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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Creatinine levels rise in acute kidney injury due to impaired kidney function, as the kidneys are unable to effectively filter creatinine from the blood.
B. BUN (blood urea nitrogen) levels typically increase in dehydration due to reduced kidney perfusion, leading to decreased urine output and increased concentration of waste products in the blood.
C. Specific gravity increases in hypovolemia because urine becomes more concentrated as the body tries to conserve water.
D. Potassium levels may vary depending on the cause of polyuria, but polyuria itself does not necessarily cause hyperkalemia. It can be caused by various factors including diabetes insipidus or diabetes mellitus.
Correct Answer is B
Explanation
A. Calcium supplements are not associated with peptic ulcer formation.
B. Flank pain can be a symptom of kidney stones, which can occur due to excessive calcium supplementation.
C. Pancreatitis is not typically associated with calcium supplementation.
D. Hepatitis is not typically associated with calcium supplementation.

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