Which intervention is a key component of the management plan for a client with diabetes insipidus (DI)?
Limiting fluid intake to 500 mL per day.
Administering hypertonic saline solution.
Encouraging excessive fluid consumption.
Administering desmopressin (DDAVP) as prescribed.
The Correct Answer is D
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.
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 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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