Which clinical manifestation should the nurse anticipate for a patient admited to the hospital with diabetes insipidus?

Fluid volume overload

Decreased gas exchange.

Generalized edema.

Polyuria.

Answer and Explanation

The Correct Answer is D

Diabetes insipidus is a condition in which the body is unable to properly regulate ﬂuid balance, leading to excessive urination (polyuria) and thirst. Therefore, the nurse should anticipate the clinical manifestation of polyuria in a patient admitted to the hospital with diabetes insipidus. The patient may excrete large amounts of dilute urine, which can lead to dehydration if adequate ﬂuid replacement is not provided. The other options listed (ﬂuid volume overload, decreased gas exchange, and generalized edema) are not typically associated with diabetes insipidus, as this condition is characterized by a deficiency of antidiuretic hormone (ADH) rather than an excess of ﬂuid.

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Correct Answer is B

Explanation

The nurse should explain to the patient that phenazopyridine is a medication that can help relieve the pain, burning, and urgency associated with UTIs. However, it does not treat the underlying infection. The nurse should also instruct the patient to take the medication as prescribed by the healthcare provider and inform them that the medication may turn their urine an orange or red color, which is a harmless and expected side eﬀect.

The nurse should also inform the patient that taking phenazopyridine before sexual intercourse is not recommended and that the medication should be taken as directed by the healthcare provider.

A. Bring the patient a meal. B. Administer Lantus insulin IV. C. Give sodium bicarbonate 50 mEq IV push. D. Start an infusion of normal saline at 125 ml/hr.

Correct Answer is D

Explanation

Diabetic ketoacidosis (DKA) is a serious complication of diabetes that occurs when the body produces high levels of blood acids called ketones. The initial management of DKA involves ﬂuid resuscitation with intravenous normal saline to correct dehydration and electrolyte imbalances. Therefore, starting an infusion of normal saline at 125 ml/hr is the first prescribed action the nurse should implement.

Bringing the patient a meal is not a priority at this time because the patient's blood glucose levels need to be stabilized before they can safely consume food. Administering Lantus insulin IV and giving sodium bicarbonate 50 mEq IV push are also not the first-line treatments for DKA. Lantus insulin is a long-acting insulin used to treat hyperglycemia over an extended period and should not be given intravenously. Sodium bicarbonate may be used to correct acidosis, but it is not the first priority in DKA management.

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Which clinical manifestation should the nurse anticipate for a patient admited to the hospital with diabetes insipidus?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is D

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