Adult Nurse Practitioner Exam Prep

Category - AANPCP Adult Nurse Practioner Practice Test

The following are characteristics of nephrogenic diabetes insipidus, except:
  1. Sensitized kidney tubules to ADH
  2. A genetic (sex-linked) predilection in men
  3. Normal ADH production and secretion
  4. Large volumes of dilute urine are produced
Explanation
Answer - A - Unlike Central Diabetes Insipidus, Nephrogenic diabetes insipidus is caused by the kidney’s resistance to ADH rather than a deficiency of this hormone. This results in a decreased ability of the kidneys to concentrate the urine. The disease is rare, but 90% of the known cases are believed to be X-linked, which causes the vasopressing receptor to not function properly. The primary symptom of NDI is excessive thirst and excretion of large amount of urine. Dehydration is a common complication of the disease.
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