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    Med surg proctored exam( neurorenaldiabetic)

    You are assigned to care for a patient with diabetes insipidus. Which of the following will NOT be included in your assessment of this patient?

    Explanation & Rationale

    A. Strict I&Os is incorrect because monitoring intake and output is essential in diabetes insipidus (DI). Patients with DI produce large volumes of dilute urine, and careful measurement of fluid balance is critical to detect dehydration and guide fluid replacement therapy. B. Checking sodium level trends is incorrect because hypernatremia is a common complication of DI due to excessive water loss. Frequent monitoring of sodium levels allows nurses to detect electrolyte imbalances early and adjust fluids or medications appropriately. C. Blood pressure monitoring is incorrect because patients with DI are at risk for hypotension secondary to fluid loss and dehydration. Monitoring blood pressure helps assess the patient’s hemodynamic status and response to fluid replacement. D. Ambulation trial with O2 monitoring is correct because this is not a primary assessment for DI. While ambulation and oxygen monitoring may be indicated for other conditions (e.g., respiratory or cardiac issues), they are not directly related to the pathophysiology or complications of DI and therefore are not a routine part of the nursing assessment for this p

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