Final answer:
The nurse should include in the teaching plan for a client with diabetes insipidus who requires intranasal desmopressin to drink at least 3 liters of fluid per day, weigh themselves weekly, notify the provider of significant weight loss, and report nocturia for dosage adjustment.
Step-by-step explanation:
When preparing a teaching plan for a client with diabetes insipidus who requires intranasal desmopressin, the nurse should include the following in the teaching plan:
- Drink at least 3 Liters of fluid per day: This is important because diabetes insipidus can lead to excessive urine production (polyuria), resulting in dehydration. Drinking an adequate amount of fluid helps prevent dehydration.
- Weigh yourself weekly while wearing similar clothing at the same time of day: Monitoring weight is crucial to detect any sudden weight loss, which can indicate medication dosage adjustments are needed.
- Notify the provider of a weight loss of 0.45kg (1 Ib) or more per week: Reporting significant weight loss is necessary for the provider to evaluate the effectiveness of the treatment and make necessary adjustments.
- Report nocturia because it requires a dosage adjustment: Nocturia, which is excessive urination at night, can be an indication that the dosage of desmopressin needs to be adjusted. It is important to notify the healthcare provider about this symptom.
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