Asked by Tanishq Sihag on May 12, 2024
Verified
The nurse is caring for a patient with a sodium level of 156 mEq/L due to diabetes insipidus.Which is the highest priority nursing diagnosis for this patient?
A) Activity intolerance related to fatigue from chronic illness
B) Imbalanced nutrition related to excessive carbohydrate intake
C) Excess fluid volume related to increased isotonic fluid retention
D) Risk for ineffective airway clearance related to secretions during seizure
Diabetes Insipidus
A rare disorder characterized by intense thirst and the excretion of large amounts of dilute urine, unrelated to diabetes mellitus (sugar diabetes).
Sodium Level
The concentration of sodium ions in the blood, crucial for maintaining proper body fluid balance and nerve function.
- Identify the effects of fluid and electrolyte imbalances on patient health.
- Assess and diagnose fluid imbalance based on laboratory values and clinical symptoms.
Verified Answer
DS
Diego SesinandoMay 13, 2024
Final Answer :
D
Explanation :
Diabetes insipidus is caused by a lack of antidiuretic hormone (ADH).Excessive urination causes dehydration and hypernatremia.The patient's sodium level of 156 mEq/L puts the patient at risk for seizures and risk for ineffective airway clearance related to secretions during seizure.Diabetes insipidus is not related to blood sugar levels unlike diabetes mellitus so imbalanced nutrition related to excessive carbohydrate intake is not appropriate for the patient.Excess fluid volume related to increased isotonic fluid retention is appropriate for a patient with SIADH rather than diabetes insipidus.Activity intolerance is not as important as risk for ineffective airway clearance.
Learning Objectives
- Identify the effects of fluid and electrolyte imbalances on patient health.
- Assess and diagnose fluid imbalance based on laboratory values and clinical symptoms.