Which diagnostic test is commonly used to confirm the diagnosis of diabetes insipidus (DI) and distinguish between central and nephrogenic DI?
Blood glucose test.
Serum electrolyte panel.
Urine osmolality.
Water deprivation test.
The Correct Answer is D
The water deprivation test is commonly used to diagnose diabetes insipidus and differentiate between central and nephrogenic DI. During this test, the client is deprived of fluids while their urine output and concentration are monitored.
Incorrect choices:
a. This choice is incorrect. Blood glucose testing is used to diagnose diabetes mellitus, not diabetes insipidus.
b. This choice is incorrect. A serum electrolyte panel may provide information about electrolyte imbalances, but it is not the primary diagnostic test for diabetes insipidus.
c. This choice is incorrect. Urine osmolality may be measured as part of the diagnostic evaluation for diabetes insipidus, but it is not the primary diagnostic test.
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Correct Answer is D
Explanation
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.
Correct Answer is D
Explanation
Excessive fluid intake to compensate for fluid loss in diabetes insipidus (DI) can lead to weight loss as the body attempts to excrete excess water.
Incorrect choices:
a. This choice is incorrect. Bradycardia is not typically associated with excessive fluid intake or diabetes insipidus.
b. This choice is incorrect. Hypotension is not typically associated with excessive fluid intake or diabetes insipidus.
c. This choice is incorrect. Edema is not typically associated with excessive fluid intake or diabetes insipidus.
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