NCLEX Question of the Day

March 21, 2026

Physiological Integrity QID 1171

A client with diabetes insipidus has a urine output of 500 mL/hour. Which of the following interventions should the nurse implement?

A:
Encourage oral fluid intake as tolerated
B:
Monitor urine specific gravity every 6 hours
C:
Restrict fluids to 1000 mL/day
D:
Administer a bolus of furosemide

Explanation

Diabetes insipidus is a condition that causes excessive urination due to inadequate AVP (antidiuretic hormone). These clients require liberal fluid intake to prevent dehydration, so the nurse should encourage drinking fluids as tolerated.

Fluid restriction would exacerbate dehydration. Furosemide is a diuretic that would worsen fluid loss. Specific gravity monitoring is useful for tracking hydration status but does not address the client's high volume loss.

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