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    Ati Rn 61 Med Surg Proctored Exam

    A nurse is evaluating a client undergoing treatment in an outpatient setting. Given the context of diabetes insipidus (DI) management, evaluate the client's latest laboratory findings to determine necessary nursing actions for managing electrolyte imbalances.

    Explanation & Rationale

    Rationale: Low urine specific gravity – Anticipated: In DI, the kidneys are unable to concentrate urine due to ADH deficiency or resistance, leading to dilute urine. Monitoring and managing fluid intake is necessary. Normal glucose levels – Anticipated: This confirms the polyuria and polydipsia are not caused by hyperglycemia (ruling out uncontrolled diabetes mellitus), so no insulin-related interventions are needed. Elevated serum sodium levels – Anticipated: Hypernatremia occurs due to excessive water loss in DI. Nursing actions include encouraging oral fluids and monitoring for neurological symptoms (confusion, lethargy) and regular labs. Dry mucous membranes – Anticipated: Sign of dehydration. Nursing actions include ensuring adequate hydration and assessing skin turgor, vital signs, and ongoing I&O to prevent complications.

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