The nurse is developing a teaching plan for a client diagnosed with diabetes insipidus. The nurse should include information about which hormone lacking in clients with diabetes insipidus?

Correct Answer: A

Rationale: Clients with diabetes insipidus lack antidiuretic hormone (ADH), also known as vasopressin. ADH plays a crucial role in regulating the amount of water reabsorbed by the kidneys, thus maintaining the body's water balance. In diabetes insipidus, there is a deficiency or decreased response to ADH, leading to excessive urine production and consequent dehydration if not managed properly. Therefore, understanding the role and function of ADH is essential for the nurse to include in the teaching plan for a client diagnosed with diabetes insipidus.

Correct Answer: A

Rationale: Successful treatment of diabetes insipidus is indicated when the patient's excessive urination (polyuria) and thirst (polydipsia) are controlled. One of the primary goals of treatment is to achieve fluid balance by reducing urine output and, consequently, decreasing the excessive thirst. When the fluid intake is less than 2,500mL, it suggests that the patient's excessive thirst has decreased, indicating successful management of the condition. Monitoring and managing fluid intake are crucial in the treatment of diabetes insipidus to prevent dehydration and electrolyte imbalances. A lower fluid intake is a positive indicator that the treatment is effectively addressing the increased urine output characteristic of diabetes insipidus.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: D

Rationale: Aphasia is a communication disorder that affects a person's ability to understand and/or produce language. In this case, Mr. Dela Isla's inability to comprehend what the nurse was saying suggests a possible impairment in his language comprehension abilities, pointing towards aphasia as the most likely condition. Symptoms of aphasia can vary depending on the type and severity of the condition, but the common feature is difficulty with language tasks such as speaking, understanding speech, reading, and writing. Insomnia is a sleep disorder characterized by difficulty falling asleep or staying asleep, agnosia is a sensory perception disorder, and apraxia involves difficulty with performing purposeful movements.

Correct Answer: C

Rationale: The statement that is true about TPN and peripheral parenteral nutrition (PPN) is that TPN is often given to those with fluid restrictions, whereas PPN is used for those without constraints on their fluid intake. This is because TPN is a hypertonic solution that can cause fluid overload if given in large volumes, so it's typically reserved for patients who have fluid restrictions. On the other hand, PPN is a less concentrated solution that can be safely administered to patients without fluid restrictions.