Pathophysiology of the renal system > Pathophysiology
Exam Review
Nephrogenic Diabetes Insipidus
Total Questions : 35
Showing 35 questions, Sign in for moreA nurse is providing education about Nephrogenic Diabetes Insipidus to a client. Which statement by the nurse accurately describes this condition?
Explanation
A) Incorrect. Nephrogenic Diabetes Insipidus is not related to insulin deficiency; it is a disorder of the kidneys' ability to concentrate urine.
B) Correct. Nephrogenic Diabetes Insipidus is characterized by the kidneys' inability to properly concentrate urine, leading to excessive thirst and the production of large volumes of dilute urine.
C) Incorrect. Nephrogenic Diabetes Insipidus is not managed with insulin injections. It is managed through other approaches, such as fluid restriction and medication.
D) Incorrect. Dietary adjustments are not the main treatment for Nephrogenic Diabetes Insipidus. The focus is on managing fluid intake and using medications to help the kidneys concentrate urine.
A client diagnosed with Nephrogenic Diabetes Insipidus asks the nurse about the cause of this condition. How should the nurse respond?
Explanation
A) Correct. Nephrogenic Diabetes Insipidus is primarily caused by a deficiency or insensitivity to antidiuretic hormone (ADH), also known as vasopressin.
B) Incorrect. Nephrogenic Diabetes Insipidus is not related to insulin overproduction; it is a disorder of the kidneys' response to ADH.
C) Incorrect. Excessive consumption of high-sugar foods and drinks does not directly cause Nephrogenic Diabetes Insipidus.
D) Incorrect. While Nephrogenic Diabetes Insipidus can be hereditary in some cases, it is not the primary cause of the condition.
A nurse is assessing a client with suspected Nephrogenic Diabetes Insipidus. Which clinical manifestation is commonly associated with this condition?
Explanation
A) Incorrect. Hypertension is not typically associated with Nephrogenic Diabetes Insipidus. It may occur due to other underlying conditions.
B) Incorrect. Hyponatremia (low sodium levels) is not a primary characteristic of Nephrogenic Diabetes Insipidus. In fact, it can lead to hypernatremia (high sodium levels) due to excessive loss of water.
C) Correct. The hallmark clinical manifestations of Nephrogenic Diabetes Insipidus are polyuria (excessive urination) and polydipsia (excessive thirst) due to the kidneys' inability to concentrate urine.
D) Incorrect. Hypoglycemia (low blood sugar) is not directly associated with Nephrogenic Diabetes Insipidus. This condition primarily affects water balance.
A client with Nephrogenic Diabetes Insipidus asks the nurse about dietary recommendations. How should the nurse respond?
Explanation
A) Incorrect. Limiting sodium intake is not the primary dietary concern for clients with Nephrogenic Diabetes Insipidus. The main focus is on managing fluid intake.
B) Incorrect. While potassium is important for overall health, increasing potassium intake is not the primary dietary recommendation for Nephrogenic Diabetes Insipidus.
C) Correct. Maintaining a balanced diet is important, but clients with Nephrogenic Diabetes Insipidus should be cautious about excessive fluid intake to prevent dehydration and electrolyte imbalances.
D) Incorrect. A high-protein diet is not specifically indicated for Nephrogenic Diabetes Insipidus. The primary focus is on fluid management.
A nurse is explaining the treatment options for Nephrogenic Diabetes Insipidus to a client. What intervention is commonly used in managing this condition?
Explanation
A) Correct. The primary treatment for Nephrogenic Diabetes Insipidus is the administration of synthetic ADH (desmopressin) to help the kidneys concentrate urine.
B) Incorrect. IV administration of insulin is not a standard treatment for Nephrogenic Diabetes Insipidus.
C) Incorrect. High-dose diuretic therapy would exacerbate the symptoms of Nephrogenic Diabetes Insipidus, as it would increase urine production.
D) Incorrect. Strict restriction of dietary carbohydrates is not a primary intervention for Nephrogenic Diabetes Insipidus. The focus is on fluid management through the use of medications like desmopressin.
A nurse is educating a client about the risk factors associated with Nephrogenic Diabetes Insipidus. Which factor should the nurse include in the discussion?
Explanation
A) Correct. Genetic predisposition is a significant risk factor for Nephrogenic Diabetes Insipidus. It can be inherited or acquired due to genetic mutations.
B) Incorrect. Diet, specifically high-carbohydrate intake, is not a recognized risk factor for Nephrogenic Diabetes Insipidus.
C) Incorrect. Sedentary lifestyle is not a known risk factor for Nephrogenic Diabetes Insipidus. This condition is primarily related to kidney function.
D) Incorrect. Excessive caffeine intake is not identified as a risk factor for Nephrogenic Diabetes Insipidus.
A client recently diagnosed with Nephrogenic Diabetes Insipidus asks the nurse about other conditions that may increase the risk. How should the nurse respond?
Explanation
A) Incorrect. Hypertension is not a direct risk factor for Nephrogenic Diabetes Insipidus. However, it can be associated with various kidney disorders.
B) Incorrect. While heart disease can have implications for kidney function, it is not a specific risk factor for Nephrogenic Diabetes Insipidus.
C) Correct. Chronic kidney disease is a condition that can be associated with Nephrogenic Diabetes Insipidus, as it involves impaired kidney function.
D) Incorrect. A high-fiber diet is not considered a risk factor for Nephrogenic Diabetes Insipidus.
A nurse is reviewing the medical history of a client with suspected Nephrogenic Diabetes Insipidus. Which condition should the nurse recognize as a potential risk factor?
Explanation
A) Correct. Polycystic kidney disease is a known risk factor for Nephrogenic Diabetes Insipidus, as it can lead to impaired kidney function.
B) Incorrect. Asthma is not a recognized risk factor for Nephrogenic Diabetes Insipidus.
C) Incorrect. Osteoarthritis is not associated with an increased risk of Nephrogenic Diabetes Insipidus.
D) Incorrect. Migraine headaches are not identified as a risk factor for Nephrogenic Diabetes Insipidus.
A client diagnosed with Nephrogenic Diabetes Insipidus is curious about lifestyle factors that may have contributed. How should the nurse respond?
Explanation
A) Incorrect. While exercise and a balanced diet are important for overall health, they are not specific preventive measures for Nephrogenic Diabetes Insipidus.
B) Correct. Limiting exposure to environmental toxins, which can potentially harm kidney function, can help decrease the risk of Nephrogenic Diabetes Insipidus.
C) Incorrect. Avoiding stress and maintaining a positive outlook are important for well-being but are not direct factors in preventing Nephrogenic Diabetes Insipidus.
D) Incorrect. Engaging in social activities and hobbies is beneficial for mental health, but it is not a specific preventive measure for Nephrogenic Diabetes Insipidus
.
A nurse is providing education to a group of individuals about Nephrogenic Diabetes Insipidus. What congenital condition should the nurse highlight as a risk factor?
Explanation
A) Correct. Down syndrome is a congenital condition that can be associated with an increased risk of Nephrogenic Diabetes Insipidus.
B) Incorrect. Hypertension is not a congenital condition and is not directly associated with an increased risk of Nephrogenic Diabetes Insipidus.
C) Incorrect. Type 2 diabetes is not a congenital condition and is not directly associated with an increased risk of Nephrogenic Diabetes Insipidus.
D) Incorrect. Rheumatoid arthritis is not a congenital condition and is not directly associated with an increased risk of Nephrogenic Diabetes Insipidus.
These cover various risk factors associated with Nephrogenic Diabetes Insipidus. If you have any further , feel free to let me know!
A nurse is explaining the pathophysiology of Nephrogenic Diabetes Insipidus to a group of nursing students. What is the primary defect in this condition?
Explanation
A) Incorrect. Nephrogenic Diabetes Insipidus is not primarily caused by inadequate production of ADH; rather, it is related to the kidneys' inability to respond effectively to ADH.
B) Correct. The primary defect in Nephrogenic Diabetes Insipidus is the impaired response of the renal tubules to ADH. This means that even if ADH is present, the kidneys are unable to reabsorb water as they should.
C) Incorrect. Excessive release of ADH is not characteristic of Nephrogenic Diabetes Insipidus. Instead, it is a condition where the kidneys do not respond appropriately to normal levels of ADH.
D) Incorrect. Dysfunction of the adrenal glands is not related to the pathophysiology of Nephrogenic Diabetes Insipidus.
A client newly diagnosed with Nephrogenic Diabetes Insipidus asks the nurse why they experience excessive thirst and urination. How should the nurse respond?
Explanation
A) Incorrect. Nephrogenic Diabetes Insipidus is characterized by the kidneys' reduced response to ADH, not an excess of ADH production.
B) Correct. In Nephrogenic Diabetes Insipidus, the kidneys do not respond effectively to ADH, which impairs their ability to reabsorb water. This leads to excessive urination and thirst.
C) Incorrect. Elevated blood glucose levels are not associated with Nephrogenic Diabetes Insipidus.
D) Incorrect. Experiencing excessive thirst and urination in Nephrogenic Diabetes Insipidus is not a normal response to changes in fluid balance; it is a result of the kidneys' reduced ability to reabsorb water.
A nurse is teaching a client with Nephrogenic Diabetes Insipidus about their condition. What part of the nephron is primarily affected in this condition?
Explanation
A) Incorrect. The glomerulus is primarily responsible for the initial filtration of blood in the nephron, but it is not the part primarily affected in Nephrogenic Diabetes Insipidus.
B) Incorrect. The renal tubules play a crucial role in reabsorbing water and electrolytes, but in Nephrogenic Diabetes Insipidus, it is primarily the collecting ducts that are affected.
C) Correct. Nephrogenic Diabetes Insipidus primarily affects the collecting ducts, where the final adjustments to urine composition occur.
D) Incorrect. Bowman's capsule is involved in the initial filtration of blood, but it is not the primary site of dysfunction in Nephrogenic Diabetes Insipidus.
A client asks the nurse why they have to drink so much water when they have Nephrogenic Diabetes Insipidus. What is the best explanation by the nurse?
Explanation
A) Correct. In Nephrogenic Diabetes Insipidus, the kidneys produce excessive amounts of dilute urine, leading to fluid loss. Drinking more water helps
replenish the lost fluids.
B) Incorrect. Drinking more water does not directly stimulate the production of antidiuretic hormone in Nephrogenic Diabetes Insipidus, as the primary issue lies in the kidneys' response to ADH.
C) Incorrect. While excessive thirst is a symptom of Nephrogenic Diabetes Insipidus, the main reason for increased water intake is to compensate for the excessive urine production.
D) Incorrect. Diluting urine to prevent kidney stones is not the primary reason for increased water intake in Nephrogenic Diabetes Insipidus.
A nurse is discussing the genetic forms of Nephrogenic Diabetes Insipidus. Which of the following is an X-linked recessive form of the condition?
Explanation
A) Incorrect. Autosomal dominant Nephrogenic Diabetes Insipidus is inherited in an autosomal dominant manner, not as an X-linked recessive trait.
B) Incorrect. Autosomal recessive Nephrogenic Diabetes Insipidus is inherited in an autosomal recessive manner, not as an X-linked recessive trait.
C) Incorrect. X-linked dominant inheritance is not associated with Nephrogenic Diabetes Insipidus. This condition can be caused by mutations in the AVPR2 gene (X-linked recessive) or the AQP2 gene (autosomal recessive).
D) Correct. X-linked recessive Nephrogenic Diabetes Insipidus is caused by mutations in the AVPR2 gene located on the X chromosome. It primarily affects males who inherit the mutated gene from their carrier mothers.
A client with Nephrogenic Diabetes Insipidus asks the nurse about a common symptom they are experiencing. What should the nurse identify as a hallmark symptom of this condition?
Explanation
A) Correct. Increased thirst (polydipsia) and urination (polyuria) are hallmark symptoms of Nephrogenic Diabetes Insipidus. The kidneys are unable to concentrate urine, leading to excessive fluid loss.
B) Incorrect. Excessive hunger and weight loss are not typical symptoms of Nephrogenic Diabetes Insipidus. This condition primarily affects fluid balance, not metabolism.
C) Incorrect. While fatigue and weakness can occur in various conditions, they are not specific to Nephrogenic Diabetes Insipidus.
D) Incorrect. Blurred vision and headaches are not typically associated with Nephrogenic Diabetes Insipidus. These symptoms may be indicative of other conditions.
A nurse is assessing a client suspected of having Nephrogenic Diabetes Insipidus. Which of the following findings would be consistent with this condition?
Explanation
A) Incorrect. Elevated blood glucose levels are not a characteristic finding in Nephrogenic Diabetes Insipidus. This condition primarily affects water balance, not glucose metabolism.
B) Correct. In Nephrogenic Diabetes Insipidus, the kidneys are unable to concentrate urine, leading to the production of large volumes of dilute urine with a low specific gravity.
C) Incorrect. Hypertension and bradycardia are not typically associated with Nephrogenic Diabetes Insipidus. These findings may be indicative of other underlying conditions.
D) Incorrect. Nephrogenic Diabetes Insipidus is characterized by a reduced response of the renal tubules to antidiuretic hormone (ADH), leading to the inability to reabsorb water effectively.
A client diagnosed with Nephrogenic Diabetes Insipidus complains of constant thirst and excessive urination. They ask the nurse why they always feel dehydrated. How should the nurse respond?
Explanation
A) Incorrect. Nephrogenic Diabetes Insipidus is characterized by a reduced response of the renal tubules to antidiuretic hormone (ADH), leading to excessive urination and increased thirst.
B) Correct. In Nephrogenic Diabetes Insipidus, the kidneys are unable to reabsorb water effectively, leading to excessive urination and dehydration.
C) Incorrect. While managing fluid balance is important in Nephrogenic Diabetes Insipidus, the primary cause of dehydration in this condition is the excessive loss of water through urination.
D) Incorrect. Elevated blood sugar levels are not associated with Nephrogenic Diabetes Insipidus. This statement may be more applicable to diabetes mellitus.
A nurse is educating a client with Nephrogenic Diabetes Insipidus about dietary considerations. What should the nurse recommend to help manage this condition?
Explanation
A) Incorrect. While managing salt intake is important for overall health, it is not a primary consideration for managing Nephrogenic Diabetes Insipidus. The focus is on fluid balance.
B) Incorrect. Increasing protein intake is not a specific dietary recommendation for managing Nephrogenic Diabetes Insipidus.
C) Correct. Monitoring fluid intake and avoiding excessive sodium can help manage fluid balance in individuals with Nephrogenic Diabetes Ins
ipidus.
D) Incorrect. While potassium is an important electrolyte, a high-potassium diet is not a specific recommendation for managing Nephrogenic Diabetes Insipidus.
A client with Nephrogenic Diabetes Insipidus asks the nurse about potential complications. What is an important complication to monitor for in this client?
Explanation
A) Incorrect. While hypertension can be a complication of certain kidney conditions, it is not a direct complication of Nephrogenic Diabetes Insipidus.
B) Incorrect. Hyperkalemia (elevated blood potassium levels) is not a typical complication of Nephrogenic Diabetes Insipidus.
C) Correct. Dehydration is a significant complication of Nephrogenic Diabetes Insipidus due to the excessive loss of water through urination.
D) Incorrect. Hyperglycemia (high blood sugar levels) is not a characteristic complication of Nephrogenic Diabetes Insipidus. This condition primarily affects water balance, not glucose metabolism.
A client with suspected Nephrogenic Diabetes Insipidus asks the nurse about the diagnostic tests they may undergo. What test measures the concentration of urine to assess the kidney's ability to reabsorb water?
Explanation
A) Incorrect. A blood glucose test measures the concentration of glucose in the blood and is not specific to diagnosing Nephrogenic Diabetes Insipidus.
B) Correct. The urine osmolality test assesses the concentration of solutes in the urine, providing information about the kidney's ability to reabsorb water. In Nephrogenic Diabetes Insipidus, urine osmolality remains low even when a person is dehydrated.
C) Incorrect. An electrocardiogram (ECG) is a test used to evaluate the electrical activity of the heart and is not specific to diagnosing Nephrogenic Diabetes Insipidus.
D) Incorrect. A complete blood count (CBC) measures various components of the blood, such as red blood cells, white blood cells, and platelets. It is not specific to diagnosing Nephrogenic Diabetes Insipidus.
A nurse is explaining the water deprivation test to a client suspected of having Nephrogenic Diabetes Insipidus. What is the primary purpose of this test?
Explanation
A) Incorrect. The water deprivation test is not primarily used to evaluate blood glucose levels. Its focus is on assessing kidney function and fluid balance.
B) Correct. The water deprivation test involves withholding fluids from the client while monitoring various parameters, including urine osmolality, weight changes, and blood chemistry. This test helps determine if the kidneys are able to concentrate urine appropriately.
C) Incorrect. While electrolyte levels may be monitored during the water deprivation test, the primary purpose is to assess kidney function and fluid balance.
D) Incorrect. Monitoring cardiac output and blood pressure is not the primary goal of the water deprivation test. It is specifically designed to evaluate kidney function.
A client asks the nurse about the potential risks or discomfort associated with the water deprivation test. What should the nurse inform the client?
Explanation
A) Correct. One of the potential risks associated with the water deprivation test is the development of low blood sodium levels (hyponatremia) due to dehydration.
B) Incorrect. Elevated blood pressure is not a typical response to the water deprivation test. In fact, blood pressure is usually closely monitored during the test.
C) Incorrect. The water deprivation test does not involve the use of contrast dye, so the risk of an allergic reaction is not applicable.
D) Incorrect. While the client may feel lightheaded or dizzy due to dehydration, close monitoring is an essential part of the test to ensure the client's safety.
A nurse is reviewing the results of a water deprivation test for a client suspected of having Nephrogenic Diabetes Insipidus. Which finding would be consistent with this condition?
Explanation
A) Incorrect. In Nephrogenic Diabetes Insipidus, the kidneys are unable to concentrate urine even when a person is dehydrated. Therefore, urine osmolality does not increase significantly.
B) Incorrect. Decreased urine output is not a characteristic finding in Nephrogenic Diabetes Insipidus. Instead, individuals with this condition may have increased urine output even when dehydrated.
C) Correct. In Nephrogenic Diabetes Insipidus, urine osmolality remains low even after a period of dehydration, indicating the kidneys' inability to reabsorb water effectively.
D) Incorrect. Elevated blood sodium levels (hypernatremia) may occur as a result of dehydration during the
water deprivation test, but this finding is not specific to Nephrogenic Diabetes Insipidus.
A client with suspected Nephrogenic Diabetes Insipidus asks the nurse about potential complications. What is an important complication to monitor for in this client?
Explanation
A) Incorrect. While hypertension can be a complication of certain kidney conditions, it is not a direct complication of Nephrogenic Diabetes Insipidus.
B) Incorrect. Hyperkalemia (elevated blood potassium levels) is not a typical complication of Nephrogenic Diabetes Insipidus.
C) Correct. Dehydration is a significant complication of Nephrogenic Diabetes Insipidus due to the excessive loss of water through urination.
D) Incorrect. Hyperglycemia (high blood sugar levels) is not a characteristic complication of Nephrogenic Diabetes Insipidus. This condition primarily affects water balance, not glucose metabolism.
A nurse is providing education to a client with Nephrogenic Diabetes Insipidus. What dietary recommendation should the nurse include to help manage this condition?
Explanation
A) Incorrect. Increasing sodium intake is not a primary dietary recommendation for managing Nephrogenic Diabetes Insipidus. It may exacerbate the condition by increasing thirst and fluid intake.
B) Correct. Limiting fluid intake is a crucial aspect of managing Nephrogenic Diabetes Insipidus. By restricting fluid intake, the client can help reduce excessive urination and maintain better fluid balance.
C) Incorrect. While potassium is an important electrolyte, it is not specifically emphasized in the management of Nephrogenic Diabetes Insipidus.
D) Incorrect. Avoiding foods high in calcium is not a specific dietary recommendation for managing Nephrogenic Diabetes Insipidus. Calcium intake is important for bone health and other physiological functions.
A client with Nephrogenic Diabetes Insipidus asks the nurse about medications to manage the condition. What class of medications is commonly used to treat Nephrogenic Diabetes Insipidus?
Explanation
A) Correct. Thiazide diuretics are commonly used to treat Nephrogenic Diabetes Insipidus. They help the kidneys reabsorb more water, reducing excessive urination.
B) Incorrect. Beta-blockers are not used as a primary treatment for Nephrogenic Diabetes Insipidus. They are primarily indicated for conditions such as hypertension.
C) Incorrect. Anticoagulants are used to prevent blood clotting and are not directly related to the management of Nephrogenic Diabetes Insipidus.
D) Incorrect. NSAIDs may have some effects on kidney function, but they are not the primary class of medications used to manage Nephrogenic Diabetes Insipidus.
A nurse is discussing lifestyle modifications with a client diagnosed with Nephrogenic Diabetes Insipidus. What recommendation should the nurse provide regarding outdoor activities?
Explanation
A) Incorrect. While it's important to be mindful of hydration, avoiding outdoor activities entirely is not necessary. Proper fluid management and timing of activities can help.
B) Correct. Engaging in outdoor activities during cooler times of the day can help reduce the risk of excessive fluid loss through sweating. This allows the client to enjoy outdoor activities while minimizing the impact on fluid balance.
C) Incorrect. Engaging in vigorous outdoor activities does not directly stimulate kidney function in the context of Nephrogenic Diabetes Insipidus.
D) Incorrect. While it's important to be mindful of hydration, limiting outdoor activities to short durations is not the only option. Timing activities and managing fluid intake can be effective strategies.
A client with Nephrogenic Diabetes Insipidus is prescribed thiazide diuretics. What important instruction should the client receive regarding medication administration?
Explanation
A) Incorrect. Thiazide diuretics should be taken with food to reduce the risk of stomach upset. Taking them on an empty stomach is not recommended.
B) Incorrect. Taking the medication with a high-sodium meal is not necessary for its effectiveness. In fact, it's important to monitor sodium levels while taking thiazide diuretics.
C) Correct. Thiazide diuretics can lead to low potassium levels (hypokalemia) as they increase potassium excretion in the urine. Clients should be instructed to monitor for signs of hypokalemia, such as muscle weakness or irregular heart rhythm.
D) Incorrect. Discontinuing the medication if urine output decreases significantly is not the appropriate action. The client should follow the prescribed treatment plan and report any concerns to their healthcare provider.
Explanation
A) Incorrect. Monitoring blood glucose levels is not a primary concern for clients with Nephrogenic Diabetes Insipidus, as this condition primarily affects water balance, not glucose metabolism.
B) Incorrect. While regular weighing may be part of the overall healthcare routine, it is not as specific or crucial for managing Nephrogenic Diabetes Insipidus as keeping track of fluid intake and output.
C) Correct. Keeping a record of daily fluid intake and output is important for monitoring and managing Nephrogenic Diabetes Insipidus. This information helps in assessing the effectiveness of interventions and maintaining fluid balance.
D) Incorrect. Engaging in high-intensity exercise daily is not a specific self-care strategy recommended for managing Nephrogenic Diabetes Insipidus. The focus is on fluid management and medication adherence.
A nurse is providing education to a client with Nephrogenic Diabetes Insipidus about managing fluid intake. What advice should the nurse give to the client?
Explanation
A) Incorrect. Increasing fluid intake is not recommended for clients with Nephrogenic Diabetes Insipidus as it can exacerbate the condition and lead to excessive urination.
B) Correct. Restricting fluid intake is a key nursing intervention for managing Nephrogenic Diabetes Insipidus. This helps to reduce the volume of urine output and maintain better fluid balance.
C) Incorrect. Waiting until feeling extremely thirsty may lead to dehydration. Clients with Nephrogenic Diabetes Insipidus should follow a prescribed fluid restriction plan rather than relying on thirst cues.
D) Incorrect. While having a fixed schedule for fluid intake can be helpful, it's important for the client to follow the prescribed fluid restriction plan, which may involve limiting total daily intake.
A client with Nephrogenic Diabetes Insipidus asks the nurse about dietary recommendations. What guidance should the nurse provide regarding dietary sodium intake?
Explanation
A) Incorrect. While monitoring sodium levels is important, increasing sodium intake is not a primary recommendation for managing Nephrogenic Diabetes Insipidus.
B) Incorrect. Avoiding high-sodium foods is not specifically emphasized in the management of Nephrogenic Diabetes Insipidus. The focus is on fluid restriction.
C) Incorrect. Consuming a low-sodium diet does not directly relate to reducing thirst sensation in the context of Nephrogenic Diabetes Insipidus.
D) Correct. The client should monitor sodium levels as part of overall health, but there is no specific need for a special diet unless otherwise indicated by a healthcare provider.
A nurse is assessing a client with Nephrogenic Diabetes Insipidus. What clinical manifestation is commonly associated with this condition?
Explanation
A) Incorrect. Polyphagia is not a common clinical manifestation of Nephrogenic Diabetes Insipidus. It refers to increased appetite.
B) Incorrect. While polydipsia (excessive thirst) is a characteristic feature of diabetes, it is not specific to Nephrogenic Diabetes Insipidus.
C) Correct. Polyuria, or excessive urination, is a hallmark sign of Nephrogenic Diabetes Insipidus. The kidneys are unable to reabsorb water properly, leading to increased urine output.
D) Incorrect. Polyarthralgia, or joint pain, is not a characteristic manifestation of Nephrogenic Diabetes Insipidus.
A client with Nephrogenic Diabetes Insipidus is prescribed thiazide diuretics. What important instruction should the client receive regarding medication administration?
Explanation
A) Incorrect. Thiazide diuretics should be taken with food to reduce the risk of stomach upset. Taking them on an empty stomach is not recommended.
B) Incorrect. Taking the medication with a high-sodium meal is not necessary for its effectiveness. In fact, it's important to monitor sodium levels while taking thiazide diuretics.
C) Correct. Thiazide diuretics can lead to low potassium levels (hypokalemia) as they increase potassium excretion in the urine. Clients should be instructed to monitor for signs of hypokalemia, such as muscle weakness or irregular heart rhythm.
D) Incorrect. Discontinuing the medication without consulting a healthcare provider is not advisable. If there are concerns about medication effectiveness or side effects, the client should discuss them with their healthcare provider.
A nurse is caring for a client with Nephrogenic Diabetes Insipidus. The client reports feeling lightheaded and dizzy. What action should the nurse take first?
Explanation
A) Incorrect. Administering diuretics without first assessing vital signs could potentially worsen the client's condition. It's important to determine the client's current hemodynamic status.
B) Correct. The client's report of feeling lightheaded and dizzy warrants an immediate assessment of blood pressure and pulse. This will provide crucial information about the client's cardiovascular status.
C) Incorrect. Increasing fluid intake may not be appropriate if the client is already experiencing symptoms of volume overload or fluid imbalance. Assessing vital signs takes precedence.
D) Incorrect. While notifying the healthcare provider is important, it is not the first action to take in this situation. Assessing the client's vital signs is more immediate and directly addresses the reported symptoms.
Sign Up or Login to view all the 35 Questions on this Exam
Join over 100,000+ nursing students using Nursingprepexams’s science-backend flashcards, practice tests and expert solutions to improve their grades and reach their goals.
Sign Up Now
