The nurse is assessing a client with diabetes insipidus. Which intervention is appropriate for preventing complications in this client?
Administering diuretics as prescribed.
Encouraging increased fluid intake.
Monitoring serum potassium levels.
Administering antidiabetic medications.
The Correct Answer is C
Clients with diabetes insipidus may experience electrolyte imbalances, including hypernatremia and hyperkalemia. Monitoring serum potassium levels is important to prevent complications.
Incorrect choices:
a. This choice is incorrect. Administering diuretics is not appropriate for a client with diabetes insipidus, as they are already experiencing excessive fluid loss.
b. This choice is incorrect. While encouraging fluid intake is important, excessive fluid intake may exacerbate fluid loss in clients with diabetes insipidus.
d. This choice is incorrect. Antidiabetic medications are used to manage diabetes mellitus, not diabetes insipidus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Desmopressin (DDAVP) can lead to excessive water retention, which may dilute the blood and potentially cause hypoglycemia, especially in clients with diabetes mellitus.
Incorrect choices:
a. This choice is incorrect. Desmopressin therapy is not typically associated with hypertension.
c. This choice is incorrect. Hyperkalemia is not a common adverse effect of desmopressin therapy.
d. This choice is incorrect. While fluid retention is a potential effect of desmopressin therapy, it is not typically associated with adverse outcomes.
Correct Answer is A
Explanation
Central diabetes insipidus is caused by trauma, surgery, or other factors that affect the production or release of ADH from the hypothalamus or pituitary gland.
Incorrect choices:
b. This choice is incorrect. Nephrogenic diabetes insipidus is characterized by a lack of response to ADH by the kidneys.
c. This choice is incorrect. Neurogenic diabetes insipidus is not a recognized classification of diabetes insipidus.
d. This choice is incorrect. Type 2 diabetes insipidus is not a recognized classification of diabetes insipidus.
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