Pituitary Disorders: Acromegaly and SIADH/DI · NCLEX Exam

What is the key risk if untreated in a patient with DI admitted with extreme thirst and large urine volume?

  1. Hypervolemia with worsening hypertension
  2. Dehydration with hypernatremia
  3. Profound symptomatic hypoglycemia
  4. Life-threatening hyperkalemia
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Correct answer: Dehydration with hypernatremia

In DI inadequate ADH leads to inability to retain water, large urine losses, thirst, dehydration, and hypernatremia if water intake cannot keep up.

Difficulty: Medium Question 17 of 20

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