A patient with diabetes insipidus has intense thirst, frequent large volumes of dilute urine and a rising serum sodium level. Which intervention is most appropriate?
Correct answer: B. Administer prescribed desmopressin and monitor fluid balance
- A. Restrict oral fluids to prevent worsening polyuria
- B. Administer prescribed desmopressin and monitor fluid balance
- C. Give rapid-acting insulin and check urine ketones
- D. Provide a low-protein diet and limit sodium strictly
Explanation
Diabetes insipidus results from inadequate antidiuretic hormone effect, causing excessive loss of dilute water. Desmopressin replaces the missing hormone in central diabetes insipidus, while accurate intake, output and sodium monitoring help prevent dehydration and water imbalance.
Report an error
The more specific you are, the faster it gets fixed. A source beats an opinion.
Prefer email? support@testustad.com
About Endocrine and Diabetes Nursing
Covers diabetes mellitus, insulin therapy, hypoglycaemia, diabetic ketoacidosis, hyperosmolar states and common thyroid, adrenal and pituitary disorders. It includes blood glucose monitoring, diet, foot care, sick-day management and the clinical differences between type 1 and type 2 diabetes and between diabetic ketoacidosis and hyperosmolar hyperglycaemic state.
Practise Endocrine and Diabetes Nursing
50 free Endocrine and Diabetes Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
Discussion
Stuck on an option, or know a faster way to get there? Ask or explain it here.
No comments yet. Be the first to explain this one.
Exams that ask Medical Surgical Nursing questions like this
Medical Surgical Nursing is on 8 papers prepared for on TestUstad, and all of them draw the same bank, so this question is worth knowing for every one of them.
More Endocrine and Diabetes Nursing questions
A patient with Addison disease becomes severely weak, hypotensive and confused after gastroenteritis. Which treatment should the nurse anticipate urgently?
A patient with untreated hyperthyroidism is restless, febrile, tachycardic and confused. Which nursing action has the highest priority?
Which statement best describes the usual underlying problem in type 1 diabetes mellitus?
A patient prescribed insulin lispro asks when to inject it in relation to meals. Which instruction is correct?
Which feature is most characteristic of type 2 diabetes mellitus?
A patient with diabetic ketoacidosis is receiving intravenous insulin. The serum potassium level falls to 3.0 mEq/L (3.0 mmol/L). Which action is most appropriate?