Nursing Management of Diabetes Insipidus

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29 Questions

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

Polydipsia

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

Central DI

What electrolyte imbalance is commonly associated with Diabetes Insipidus?

Hypernatremia

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

Water deprivation test

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

Causes of DI include increased ADH production

What is the primary cause of Addison's disease?

Autoimmune response

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

White females

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

Joint pain

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

Desmopressin (DDAVP)

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

Monitoring urine output

Which diagnostic study is important in evaluating Diabetes Insipidus?

Assessing fluid volume status

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

Urine cortisol and aldosterone

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

Glucocorticoids

What electrolyte imbalance is commonly observed in diabetes insipidus?

Decreased sodium, increased potassium

Which symptom is NOT associated with an Addisonian crisis?

Palpitations

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

Increasing dietary salt intake

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

Stimulating cortisol release

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

Cancer, especially small cell carcinoma

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

Reabsorption of water into the circulation

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

Vomiting and abdominal cramps

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

Less than 1.020

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

Pegvisomant (Somavert)

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

Decreased serum osmolality

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

Urinary output and specific gravity

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

Water deprivation test

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

Polydipsia

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

Teamwork with an endocrinologist for hormone replacement therapy

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

Desmopressin (DDAVP)

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

Sodium levels

This quiz covers key concepts in the nursing management of Diabetes Insipidus, including maintaining hydration, vital sign monitoring, drug therapy, and assessment of fluid volume status. Topics also include hypotonic IV solutions, Desmopressin, and monitoring for dehydration.

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