Causes of Electrolyte Imbalances
Causes of Electrolyte Imbalances ( 5 Questions)
A nurse is teaching a client with diabetes insipidus about the causes of hypernatremia. Which of the following statements by the client indicates a need for further teaching?
Avoiding foods that are high in protein is not necessary for a client with diabetes insipidus. Protein intake does not affect the serum sodium level or the urine output in this condition. Therefore, this statement does not indicate a need for further teaching.
Drinking water whenever thirsty is not adequate for a client with diabetes insipidus. This condition causes excessive urine output and dehydration, which can lead to hypernatremia (high sodium level in the blood) The client should drink fluids according to a prescribed schedule and monitor the urine specific gravity to prevent fluid imbalance. Therefore, this statement indicates a need for further teaching.
Taking the prescribed medication as directed is important for a client with diabetes insipidus. The medication is usually a synthetic form of antidiuretic hormone (ADH), which helps the kidneys retain water and reduce urine output. This can prevent dehydration and hypernatremia. Therefore, this statement does not indicate a need for further teaching.
Limiting the intake of salt and salty foods is advisable for a client with diabetes insipidus. Salt intake can increase the serum sodium level and worsen the fluid imbalance. The client should follow a low-sodium diet and avoid processed foods, canned foods, and table salt. Therefore, this statement does not indicate a need for further teaching.
Choice A reason:
Avoiding foods that are high in protein is not necessary for a client with diabetes insipidus. Protein intake does not affect the serum sodium level or the urine output in this condition. Therefore, this statement does not indicate a need for further teaching.
Choice B reason:
Drinking water whenever thirsty is not adequate for a client with diabetes insipidus. This condition causes excessive urine output and dehydration, which can lead to hypernatremia (high sodium level in the blood) The client should drink fluids according to a prescribed schedule and monitor the urine specific gravity to prevent fluid imbalance. Therefore, this statement indicates a need for further teaching.
Choice C reason:
Taking the prescribed medication as directed is important for a client with diabetes insipidus. The medication is usually a synthetic form of antidiuretic hormone (ADH), which helps the kidneys retain water and reduce urine output. This can prevent dehydration and hypernatremia. Therefore, this statement does not indicate a need for further teaching.
Choice D reason:
Limiting the intake of salt and salty foods is advisable for a client with diabetes insipidus. Salt intake can increase the serum sodium level and worsen the fluid imbalance. The client should follow a low-sodium diet and avoid processed foods, canned foods, and table salt. Therefore, this statement does not indicate a need for further teaching.