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Which test does the nurse anticipate the physician will order to confirm the diagnosis?
A nurse is caring for a client with suspected diabetes insipidus.

Which test does the nurse anticipate the physician will order to confirm the diagnosis?<br/>
A nurse is caring for a client with suspected diabetes insipidus.

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1. Capillary blood glucose test
B. Fluid deprivation test
C. Serum ketone test
D. Urine glucose test
Asked by Howland, Last updated: Apr 05, 2020

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3 Answers

John Adney

John Adney

Answered Mar 23, 2017

Fluid Deprivation Test
The fluid deprivation test involves withholding water for 4 to 18 hours and periodically checking urine and plasma osmolarity. A client with diabetes insipidus will have an increased serum osmolarity of less than 300 mOsm/kg. Urine osmolarity won't increase. The capillary blood glucose test rapidly measures glucose level in whole blood. The serum ketone test is used to diagnose diabetic ketoacidosis. The urine glucose test monitors glucose levels in urine; however, diabetes insipidus doesn't affect urine glucose levels, so this test isn't appropriate.
 

John Adney

John Adney

Answered Feb 13, 2017

Urine glucose test
 

John Smith

John Smith

Answered Sep 09, 2016

Fluid deprivation test-rationale: the fluid deprivation test involves withholding water for 4 to 18 hours and periodically checking urine and plasma osmolarity. a client with diabetes insipidus will have an increased serum osmolarity of less than 300 mosm/kg. urine osmolarity wont increase. the capillary blood glucose test rapidly measures glucose level in whole blood. the serum ketone test is used to diagnose diabetic ketoacidosis. the urine glucose test monitors glucose levels in urine; however, diabetes insipidus doesnt affect urine glucose levels, so this test isnt appropriate.client needs category: physiological integrityclient needs subcategory: reduction of risk potentialcognitive level: analysisreference: smeltzer, s.c., et al. brunner & suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1447.
 

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