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
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 B
Explanation
Excessive urine output in diabetes insipidus can lead to dehydration and electrolyte imbalances, particularly hypernatremia (elevated sodium levels).
Incorrect choices:
a. This choice is incorrect. Hypokalemia (low potassium levels) is not a typical consequence of diabetes insipidus.
c. This choice is incorrect. Hypocalcemia (low calcium levels) is not a typical consequence of diabetes insipidus.
d. This choice is incorrect. Hypoglycemia is not a typical consequence of diabetes insipidus.
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