencing symptoms of volume overload or fluid imbalance. Assessing vital signs takes precedence.
D) Incorrect. While notifying the healthcare provider is important, it is not the first action to take in this situation. Assessing the client's vital signs is more immediate and directly addresses the reported symptoms.
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Related Questions
Correct Answer is C
Explanation
A) Incorrect. Thiazide diuretics should be taken with food to reduce the risk of stomach upset. Taking them on an empty stomach is not recommended.
B) Incorrect. Taking the medication with a high-sodium meal is not necessary for its effectiveness. In fact, it's important to monitor sodium levels while taking thiazide diuretics.
C) Correct. Thiazide diuretics can lead to low potassium levels (hypokalemia) as they increase potassium excretion in the urine. Clients should be instructed to monitor for signs of hypokalemia, such as muscle weakness or irregular heart rhythm.
D) Incorrect. Discontinuing the medication without consulting a healthcare provider is not advisable. If there are concerns about medication effectiveness or side effects, the client should discuss them with their healthcare provider.
Correct Answer is D
Explanation
A) Incorrect. While monitoring sodium levels is important, increasing sodium intake is not a primary recommendation for managing Nephrogenic Diabetes Insipidus.
B) Incorrect. Avoiding high-sodium foods is not specifically emphasized in the management of Nephrogenic Diabetes Insipidus. The focus is on fluid restriction.
C) Incorrect. Consuming a low-sodium diet does not directly relate to reducing thirst sensation in the context of Nephrogenic Diabetes Insipidus.
D) Correct. The client should monitor sodium levels as part of overall health, but there is no specific need for a special diet unless otherwise indicated by a healthcare provider.
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