A nurse is providing discharge teaching for a client who was admitted with diabetes insipidus. Which of the following teaching topics should be prioritized?

Frequency of urination

Change in appetite

Benefit of medical alert bracelet

Weight gain or loss

Answer and Explanation

The Correct Answer is C

Choice A Reason:

While monitoring the frequency of urination is important for managing diabetes insipidus, it is not the most critical aspect of discharge teaching. Diabetes insipidus causes excessive urination, and patients should be aware of this symptom. However, understanding the importance of wearing a medical alert bracelet is more crucial for ensuring immediate and appropriate care in emergencies.

Choice B Reason:

Changes in appetite are not a primary concern for patients with diabetes insipidus. The condition primarily affects fluid balance and urine output rather than appetite. Therefore, this topic is less relevant compared to the need for a medical alert bracelet.

Choice C Reason:

The benefit of a medical alert bracelet is paramount for patients with diabetes insipidus. In case of an emergency, the bracelet can inform healthcare providers about the patient’s condition, ensuring they receive appropriate and timely treatment. This can be life-saving, especially if the patient is unable to communicate their medical history.

Choice D Reason:

Weight gain or loss can be a secondary concern for patients with diabetes insipidus, as the condition primarily affects fluid balance. While it is important to monitor weight to assess fluid status, it is not as critical as ensuring the patient understands the importance of wearing a medical alert bracelet.

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Correct Answer is B

Explanation

Choice A reason:

“Blood flow is altered due to restricted stretching of the ventricles, impairing the heart’s ability to contract” is not accurate in the context of peripheral arterial disease (PAD). PAD primarily affects the arteries outside the heart, particularly those supplying the legs and feet. It is caused by atherosclerosis, which leads to the narrowing and hardening of the arteries, reducing blood flow to the extremities. The statement about restricted stretching of the ventricles and impaired heart contraction is more relevant to conditions like heart failure or cardiomyopathy.

Choice B reason:

“Blood flow is altered due to increased pressure in the arteries” is a more accurate description of PAD. In PAD, the buildup of fatty deposits (plaques) in the arterial walls leads to increased resistance and pressure within the arteries. This condition reduces the flow of oxygenated blood to the limbs, causing symptoms such as pain, cramping, and fatigue, especially during physical activity. Managing PAD involves lifestyle changes, medications, and sometimes surgical interventions to improve blood flow and reduce symptoms.

A. Hypokalemia B. Surgery C. Renal failure D. Sickle cell disease

Correct Answer is B

Explanation

Choice A Reason:

Hypokalemia, or low potassium levels, is not a direct cause of central diabetes insipidus. Central diabetes insipidus is primarily related to issues with the production or release of antidiuretic hormone (ADH) from the hypothalamus or pituitary gland. Hypokalemia can affect kidney function but does not typically cause central diabetes insipidus.

Choice B Reason:

Surgery, particularly brain surgery, can cause central diabetes insipidus by damaging the hypothalamus or pituitary gland. These structures are crucial for the production and release of ADH, which regulates water balance in the body. Damage to these areas during surgery can lead to a deficiency in ADH, resulting in central diabetes insipidus.

Choice C Reason:

Renal failure is not a cause of central diabetes insipidus. While renal failure affects the kidneys’ ability to filter waste and balance fluids, central diabetes insipidus is related to a deficiency in ADH production or release. Renal failure can lead to other types of diabetes insipidus, such as nephrogenic diabetes insipidus, where the kidneys do not respond properly to ADH.

Choice D Reason:

Sickle cell disease is not a direct cause of central diabetes insipidus. Sickle cell disease primarily affects red blood cells and can lead to various complications, including kidney damage. However, it does not typically cause central diabetes insipidus, which is related to issues with ADH production or release.

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A nurse is providing discharge teaching for a client who was admitted with diabetes insipidus. Which of the following teaching topics should be prioritized?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has peripheral arterial disease. Which of the following statements should the nurse include?

Correct Answer is B

Explanation

A nurse is providing care for a client who has diabetes insipidus (DI). Which of the following is a cause of acquired central diabetes insipidus?

Correct Answer is B

Explanation

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