Which type of diabetes insipidus is more commonly acquired as a result of kidney disease, medications, or electrolyte imbalances?
Central diabetes insipidus.
Nephrogenic diabetes insipidus.
Congenital diabetes insipidus.
Gestational diabetes insipidus.
The Correct Answer is B
Nephrogenic diabetes insipidus is more commonly acquired as a result of kidney disease, medications, electrolyte imbalances, or other factors that affect the kidney's response to ADH.
Incorrect choices:
a. This choice is incorrect. Central diabetes insipidus is not commonly acquired due to kidney disease or medications.
c. This choice is incorrect. Congenital diabetes insipidus refers to cases present from birth and is not typically acquired.
d. This choice is incorrect. Gestational diabetes insipidus is a rare condition that occurs during pregnancy and is not commonly acquired due to kidney disease or medications.
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Correct Answer is B
Explanation
The kidneys are the main target organ affected by the hyposecretion of antidiuretic hormone (ADH) in diabetes insipidus. ADH normally acts on the kidneys to promote water reabsorption and concentrate urine. In diabetes insipidus, the lack of ADH results in excessive urine production and dilute urine.
Incorrect choices:
a. This choice is incorrect. The liver is not the primary target organ affected by ADH in diabetes insipidus.
c. This choice is incorrect. The pancreas is not the primary target organ affected by ADH in diabetes insipidus.
d. This choice is incorrect. The heart is not the primary target organ affected by ADH in diabetes insipidus.
Correct Answer is D
Explanation
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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