A caregiver has just learned that his child has diabetes insipidus and asks the nurse: "Just what is diabetes insipidus?" Which of the following is the nurse's best answer?
a. "This disease involves a shortage of a hormone called antidiuretic hormone (ADH) that normally concentrates urine, and a shortage results in excretion of large amounts of dilute urine."
b. "It is a form of diabetes mellitus, and although it shares some features, it is somewhat different from type 1 and type 2."
c. "It is the only type of diabetes that does not involve the pancreas and insulin deficiency."
d. "There is a malfunction of the thirst mechanism in the brain, and the child drinks copious amounts of water without ever being satisfied and is in danger of water intoxication."
A
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A Correct. Diabetes insipidus is best described as a disease involving a shortage of a hormone called antidiuretic hormone (ADH) that normally concentrates urine, and this shortage results in excretion of large amounts of dilute urine.
B Incorrect. Answering a caregiver's question about how best to describe diabetes insipidus, the nurse's best answer is not: "It is a form of diabetes mellitus, and although it shares some features, it is somewhat different from type 1 and type 2."
C Incorrect. Answering a caregiver's question about how best to describe diabetes insipidus, the nurse's best answer is not: "It is the only type of diabetes that does not involve the pancreas and insulin deficiency."
D Incorrect. Answering a caregiver's question about how best to describe diabetes insipidus, the nurse's best answer is not that there is a malfunction of the thirst mechanism in the brain, causing the child to drink huge amounts of water risking water intoxication.
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