A nurse is caring for a patient who has Diabetes Insipidus. Which of the following urinalysis laboratory findings should the nurse expect?

Decreased urine specific gravity

Presence of insulin

Presence of glucose

Presence of ketones

Answer and Explanation

The Correct Answer is A

A.   Specific gravity measures the concentration of solutes in urine. In diabetes insipidus, the urine is very dilute, so the specific gravity will be low.
B.   Insulin is related to diabetes mellitus, not diabetes insipidus. There would be no insulin in the urine in this case.
C.   Glucose in the urine is typically associated with diabetes mellitus, not diabetes insipidus.

D.   Presence of ketones: Ketones are typically found in the urine during uncontrolled diabetes mellitus or starvation. They would not be present in diabetes insipidus.

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Correct Answer is A

Explanation

A. The Hgb A1c test provides a snapshot of your average blood sugar levels over the past 2-3 months.
B. The Hgb A1c test does not measure insulin production. It measures the amount of glucose attached to hemoglobin in red blood cells.
C. While the Hgb A1c test is not affected by recent food intake, it doesn't provide a snapshot of your current blood sugar level. It reflects an average over several months.
D. The Hgb A1c test measures blood sugar levels, not directly sugar intake. While diet affects blood sugar, the test does not isolate sugar consumption.

A. The patient is hyperglycemic with FSBG of 120 B. The patient feels nauseous after receiving opioid pain medication C. The presence of Ketones in their blood and urine D. The patient reports some soreness at the operative site

Correct Answer is C

Explanation

A. While hyperglycemia is common after surgery, a blood sugar of 120 is not considered severely high.
B. Nausea is a common side effect of opioid pain medication and not specifically related to diabetes complications.
C. This is the most likely indicator of a severe complication, specifically Diabetic Ketoacidosis (DKA). Ketones in the blood and urine are characteristic of DKA, which can be life-threatening.
D. Postoperative soreness is expected.

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A nurse is caring for a patient who has Diabetes Insipidus. Which of the following urinalysis laboratory findings should the nurse expect?

Nursing Test Bank

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