Question

A nurse is caring for a patient with Diabetes Insipidus. Which of the following interventions should the nurse implement?

		Assess skin turgor every four hours.
		Administer sliding scale insulin as ordered
		Check urine ketones if blood glucose level is greater than 250
		Restrict caffeinated beverages.

Answer 1

Ans) Assess skin turgor every four hours.

Explaination:

- The client is excreting large amounts of dilute urine. If the client is unable to drink enough fluids, the client will quickly become dehydrated, so tissue turgor should be assessed frequently.

1. Diabetes insipidus is not diabetes mellitus; sliding-scale insulin is not administered to the client.
2. There is no caffeine restriction for DI.
3. Checking urine ketones is not indicated.