What is the most appropriate action for a client who develops diabetes insipidus after pituitary surgery?

Study for the UWorld Endocrine Test. Dive into flashcards and multiple choice items with explanations and hints. Prepare yourself thoroughly!

The most appropriate action for a client who develops diabetes insipidus after pituitary surgery is to administer desmopressin. Diabetes insipidus occurs when there is a deficiency of antidiuretic hormone (ADH), which can be a complication following pituitary surgery due to potential damage to the pituitary gland. Desmopressin is a synthetic analog of vasopressin (ADH) that helps to manage diabetes insipidus by promoting water reabsorption in the kidneys, thereby reducing excessive urination and preventing dehydration.

The other actions listed, such as assessing fasting blood glucose, instituting fluid restriction, or placing the client in a Trendelenburg position, do not directly address the underlying issue of insufficient ADH production. While monitoring blood glucose can be important in the overall management of patients, it is not a primary concern in the immediate context of diabetes insipidus resulting from pituitary surgery. Fluid restriction may be utilized in certain conditions where fluid overload is a concern, but in diabetes insipidus, the client typically needs fluids to prevent severe dehydration. The Trendelenburg position is used in cases of shock to help increase venous return but is not relevant for managing diabetes insipidus. Thus, administering des

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