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

What is the primary cause of Addison's disease?

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

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

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

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

<p>Joint pain (B)</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) (C)</p> Signup and view all the answers

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

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

Which diagnostic study is important in evaluating Diabetes Insipidus?

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

What electrolyte imbalance is commonly observed in diabetes insipidus?

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

Which symptom is NOT associated with an Addisonian crisis?

<p>Palpitations (B)</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 (D)</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 (D)</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 (A)</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 (A)</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 (A)</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 (D)</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) (D)</p> Signup and view all the answers

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

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

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

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

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

<p>Polydipsia (C)</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 (C)</p> Signup and view all the answers

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

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

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

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

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