HOW ALL IT WENT DOWN
Which gland is most affected by DI?
The Pituitary Gland
What test is performed to determine DI?
A Fluid Deprivation Test
If a patient complains of polydipsia, what would the nurse suspect?
a) The patient is in severe pain
b) The patient is hungry
c) The patient is a threat to themselves
d) The patient has excessive thirst
d) The patient has excessive thirst
The main concern when assessing DI is to control fluid volume and prevent further (blank) from occurring?
Dehydration
A nurse is assess a patient with diabetes insipidus. The patient is complaining of excessive thirst? What medical term would the documented in the patient's chart?
a) Dipsesis
b) Polydipsia
c) Urticaria
d) Petechia
b) Polydipsia
What is the main action of the affected gland?
a) Control the body's Metabolism
b) Control the body's thyroid
c) Control the body's heart rate
d) Control the body's speech function
a) Control the body's metabolism
A nurse is assessing a patient and notices dry mucous membranes and poor skin turgor. What condition will the nurse determine for the patient?
a) The patient is extremely fatigued
b) The patient is dehydrated
c) The patient has a autoimmune disorder
d) The patient has been smoking weed
b) The patient is dehydrated
When a patient is urinating more than three liters a day, what medical term will the physician document?
Polyuria
A treatment regimen that is important when monitoring a patient with DI is?
a) low sodium diet
b) ambulation
c) daily weights
d) reposition patient every two hours
c) daily weights
A patient with DI is voiding a large amount of urine. The urine output ranges fluid are 4 to 5 L/day. What is the priority action by the nurse?
a) Notify the charge nurse
b) Monitor intake and output
c) Restrict fluids
d) Monitor signs of hypovolemic shock
b) Monitor intake and output
Why does diabetes insipidus occur?
a) The body's inability to recovery after intense exercises
b) The absence of the production of insulin
c) The kidneys become damaged and there's a gradual loss of kidney function
d) The ADH does not regulate the body's fluid level
d) The ADH does not regulate the body's fluid level
A nurse working in the ED and is evaluating a patient with diabetes insipidus. The patient has just provided a urine sample. The nurse determines the results of the urine specific gravity to be?
a) Low specific gravity result of (1.001-1.005.)
b) High specific gravity result of (1.030+)
c) Both
d) Neither a or b
a) Low specific gravity result of (1.001-1.005.)
A patient with DI is being seen in the ED and is complaining of a headache. The nurse understand that headaches associated with DI can be problematic. Which lab value will the nurse expect to by abnormal?
a) Potassium
c) Sodium
c) Magnesium
d) Phosphate
c) Sodium
What is the drug class for Desmopressin?
An antidiuretic
A nurse is providing patient education about DI to a patient. To comply with safety measures, the nurse would educate the patient to?
a) Wear a medical alert bracelet
b) Kick out her son
c) Follow neutropenic precautions
d) Wash her hands every time she eats
a) Wear a medical alert bracelet
What does ADH stand for?
Antidiuretic Hormone
When a diagnosing a patient with DI, the doctor will be careful to assess the patient for?
a) Damage to the kidneys
b) Damage to the brain
c) Damage to the GI tract
d) All the above
b) Damage to the brain
A clinical finding in patients with diabetes insipidus would be which of the following?
a) Visual disturbances
b) Dry skin
c) Low blood pressure
d) All the above
d) All the above
What is the name of the medication that is essential in treating DI?
Vasopressin
The nurse understands the drug of choice for treatment of diabetes insipidus is desmopressin (DDAVP). What is this drug’s of main action?
a) increase blood pressure and increases kidney water reabsorption
b) imitates vasopressin and increases kidney salt excretion
c) imitates vasopressin and increases kidney water reabsorption
d) increase sodium level and increases kidney salt excretion
c) imitates vasopressin and increases kidney water reabsorption
What is the function of the ADH?
Controls the fluid volume of the body by reducing the amount of water passed out through urination.
A patient is being seen in the ED and the nurse documents that the patient has diuresis in his medical chart. What does that mean for the patient?
Excessive or increased production of urine.
What are the clinical manifestations of diabetes insipidus?
Polyuria
Polydipsia
Nocturia
Poor weight gain
Enuresis
What is the name of the synthetic hormone that replaces ADH and decreases urination?
Desmopressin
If complications arise during a fluid deprivation test, what is the priority action of the nurse?
a) Continue with the test
b) Call a coworker to assist
c) Stop the test
d) Administer IV fluids
c) Stop the test