Nursing Management of Diabetes Insipidus
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Questions and Answers

What is the main characteristic of Diabetes Insipidus according to the text?

  • Hypertension
  • Polydipsia (correct)
  • Decreased serum osmolality
  • Hypokalemia

    • Which type of Diabetes Insipidus involves deficient production or secretion of ADH?

  • Primary DI
  • Nephrogenic DI
  • Transient DI
  • Central DI (correct)

    • What electrolyte imbalance is commonly associated with Diabetes Insipidus?

  • Hypocalcemia
  • Hypophosphatemia
  • Hypokalemia
  • Hypernatremia (correct)

    • What diagnostic study involves a water deprivation test for diagnosing Diabetes Insipidus?

    <p>Water deprivation test</p> Signup and view all the answers

    Which statement best describes the etiology and pathophysiology of Diabetes Insipidus?

    <p>Causes of DI include increased ADH production</p> Signup and view all the answers

    What is the primary cause of Addison's disease?

    <p>Autoimmune response</p> Signup and view all the answers

    Which demographic group is most commonly affected by Primary Addison's disease?

    <p>White females</p> Signup and view all the answers

    What is a common clinical manifestation of Addison's disease?

    <p>Joint pain</p> Signup and view all the answers

    Which drug can be used in the treatment of Diabetes Insipidus as an ADH replacement drug?

    <p>Desmopressin (DDAVP)</p> Signup and view all the answers

    What is one key component of interprofessional care for Diabetes Insipidus?

    <p>Monitoring urine output</p> Signup and view all the answers

    Which diagnostic study is important in evaluating Diabetes Insipidus?

    <p>Assessing fluid volume status</p> Signup and view all the answers

    What is a key diagnostic study recommended for evaluating a patient suspected of having diabetes insipidus based on the text?

    <p>Urine cortisol and aldosterone</p> Signup and view all the answers

    Which hormone therapy is typically required for lifelong management of diabetes insipidus according to the text?

    <p>Glucocorticoids</p> Signup and view all the answers

    What electrolyte imbalance is commonly observed in diabetes insipidus?

    <p>Decreased sodium, increased potassium</p> Signup and view all the answers

    Which symptom is NOT associated with an Addisonian crisis?

    <p>Palpitations</p> Signup and view all the answers

    What is a key aspect of interprofessional care in managing diabetes insipidus mentioned in the text?

    <p>Increasing dietary salt intake</p> Signup and view all the answers

    In the context of diabetes insipidus, what is the purpose of an ACTH stimulation test?

    <p>Stimulating cortisol release</p> Signup and view all the answers

    Which of the following is the most common cause of Syndrome of Inappropriate Antidiuretic Hormone (SIADH) in older adults?

    <p>Cancer, especially small cell carcinoma</p> Signup and view all the answers

    What is the primary effect of the overproduction of Antidiuretic Hormone (ADH) in the body?

    <p>Reabsorption of water into the circulation</p> Signup and view all the answers

    Which of the following is a common clinical manifestation of Diabetes Insipidus when serum osmolality falls below 120 mEq/L?

    <p>Vomiting and abdominal cramps</p> Signup and view all the answers

    What is the typical urine specific gravity level in a patient with Diabetes Insipidus?

    <p>Less than 1.020</p> Signup and view all the answers

    Which drug is classified as a Growth hormone antagonist used in the treatment of Diabetes Insipidus?

    <p>Pegvisomant (Somavert)</p> Signup and view all the answers

    What is a characteristic feature of dilutional hyponatremia associated with Diabetes Insipidus?

    <p>Decreased serum osmolality</p> Signup and view all the answers

    What should the nurse assess in a patient suspected of having diabetes insipidus?

    <p>Urinary output and specific gravity</p> Signup and view all the answers

    Which diagnostic study is commonly used to confirm a diagnosis of diabetes insipidus?

    <p>Water deprivation test</p> Signup and view all the answers

    What is a common manifestation of diabetes insipidus related to fluid balance?

    <p>Polydipsia</p> Signup and view all the answers

    Which statement best describes the interprofessional care for a patient with diabetes insipidus?

    <p>Teamwork with an endocrinologist for hormone replacement therapy</p> Signup and view all the answers

    What is a common drug therapy option for managing diabetes insipidus?

    <p>Desmopressin (DDAVP)</p> Signup and view all the answers

    During treatment for diabetes insipidus, which laboratory parameter should the nurse monitor closely?

    <p>Sodium levels</p> Signup and view all the answers

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