NCLEX RN Practice Question # 620

NCLEX Examination.

Practice Question # 620.



Diabetes insipidus  ( NCLEX Review )


  • Hyposecretion of ADH caused by stroke or trauma, or may be idiopathic
  • Kidney tubules fail to reabsorb water.


  • Polyuria of 4 to 24 L/day
  • Polydipsia
  • Dehydration (decreased skin turgor and dry mucous membranes)
  • Inability to concentrate urine
  • Low urinary specific gravity, 1.006 or lower
  • Fatigue
  • Muscle pain and weakness
  • Headache
  • Postural hypotension that may progress to vascular collapse without rehydration
  • Tachycardia


  • Monitor vital signs and neurological and cardiovascular status.
  • Provide a safe environment, particularly for the client with postural hypotension.
  • Monitor electrolyte values and for signs of dehydration.
  • Maintain client intake of adequate fluids.
  • Monitor intake and output, weight, serum osmolality, and specific gravity of urine.
  • Instruct the client to avoid foods or liquids that produce diuresis.
  • Vasopressin tannate (Pitressin) or desmopressin acetate (DDAVP, Stimate) may be
  • prescribed; these are used when the ADH deficiency is severe or chronic.
  • Instruct the client in the administration ofmedications as prescribed; DDAVP may be administered by injection, intranasally, or orally.
  • Instruct the client to wear a Medic-Alert bracelet.

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