A nurse is planning care for a client who has a new diagnosis of diabetes insipidus. Which of the following interventions should the nurse include in the plan of care?

Measure blood glucose levels every 4 hr.

Check urine specific gravity.

Administer a diuretic

Initiate fluid restrictions

Answer and Explanation

The Correct Answer is B

A.   This intervention is not relevant to diabetes insipidus, which affects water balance rather than glucose levels.
B.   Checking urine specific gravity helps assess the concentration of urine, which can be very dilute in diabetes insipidus.
C.   Diabetes insipidus is already characterized by excessive urination (polyuria), so administering a diuretic would exacerbate fluid loss.
D.   Fluid restrictions are not typically necessary in diabetes insipidus because the primary issue is water loss rather than retention.

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Correct Answer is D

Explanation

A. This statement describes the cause of diabetes mellitus, not Addison's disease.

B. This statement describes the cause of acromegaly, not Addison's disease.

C. This statement describes the cause of hyperparathyroidism, not Addison's disease.

D. This is the correct explanation of the cause of Addison's disease, which involves adrenal insufficiency.

A. Respiratory Acidosis, Partially Compensated B. Metabolic Acidosis, Partially, Compensated C. Metabolic Alkalosis. Uncompensated D. Respiratory Acidosis, Uncompensated

Correct Answer is B

Explanation

A. This option can be ruled out because the pH and PaCO2 levels indicate acidosis, but the compensation is not partial as the HCO3 is also low.
B. Maria's symptoms and the arterial blood gas values support this diagnosis. Metabolic acidosis is indicated by a low pH and a decreased bicarbonate (HCO3) level. The body attempts to compensate for this acidosis by hyperventilating, which is evidenced by her Kussmaul breathing, to decrease PaCO2. This compensation is partial because, despite the body's efforts, the pH is still significantly lower than normal.
C. This option can be ruled out because the pH is low (acidosis) rather than high (alkalosis), and the HCO3 is low rather than high.
D. Respiratory Acidosis, Uncompensated is ruled out because the pH is low (acidosis), but the PaCO2 is normal, indicating metabolic rather than respiratory involvement.

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A nurse is planning care for a client who has a new diagnosis of diabetes insipidus. Which of the following interventions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

Correct Answer is B

Explanation

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