You are caring for a patient who has been diagnosed with Diabetes Insipidus. You know that because of decreasing amount of water in the body, the patient is MOST at risk for:
Hypernatremia, and subsequent seizures
Hyponatremia, and subsequent water intoxication
Hyperkalemia, and subsequent seizures
Fluid volume overload, and subsequent crackles in the lungs
The Correct Answer is A
A. Hypernatremia is a condition where the sodium level in the blood is abnormally high. This occurs in DI due to excessive water loss without adequate replacement. Seizures can be a serious complication of severe hypernatremia as it disrupts the normal function of the brain.
B. Hyponatremia is low sodium levels, which is opposite to what happens in DI.
C. Hyperkalemia is high potassium levels, unrelated to DI.
D. Fluid volume overload is also opposite to what happens in DI, as patients with DI lose excessive fluids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This is not a typical complication of SIADH. In fact, patients with SIADH often retain fluid.
B. SIADH leads to excessive water retention, which dilutes the sodium concentration in the blood, causing hyponatremia.
C. This is opposite to what happens in SIADH. Patients with SIADH actually produce less urine.
D. While this can be a sign of low blood pressure, it's not specifically related to SIADH.
Correct Answer is A
Explanation
A. Skinny, muscle-wasted appearance is more characteristic of emphysema, another type of COPD. Patients with chronic bronchitis often have a more ruddy complexion due to chronic hypoxia.
B. Dependent edema can occur due to right-sided heart failure, which is a complication of chronic bronchitis.
C. Production of large amounts of sputum is a hallmark symptom of chronic bronchitis.
D. Cyanotic Skin tone is also a common finding in patients with chronic bronchitis due to chronic hypoxia.
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