What dietary recommendation should the nurse provide to a client with diabetes insipidus (DI)?
Avoiding all sources of dietary sodium.
Consuming a high-protein diet.
Limiting fluid intake to 1 liter per day.
Maintaining a balanced and adequate diet.
The Correct Answer is D
Clients with diabetes insipidus should maintain a balanced and adequate diet to ensure proper nutrition and hydration. While fluid intake may need to be monitored, severe fluid restriction is not typically necessary.
Incorrect choices:
a. This choice is incorrect. Avoiding all sources of dietary sodium is not a standard dietary recommendation for diabetes insipidus. Sodium balance is important for overall health.
b. This choice is incorrect. There is no specific indication for a high-protein diet in the management of diabetes insipidus.
c. This choice is incorrect. Limiting fluid intake to 1 liter per day may not be appropriate for all clients and should be based on individual needs and medical guidance.
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Related Questions
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.
Correct Answer is D
Explanation
Desmopressin (DDAVP) is a synthetic form of antidiuretic hormone (ADH) that is commonly used to manage diabetes insipidus by increasing water reabsorption in the kidneys and reducing urine output.
Incorrect choices:
a. This choice is incorrect. Limiting fluid intake to 500 mL per day is not a typical management approach for diabetes insipidus. Adequate fluid intake is necessary to prevent dehydration.
b. This choice is incorrect. Administering hypertonic saline solution is not a standard treatment for diabetes insipidus and may worsen fluid and electrolyte imbalances.
c. This choice is incorrect. Encouraging excessive fluid consumption is not a suitable approach for managing diabetes insipidus, as it can exacerbate fluid loss.
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