You suspect your patient had diabetes insipidus. What are the priority interventions? Select all that apply.

 

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Correct

- Monitor neuro status

- Monitor for hyponatremia

- Monitor for hypernatremia

- Monitor strict I&O

- Monitor urine specific gravity

Rationale

When DI is suspected, fluid status is a major concern. Therefore, think of interventions related to fluid volume management. When fluid shift occurs, sodium can be a major factor. In DI, hypernatremia is something to monitor for and with hypernatremia, neuro changes can occur. Strict I&O, urine specific gravity are also important interventions for this patient, as fluctuations in those will dictate further intervention and treatment evaluation.

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