What is a priority nursing diagnosis of diabetes insipidus?
A priority nursing diagnostic for a client admitted to the hospital with a diagnosis of diabetes insipidus is: 1 A. Sleep pattern deprivation related nocturia. 2 B. Activity intolerance r/t muscle weakness. 3 C. Fluid volume excess r/t intake greater that output. 4 D. Risk for impaired skin integrity r/t generalized edema.
Which event leads the nurse to suspect diabetes insipidus?
Cyrill with severe head trauma sustained in a car accident is admitted to the intensive care unit. Thirty-six hours later, the client's urine output suddenly rises above 200 ml/hour, leading the nurse to suspect diabetes insipidus. Which laboratory findings support the nurse's suspicion of diabetes insipidus?
Which hormones are involved in the treatment of diabetes insipidus?
Antidiuretic hormone (ADH). Thyroid-stimulating hormone (TSH). Follicle-stimulating hormone (FSH). Luteinizing hormone (LH). 5. Which outcome indicates that treatment of a male client with diabetes insipidus has been effective? Fluid intake is less than 2,500 ml/day. Urine output measures more than 200 ml/hour. Blood pressure is 90/50 mm Hg.
Do you know about diabetes insipidus?
Do You Know About This Rare Disease? Diabetes Insipidus - ProProfs Quiz Do You Know About This Rare Disease? Diabetes Insipidus Diabetes insipidus is a rare condition that causes your body to make a lot of urine that is "insipid," or colorless and odorless. Most people pee out 1 to 2 quarts a day.
When caring for a client with diabetes insipidus the nurse would expect to administer which drug?
In patients with central DI, desmopressin is the drug of choice. A synthetic analogue of antidiuretic hormone (ADH), desmopressin is available in subcutaneous, IV, intranasal, and oral preparations. Generally, it can be administered 2-3 times per day.
Which intervention should be implemented for a client with diabetes insipidus?
1. Deficient Fluid VolumeNursing InterventionsRationaleAllow the patient to drink water at will.Patients with intact thirst mechanisms may maintain fluid balance by drinking huge quantities of water to compensate for the amount they urinate. Patients prefer cold or ice water.14 more rows•Feb 13, 2017
Which symptoms is most indicative in patient with diabetes insipidus?
The two main symptoms of diabetes insipidus are the frequent urge to pass high volumes of diluted urine and excessive thirst. These symptoms are also known as polyuria and polydipsia, respectively, and they are two of the three polys of diabetes.
What is the direct goal of drug therapy for diabetes mellitus?
Controlling blood sugar (glucose) levels is the major goal of diabetes treatment, in order to prevent complications of the disease.
What is the goal of treatment the patients with DI?
Treatment goals are correction and stabilization of water deficit and electrolyte balance, together with reduction in symptoms of excessive urinary water loss and thirst. In central DI, the synthetic AVP analog desmopressin (DDAVP) is the treatment of choice.
What happens in diabetes insipidus?
Overview. Diabetes insipidus (die-uh-BEE-teze in-SIP-uh-dus) is an uncommon disorder that causes an imbalance of fluids in the body. This imbalance leads you to produce large amounts of urine. It also makes you very thirsty even if you have something to drink.
What are the complications of diabetes insipidus?
The 2 main complications of diabetes insipidus are dehydration and an electrolyte imbalance. Complications are more likely if the condition goes undiagnosed or is poorly controlled.
How is diabetes insipidus diagnosed?
Tests used to diagnose diabetes insipidus include:Water deprivation test. While being monitored by a doctor and health care team, you'll be asked to stop drinking fluids for several hours. ... Magnetic resonance imaging (MRI). An MRI can look for abnormalities in or near the pituitary gland. ... Genetic screening.
What are the risk factors of diabetes insipidus?
The following are some of the common risk factors associated with the development of diabetes insipidus:Genetics.Polycystic kidney disease.Pituitary disorders.Hypothalamic injury.Hypercalcemia.Head tumors.Pregnancy.Sickle cell disease.More items...•
What are the therapeutic outcomes for a patient with type 2 diabetes mellitus?
Achievement of non-glucose goals improves outcomes. Controlling hypertension in patients with type-2 diabetes can reduce the progression of cardiovascular disease (CVD) and the risk of microvascular complications (i.e., retinopathy, nephropathy, and neuropathy).
How Does medication help diabetes?
Diabetes treatment: Lowering blood sugar A drug may work by: Stimulating the pancreas to produce and release more insulin. Inhibiting the production and release of glucose from the liver. Blocking the action of stomach enzymes that break down carbohydrates.
What is the best treatment for diabetes?
Metformin is generally the preferred initial medication for treating type 2 diabetes unless there's a specific reason not to use it. Metformin is effective, safe, and inexpensive. It may reduce the risk of cardiovascular events. Metformin also has beneficial effects when it comes to reducing A1C results.
Which of the following assessment findings characterize thyroid storm? a) increased body temperature, decreased pulse, and increased blood pressure b) increased body temperature, increased pulse, and increased blood pressure c) increased body temperature, decreased pulse, and decreased blood pressure d) increased body temperature, increased pulse, and decreased blood pressure
b) increased body temperature, increased pulse, and increased blood pressure Thyroid storm is characterized by SNS activation. Thyroid hormones pot...
When caring for a male client with diabetes insipidus, nurse Juliet expects to administer: a. vasopressin (Pitressin Synthetic) b. furosemide (Lasix). c. regular insulin. d. 10% dextrose.a. vasopressin (Pitressin Synthetic)
a. vasopressin (Pitressin Synthetic) Because diabetes insipidus results from decreased antidiuretic hormone (vasopressin) production, the nurse sho...
Early this morning, a female client had a subtotal thyroidectomy. During evening rounds, nurse Tina assesses the client, who now has nausea, a temperature of 105° F (40.5° C), tachycardia, and extreme restlessness. What is the most likely cause of these signs? a. Diabetic ketoacidosis b. Thyroid crisis c. Hypoglycemia d. Tetany
b. Thyroid crisis Thyroid crisis usually occurs in the first 12 hours after thyroidectomy and causes exaggerated signs of hyperthyroidism, such as...
A male client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate? a. Infusing I.V. fluids rapidly as ordered b. Encouraging increased oral intake c. Restricting fluids d. Administering glucose-containing I.V. fluids as ordered
c. Restricting fluids To reduce water retention in a client with the SIADH, the nurse should restrict fluids. Administering fluids by any route wo...
Which of these signs suggests that a male client with the syndrome of inappropriate antidiuretic hormone (SIADH) secretion is experiencing complications? a. Tetanic contractions b. Neck vein distention c. Weight loss d. Polyuria
b. Neck vein distention SIADH secretion causes antidiuretic hormone overproduction, which leads to fluid retention. Severe SIADH can cause such co...
Which outcome indicates that treatment of a male client with diabetes insipidus has been effective? a. Fluid intake is less than 2,500 ml/day. b. Urine output measures more than 200 ml/hour. c. Blood pressure is 90/50 mm Hg. d. The heart rate is 126 beats/minute.
a. Fluid intake is less than 2,500 ml/day Diabetes insipidus is characterized by polyuria (up to 8 L/day), constant thirst, and an unusually high...
he nurse is caring for a patient with central diabetes insipidus (DI). What does the nurse recognize is a priority focus of care? 1 Pacing activities and minimizing fatigue 2 Preventing treatment-related hypoglycemia 3 Avoiding dehydration and fluid volume deficit 4 Decreasing renal responsiveness to antidiuretic hormone (ADH)
3 The patient with diabetes insipidus may experience massive diuresis of up to 20 L per day. Severe dehydration and hypovolemic shock may occur if...
Which nursing intervention is most important for a patient with diabetes insipidus? 1 Providing dietary education 2 Monitoring fluid intake and output 3 Assessing for constipation every day 4 Obtaining a finger-stick blood glucose level
2 Polyuria and polydipsia are the major clinical manifestations of diabetes insipidus. Therefore strict monitoring of fluid intake and output is a...
A patient with SIADH is treated with water restriction and administration of IV fluids. The nurses evaluates that treatment has been effective when the patient experiences a. increased urine output, decreased serum sodium, and increased urine specific gravity b. increased urine output, increased serum sodium, and decreased urine specific gravity c. decreased urine output, increased serum sodium, and decreased urine specific gravity d. decreased urine output, decreased serum sodium, and increased urine specific gravity
b. increased urine output, increased serum sodium, and decreased urine specific gravity (rationale- the patient with SIADH has water retention with...
How is SIADH treated?
A patient with SIADH is treated with water restriction and administration of IV fluids. The nurses evaluates that treatment has been effective when the patient experiences. a. increased urine output, decreased serum sodium, and increased urine specific gravity.
Is diabetes insipidus a priority intervention?
Diet education and finger-stick blood glucose measurements are not high-priority interventions for diabetes insipidus.
Is furosemide contraindicated for diabetes insipidus?
Because diabetes insipidus results from decreased antidiuretic hormone (vasopressin) production, the nurse should expect to administer synthetic vasopressin for hormone replacement therapy. Furosemide, a diuretic, is contraindicated because a client with diabetes insipidus experiences polyuria.
How much urine does diabetes insipidus make?
Diabetes insipidus is a rare condition that causes your body to make a lot of urine that is "insipid," or colorless and odorless. Most people pee out 1 to 2 quarts a day. People with diabetes insipidus can pass between 3 and 20 quarts a day. Do You Know About This Rare Disease?
How much urine does a diabetic pee out?
Most people pee out 1 to 2 quarts a day. People with diabetes insipidus can pass between 3 and 20 quarts a day.