A nurse is planning care for a client who has a new diagnosis of diabetes insipidus. Which of the following interventions should the nurse include in the plan of care?

Measure blood glucose levels every 4 hr.

Check urine specific gravity.

Administer a diuretic

Initiate fluid restrictions

Answer and Explanation

The Correct Answer is B

A.   This intervention is not relevant to diabetes insipidus, which affects water balance rather than glucose levels.
B.   Checking urine specific gravity helps assess the concentration of urine, which can be very dilute in diabetes insipidus.
C.   Diabetes insipidus is already characterized by excessive urination (polyuria), so administering a diuretic would exacerbate fluid loss.
D.   Fluid restrictions are not typically necessary in diabetes insipidus because the primary issue is water loss rather than retention.

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Correct Answer is D

Explanation

A. This statement is unrelated to the client's kidney stones and does not require reporting to the provider.
B. This statement indicates good fluid intake, which is generally beneficial for preventing kidney stones. It does not require reporting.
C. This statement is unrelated to the client's kidney stones and does not require reporting.
D. This statement indicates possible hematuria (blood in the urine) and pain, which could be indicative of a urinary tract issue related to the kidney stones and requires reporting to the provider for further assessment and management.

A. The client has a 5 lb weight gain since yesterday. B. Return of skin to previous position when the client's shin is palpated C. Flattened neck veins D. Oxygen saturation 93%

Correct Answer is A

Explanation

A. Sudden weight gain is a common sign of fluid overload in clients with end-stage kidney disease undergoing hemodialysis.
B. Skin turgor assessment is not as reliable in individuals with kidney disease due to changes in skin elasticity.
C. Flattened neck veins are not indicative of fluid overload; rather, they suggest dehydration.
D. Oxygen saturation may be affected by various factors but is not directly related to fluid overload in this context.

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A nurse is planning care for a client who has a new diagnosis of diabetes insipidus. Which of the following interventions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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