The nurse is providing education to a client with diabetes insipidus. Which instruction should the nurse include?
"Limit your daily fluid intake to 1 liter."
"Avoid consuming any foods high in sodium."
"Monitor your blood glucose levels regularly."
"Take desmopressin as prescribed by your healthcare provider."
The Correct Answer is D
Desmopressin is a common medication used to manage diabetes insipidus by promoting water reabsorption in the kidneys. It is important for the client to take the medication as prescribed.
Incorrect choices:
a. This choice is incorrect. While fluid intake may need to be monitored, severe fluid restriction is not typically necessary for clients with diabetes insipidus.
b. This choice is incorrect. While reducing sodium intake may be beneficial for overall health, it is not a specific instruction for managing diabetes insipidus.
c. This choice is incorrect. Monitoring blood glucose levels is important for clients with diabetes mellitus, not diabetes insipidus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Nephrogenic diabetes insipidus is more commonly acquired as a result of kidney disease, medications, electrolyte imbalances, or other factors that affect the kidney's response to ADH.
Incorrect choices:
a. This choice is incorrect. Central diabetes insipidus is not commonly acquired due to kidney disease or medications.
c. This choice is incorrect. Congenital diabetes insipidus refers to cases present from birth and is not typically acquired.
d. This choice is incorrect. Gestational diabetes insipidus is a rare condition that occurs during pregnancy and is not commonly acquired due to kidney disease or medications.
Correct Answer is C
Explanation
Central diabetes insipidus (CDI) can be caused by trauma or injury to the hypothalamus or pituitary gland, which disrupts the production or release of antidiuretic hormone (ADH). Other causes of CDI include tumors, infections, and certain medications.
Incorrect choices:
a. This choice is incorrect. Excessive fluid intake can lead to increased urine output, but it is not a cause of CDI.
b. This choice is incorrect. Kidney dysfunction is not a common cause of central diabetes insipidus.
d. This choice is incorrect. Hypersecretion of aldosterone would lead to sodium retention and increased fluid volume, which is not characteristic of central diabetes insipidus.
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