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
Hypernatremia, or elevated sodium levels, is a common laboratory finding in clients with diabetes insipidus due to the excessive loss of water in urine.
Incorrect choices:
a. This choice is incorrect. Elevated urine specific gravity is not typically seen in diabetes insipidus; instead, urine specific gravity is often diluted.
c. This choice is incorrect. Low serum osmolality is not characteristic of diabetes insipidus, which is associated with concentrated serum.
d. This choice is incorrect. Hypouricemia refers to low levels of uric acid and is not directly related to diabetes insipidus.
Correct Answer is B
Explanation
Diabetes insipidus is primarily caused by the hyposecretion or inadequate release of antidiuretic hormone (ADH), also known as vasopressin. ADH is responsible for regulating water balance by promoting water reabsorption in the kidneys.
Incorrect choices:
a. This choice is incorrect. Overproduction of ADH would lead to excessive water reabsorption and concentrated urine, which is not characteristic of diabetes insipidus.
c. This choice is incorrect. Hypersecretion of aldosterone would lead to sodium retention and increased fluid volume, which is not characteristic of diabetes insipidus.
d. This choice is incorrect. Impaired function of the thyroid gland would lead to thyroid-related disorders, not diabetes insipidus.
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