A nurse is providing discharge teaching for a client who was admitted with diabetes insipidus. Which of the following teaching topics should be prioritized?

Frequency of urination

Change in appetite

Benefit of medical alert bracelet

Weight gain or loss

Answer and Explanation

The Correct Answer is C

Choice A Reason:

While monitoring the frequency of urination is important for managing diabetes insipidus, it is not the most critical aspect of discharge teaching. Diabetes insipidus causes excessive urination, and patients should be aware of this symptom. However, understanding the importance of wearing a medical alert bracelet is more crucial for ensuring immediate and appropriate care in emergencies.

Choice B Reason:

Changes in appetite are not a primary concern for patients with diabetes insipidus. The condition primarily affects fluid balance and urine output rather than appetite. Therefore, this topic is less relevant compared to the need for a medical alert bracelet.

Choice C Reason:

The benefit of a medical alert bracelet is paramount for patients with diabetes insipidus. In case of an emergency, the bracelet can inform healthcare providers about the patient’s condition, ensuring they receive appropriate and timely treatment. This can be life-saving, especially if the patient is unable to communicate their medical history.

Choice D Reason:

Weight gain or loss can be a secondary concern for patients with diabetes insipidus, as the condition primarily affects fluid balance. While it is important to monitor weight to assess fluid status, it is not as critical as ensuring the patient understands the importance of wearing a medical alert bracelet.

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Correct Answer is A

Explanation

Choice A Reason:

Dietary and fluid restrictions are crucial for managing heart failure. Patients with heart failure often experience fluid retention, which can exacerbate symptoms such as swelling, shortness of breath, and fatigue. By restricting fluid intake, patients can help prevent fluid overload. Additionally, dietary modifications, such as reducing sodium intake, can help manage blood pressure and reduce the risk of fluid retention. Sodium causes the body to retain water, which can increase the workload on the heart. Therefore, a low-sodium diet is often recommended for heart failure patients. These restrictions are essential to prevent the worsening of heart failure symptoms and to improve the patient’s quality of life.

Choice B Reason:

Encouraging increased mobility is generally beneficial for overall health, but it must be approached cautiously in heart failure patients. While regular physical activity can help improve cardiovascular health and overall well-being, it is important to tailor the exercise regimen to the patient’s condition. Overexertion can lead to worsening symptoms or complications. Therefore, while increased mobility can be part of the management plan, it should be done under medical supervision and is not the primary lifestyle modification for heart failure management.

Choice C Reason:

Cessation of hormonal supplements may be relevant for some patients, particularly if the supplements are contributing to fluid retention or other adverse effects. However, this is not a standard recommendation for all heart failure patients. The decision to stop hormonal supplements would depend on the individual patient’s medical history and the specific supplements they are taking. It is not a general lifestyle modification for heart failure management.

Choice D Reason:

Cessation of intravenous (IV) drug use is important for patients who may be using IV drugs, as this can lead to infections, endocarditis, and other complications that can worsen heart failure. However, this recommendation is specific to patients with a history of IV drug use and is not a general lifestyle modification for all heart failure patients. The primary focus for most heart failure patients would be on managing fluid and dietary intake.

A. Hypokalemia B. Surgery C. Renal failure D. Sickle cell disease

Correct Answer is B

Explanation

Choice A Reason:

Hypokalemia, or low potassium levels, is not a direct cause of central diabetes insipidus. Central diabetes insipidus is primarily related to issues with the production or release of antidiuretic hormone (ADH) from the hypothalamus or pituitary gland. Hypokalemia can affect kidney function but does not typically cause central diabetes insipidus.

Choice B Reason:

Surgery, particularly brain surgery, can cause central diabetes insipidus by damaging the hypothalamus or pituitary gland. These structures are crucial for the production and release of ADH, which regulates water balance in the body. Damage to these areas during surgery can lead to a deficiency in ADH, resulting in central diabetes insipidus.

Choice C Reason:

Renal failure is not a cause of central diabetes insipidus. While renal failure affects the kidneys’ ability to filter waste and balance fluids, central diabetes insipidus is related to a deficiency in ADH production or release. Renal failure can lead to other types of diabetes insipidus, such as nephrogenic diabetes insipidus, where the kidneys do not respond properly to ADH.

Choice D Reason:

Sickle cell disease is not a direct cause of central diabetes insipidus. Sickle cell disease primarily affects red blood cells and can lead to various complications, including kidney damage. However, it does not typically cause central diabetes insipidus, which is related to issues with ADH production or release.

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A nurse is providing discharge teaching for a client who was admitted with diabetes insipidus. Which of the following teaching topics should be prioritized?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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