SIADH vs DI (Diabetes Insipidus) for nursing RN PN NCLEX

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Distinguishing between the causes, signs and symptoms, and treatments for SIADH vs diabetes insipidus is important for nursing students to master before exams and the NCLEX.
This video explains the difference in pathophysiology behind SIADH, caused by inappropriate ADH secretion, versus diabetes insipidus, caused by insufficient ADH. Key differences covered include serum sodium, serum osmolality, urine output, and treatment approaches for both hydraulic imbalances. Understanding when to restrict fluids versus administering desmopressin or stimulating ADH is critical for providing appropriate patient care. Reviewing the major characteristics that differentiate SIADH and diabetes insipidus will prepare you to correctly answer questions about these disorders on nursing school tests and the licensure exam.
00:00 Introduction
02:20 SIADH vs DI
05:55 Missed NCLEX Questions
10:50 Causes and Nursing Care
15:36 Question Breakdown
#NCLEX
#Siadh #DI #SIADHvsDI

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[@gsusmakama]

Lovely Video clip! Excuse me for chiming in, I am interested in your initial thoughts. Have you ever tried - Patlarny Sweet Days Principle (do a search on google)? It is an awesome one of a kind product for getting rid of diabetes minus the headache. Ive heard some pretty good things about it and my buddy after many years got cool success with it.

[@CascadeDetergent]

@@gsusmakama Since nursing is a science field that is evidence based, if there was a "cure" for diabetes, it would be well researched and would be found in NIH or journals not in a "google search".

[@Conquest-cz6nr]

when can we see updated videos willing to sign up

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[@Conquest-cz6nr]

@@SimpleNursing thank you so much for the reply

[@CaptainVelveeta]

A way I like to remember is use the number of letters in the name: SIADH = lots of letters = lots of ADH = lots of water DI = less letters = less ADH = less water

[@mydreams8562]

Thankssss

[@marcy7153]

that’s good! thanks

[@charisdlr1602]

God bless you

[@penb2023]

Perfect

[@KayDejaVu]

And low sodium for both

[@aprilthrasher6269]

For the last question you said further education would be needed for a patient that says "this drug is used to decrease my frequent urination," but I think that is a correct statement.

[@vitjituazamunu6177]

I watched this video b4 my nclex. Everything he said it will be on Nclex it was in my Nclex. Thanks Mike.

[@SimpleNursing]

omg PERFECT!!! we did a lot of hard work looking at over 10,000 NCLEX questions to make SURE we cover ONLY the top tested topics! Glad you PASSED THE 1st TIME!!!

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Your lectures are very helpful and very easy to remember for my NCLEX review. I PASSED my NCLEX exam last Aug 23, 2021. Thank you so much! Please don’t get tired to upload more creative content about NCLEX/Nursing. God bless you!!!

[@dalilugubre]

I just wanna say thank you! I passed my Nclex.😭 Your videos were part of my study strategy, you made it super easy to learn !

[@demetriaquammie5240]

I am a 2nd time test taker, and Mike, your videos helped me pass my nclex in 76 questions. You are awesome, Mike! Learned sooo much with your videos.

[@SuperGemimi]

I graduated 12 years ago and your videos about the medications, disorders helped me passed my nclex 2 weeks ago. I will never forget this siad and di ☺️ thank you so much!!!

[@SimpleNursing]

Gemma Ang OMG congrats!!!! sooo exciting! I love hearing this :) Will you please do me a HUGE favor & copy/paste this on our Wall of Fame?! Your review will help me out BIG time 🙏🏽😊www.trustpilot.com/review/simplenursing.com. And don’t worry, the link is not harmful lol, youtube is just being precautious

[@KarlaRodriguez-mx2od]

Thanks Mike for the video. I was having problems with hyponatremia and hypernatremia. Understanding more about SIDH and DI helped me with the interventions, signs and symptoms.

[@iekhorutomwen]

A huge thank you Mike! You are a genius. I passed my NCLEX. I love these videos. It helps , especially when you are too tired to read. Thank you!

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[@ericagarza3834]

Nurse Mike thank you soooo much for these videos!!! I just past my last exam for med surge 1 because of you and your team. THANK YOU!

[@fyfymathews6791]

Mike you are awesome !!!!!! Have seem almost all your videos each almost 4-5 times , they play on repeat when I’m driving , cooking etc On my test day it felt like I was replaying all the videos and all I kept hearing was “guys don’t let the NClex trick you” 😩😂 75 questions your girl was done and PASSED!! You have a best friend you don’t even know ☝️ thanks 🙏

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I PASSED MY NCLEX ON 6/21/2022 with 75 questions I felt overprepared because my nursing school exams was way harder than NCLEX. Simple nursing helped me ALOT I was listening to simple nursing vids right before my exam. I prayed that I dnt get EKG strip but I got one and the answer was obvious. I did ALL uworld questions TWICE, did ALL archer questions 1.5times, did Saunders 7th edition practice exam questions did most questions while in nursing school, listened to ALL Mark Klimek vids, listened to all of summit college vids on KZbin, my school was having me doing 300 practice questions a day😒 GOODLUCK I Hope this helped someone. SIMPLE nursing will help you with ATI,HESI and NCLEX. The truth is tht all the practice questions will prepare you for NCLEX but when u sit there u will def need fundamental knowledge and application the exam is not hard but you have to know what everybody else knows

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Another student that graduated from my school said the same thing. She said the NCLEX was much easier than the exams we had in class.

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I passed my nclex with 115 questions. Thank you so much Nurse Mike. The way you teach is wonderful.

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I love the way Sir Mike teaching.. I recommend it to my friend who took the exam and he passed the NCLEX. He did self study watching simple nursing and finished the exam for less than 1 hour, 75 items. ☺️

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Mike your a huge blessings to all nursing students !

[@celestinelihavi6767]

The best thing that ever happened to me was watching your videos ,passed NCLEX at question 85

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Lots of love and many thanks to the entire simple nursing team to help to pass my nclex..............you guys are amazing.

[@SkINcArE139]

Thanks for sharing so much knowledge! I have watched your videos throughout nursing school and I can immediately recall the images or wording when I'm taking an exam. I plan to continue to prep for the NCLEX!

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Awseome Zen! Please try my nclex prep for free simplenursing.com/nclex

[@sylvianamaganda8087]

Thanks to your videos I passed my NCLEX,I got a question on Siadh,

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Listen!!! I drew these diagrams out in NCLEX EXAM ! Your videos have helped me when I was in Uni up to taking Nclex. You are amazing Teacher 👏❤️thank you

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I tried to listen to other’s lectures but very complicated. Your explanation is amazing. It is easy to understand every detail. Your nclex package is really deserve the best. I am glad to find you. Thank you

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Thank you. You do a better job than my professors.🤦🏽‍♀️

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[@jocelynedmond8593]

Feel the exact same. I should have paid him Mike to become a nurse 😂

[@karlaguerrero-daahir4645]

1,4,6 correct answers 2 doesn’t need further education bc desmopressin holds water when taking it, so increase risk of fluid overload.

[@mandhirachh887]

told myself that I would come back and write to you if I pass and now that I did!!!! here's what I think! I know a lot of people have claimed that they have been listening to your lectures for days or weeks and learn a lot. however, I stumbled upon your videos while watching LevelUp Rn and listened to your few videos (heart failure, fluids, siadh/di..and a few more). I loved that your videos were short and to the point. My nclex seemed easy because of you and I thought I was failing because I didn't think the questions were getting hard. I realized that that I understood the concept because of your vids and was able to fly thru even with those hard questions!!! Though I was on uworld daily for a good 2 weeks, I felt like I learned more from you than my 4 years of NU school. so Thank you for being you Mike!!!!

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Taking my exam in less than a week! Watching your videos religiously as part of your study regimen or when I need a break from taking sample tests.

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You're the best! I pass my Nclex RN at 83 question all thanks to you.

[@SimpleNursing]

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pretty please :)

[@shieldyjean-louis2768]

God bless you! You’re gorgeous and you helped me pass my NCLEX!!! Thank you soooo much!!!

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You are so welcome!

[@pjtelemedicine2080]

I love your videos .Thank you for simplicity

[@entertainerar6507]

Thank you, Nurse Mike, love your videos. I am taking my NCLEX in 9 days! I really enjoy the videos and they are really easy to remember. I have a quick question at the end of the video 15:24 minutes the question about Desmorpressin choice 2 is not right either and we don't need to restrict our fluids since the pt is losing water and they will be dehydrated. we encourage them to drink plenty of fluids. Just wanted to make sure I am not missing anything. Thank you again!!

[@marizvi1]

Thank you, That threw me off too. I was looking in the comments to see if there is some correction.

[@dealthose9874]

how was your exam?

[@AlexBenji]

ya think he accidentally missed it!

[@montecarlocreencia1343]

Yep option number 2 is a little bit confusing. In the question it didn't say if it is SIADH or DI but in the option No. 4 it is indicated that it is SIADH. It means if it is SIADH he need to restrict his water intake bcoz of the water retention.

[@giof9005]

@@montecarlocreencia1343 but it said the pt was starting on desmopressin , so that indicated that they have DI not SIADH we do not want to stop fluid output on pts with SIADH since they already have so much. The patient definitely has DI because we want him to stop urinating as much to avoid being dehydrated with an increase of sodium.

[@NanssyOrtiz]

All of the videos I watched were so helpful and really made me feel better about taking my NCLEX & i passed it on the first try !! Thank you for the amazing content and for breaking it down

[@makaylaknuchel87]

The questions at the end really helped bring the information together, very helpful!

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[@ItsTorriaaah]

O

[@kamarieshultis8536]

These videos are a game changer. Thank you for the visuals and excellent explanations.

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You are an amazing teacher nurse Mike! All your videos helped me pass my Nclex exam! Thank you very much!

[@stephaniemartinez5082]

i take mines on may 13th IM NERVOUS !!! any tips?

[@SimpleNursing]

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[@sujithaanitha1699]

I passed my NCLEX RN..huhu...And your videos help me to win the Marathon.Thank you so much......and i strongly recommend for everyone....👌

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[@biancad1503]

Omg I just found your channel!!! THANK YOU!!!!!!!!!! THANK YOU 🙏🏾 THANK YOU! You explained this sooooooo well!!!

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Bianca D thank you soooo much :) please take the free quiz at Simplenursing.com/nursing-school

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I was having a hard time understanding my endocrine system unit until I found these videos. Thank you so much! Hoping to do well on my test in two days :)

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Hi Mike, thank you so much for your videos! They are so helpful! I could pass NCLEX RN in the first attempt! 😊😊

[@lalafranz9127]

Hi Mike, plan to take my nclex soon. Thanks for this 🙂

[@floridalivin77]

I really like that you explained the questions’ rationales

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You really help me clear up any confusion I have on all of these topics. Thank you so much!!

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[@alishahoward8463]

I could not remember this topic for nothing but now I get it. thank you so much !

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Alisha Howard oh yay! Please share with your classmates!!! & don’t forget to take the free quiz at Simplenursing.com/nursing-school

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Thank you for sharing your knowledge,more power!,,

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This is really good. God bless my teacher for sending this linking. I’m subscribing ASAP

[@SimpleNursing]

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[@LakasPinoy1013]

Better than any of the online lectures my professors are making this semester by far

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[@jordanpolk2588]

You're an amazing teacher. Thank you!!

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[@Mander1309]

OMG so glad that I am seeing this! I have an exam on Monday on some of this information and let me tell you this is very helpful, way more than my professors.

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[@mhadelr6555]

Thank you Guys for this video lots of question on my NCLex . Iam RN now.. Thank you

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[@ayodelemary6273]

For the last question, I am kind of confused, I thought the 2 option needed further teaching (DI pt shouldn't restrict fluids) while the 3rd option was correct (so no further teaching is required) since the pt had DI @simple Nursing

[@ClassyMie]

you're correct.

[@madgaara4989]

thought so too

[@jeevanmathew8016]

Youre videos are the best...M preparing for my NCLEX...

[@casel308]

Simple Nursing is how I do well in nursing school. Teaches better than my professors! My only recommendation is to do "expected" vs "unexpected/complications" with everything, since Advanced Med Surge is all of that, at least for Galen College of Nursing.

[@ravenknight554]

For the last question on desmopressin, isn’t option number three (3) excepted because the drug helps to retain fluid? This means the client don’t need further teaching right?

[@KatalinaLaughs]

I noticed that as well! 😅

[@alexacaban6815]

that got me a bit confused as well

[@ravenknight554]

@@alexacaban6815 glad I’m not the only one 😅

[@AT-yj8gl]

Probably a typo which is why it's blurred

[@AsinChikk]

Number 3 shouldn't be checked because the question is asking what statements would need further teaching.

[@scrbri1]

Thank you so much for these videos even as a nurse practitioner student I found these helpful

[@SimpleNursing]

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[@shrudayie]

OMG TYSM....thanks to you i am now a RN. ty again

[@SimpleNursing]

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[@ariellemcdonald-bauer25]

In the last question you skipped going over the second option "I will make sure to restrict my water intake" love the videos! great tips on how to memorize the information

[@SimpleNursing]

thanks so much Arielle!! Have you taken advantage of your free access to our entire video library, not on youtube simplenursing.com/free-trial/

[@bodonap02]

@@SimpleNursing So what is the answer to that question? yes or no further education?

[@laurentheasian]

@@bodonap02 The answer is that they need further education if they believe they need to restrict their water intake. Patients with DI are extremely dehydrated and their output can often be greater than their input. You want to make sure they have access to fluids at all times unless contraindicated and that you are recording their I&O and daily weight.

[@hollywilson2699]

Water intake needs to be restricted while taking Desmopressin because your body is beginning to retain fluids and if you continue drinking water like you did before getting the Desmopressin, you are at risk for fluid overload.

[@jameserickson7762]

Holly and Lauren who is (NCLEX) right. I see both of your points. The client is dehydrated so fluids are needed. However, the drug can cause fluid overload. So would the most correct answer be that fluids should be monitored and adjusted as needed based on I/O's? Thanks

[@yariselfu]

Excelente explicación 🙌🏻👏🏻

[@meditationminutes985]

You are amazing. Thank you for helping me pass my exams. 👌

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[@sandrapatriciarodriguezgar444]

You are soooooo buenoooo in all senses. Thank you so much! I hope to pass my NCLEX test in my first try🙏🏽. Happy Nurses Day! 🤗🤗

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love your videos more fun and I love those letters to remember. I will update with my exam result tomorrow. Wish me luck for my MSCRN exam..

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[@teacheradeo585]

Assisting nursing students with calculations is my passion! Nice videos

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@@SimpleNursing thanks 😊 will share!🤓🤓🤓with my students

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I have been reviewing your videos! I test TOMORROW! Thanks so much for the help!

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oh wow ! please share with your entire class & friends!! Hope this video helps you all pass the exam! Also, don't forget to take the practice quiz to test yourself at simplenursing.com/nursing-school

[@dealthose9874]

how was it

[@sr.volciabien-aimesolon5973]

Thank you, your videos help me alot. Much love

[@SimpleNursing]

Thanks V :) I appreciate that! Here is free access to our entire video library, not on youtube simplenursing.com/free-trial/

[@bhagyalekshmi5136]

Thank you... It's really useful video.. Now I can easily remember everything

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Easy to understand and remember! Thank you!

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Simple Nursing I will. Thanks a lot!

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really enjoyed these, simple nursing is wonderful thanks

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[@t.9544]

I just came back to say Thank you Nurse Mike. I passed MedSurg bc of you😚

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You are so very welcome! Please do not forget to take the free quiz & see our new videos NOT RELEASED yet :) at simplenursing.com/nursing-school/

[@librocaminador5080]

Great work team , concise very easy to understand . One of the few videos that are so precise with the info.Thank you so much

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also, thank you! Please share with your classmates :) & join our website for 1,000 more videos + quiz bank :) Try it free here simplenursing.com/membership

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So glad to watched this video, subscribing!!!

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Mike is awesome,I learned a lot from his videos thank a lot😍

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This is amazing！Clear all the confusion！

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[@alybe2812]

I’m taking my NCLEX tomorrow and you just helped me lol, so let’s see how I do.

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[@xoxosh4826]

how did u do

[@manaljohnston.r.n.1256]

Thank you so much please pray for me i pass my nclex this time. your videos are amazing. I love your channel.

[@SimpleNursing]

You are so very welcome! Good luck!

[@BraveheartR84]

Wonderful job...and incredible too...a 100 thumps up👍👍👍👍👍👍👍👍👍

[@triciaapplewhite4939]

Excellent. Thank you

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[@sarahsiddique4620]

Hello, I’ve been looking all over for the video where you mentioned the mnemonic can eat everything in the salad station except BAR banana avacado and raisins. Which video is that from or for what is that for?

[@govindarajuramalingam6284]

Thanks sir Good explanation Keep doing

[@dratrix8956]

All videos helped a lot! Thank you

[@SimpleNursing]

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[@christinetompkins1470]

I love your videos, thank you so much.

[@mahmoodammash3707]

thanks!! you made it very easy very simple

[@linkthecollector3748]

Thanks this helped me learn more about my DI

[@SimpleNursing]

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[@susanher536]

Will you be updating your study guide to reflect this video? I find it easier to follow than the one on your website. Thanks

[@SimpleNursing]

yes we are actually! We also just update all our pharmacology videos too :) Thank you for the support! Please share our stuff with your classmates too Susan!

[@lrw6789]

For the select all that apply for desmopressin isn't # 2 incorrect?

[@boomboom04201]

I was thinking the same thing cuz if you have di and need desmopressin to treat it why would you restrict fluid intake?

[@OmgItzSammers]

@@boomboom04201 I believe it is because the patient is urinating and losing all of the water they are taking in. If they continue to take in the fluid, it will just continue this issue.

[@hollywilson2699]

I thought this at first too. But if you think about it, during DI, you are drinking a lot of water because you are losing so much from the lack of ADH. When you start taking desmopressin, you are gaining that ADH which means your body is going to start retaining fluids. It is important to restrict your fluid intake while taking the medication to prevent fluid overload.

[@hopeobamwonyi6678]

@@hollywilson2699 oh ok... That kinda makes sense cause I was wonder the same thing.

[@boomboom04201]

Holly Wilson ahhhh gotcha I’m so late I never look at my KZbin comments lol🤦‍♀️..

[@hopeobamwonyi6678]

Thank You Mike... You explain things so well. But I have a question about the last Question regarding desmopressin. #1 Why is number one correct? I thought the desmopressin causes Headache because it decreases the Na. #2 - I thought number 2 was correct cause why would the client want to restrict the water intake if they need it? is it because of what the drug does which is to hold the water in? Thank You!

[@SimpleNursing]

We have a quiz bank that’s NCLEX based that you can customize. You can get the full 15 video course + study guides & quiz bank! Try it free at Simplenursing.com/nursing-school

[@DrCeliaNurse]

Hi Mike! I'm a nursing professor with students who been love your videos so I am offering the following feedback wrapped in kudos for the great job you all at Simple Nursing are doing: At 15:05 if option # 3 "This drug is used to decrease my frequent urination" is a true statement then it should Not be selected as one of the correct answers because the question is interested in statements that indicate a need for further education. Please fact check me. Also, option # 2 "I will make sure to restrict my fluid intake" should be selected as one of the correct answers because there is no need to restrict fluid intake in patients with DI who have been prescribed desmopressin. Please fact check me. Blessings

[@samanthadotson6716]

You are right! I found this odd too. In the video that is not the question he reads tho.

[@odunzejoy3719]

I think there is need to restrict fluid intake. He is already on desmopressin which is now helping to retain fluid, adding more fluid will cause more harm. So that answer doesn't need further education.

[@lrozie70]

@@odunzejoy3719 They are not to decrease fluids but they do not need excessive fluids. They are dehydrated so are in need of fluids when on desmopressin.

[@heart_ofmine222]

thats why i confused

[@heart_ofmine222]

option 2 and option 3

[@qianweijia1]

Great video! Visuals extremely helpful

[@SimpleNursing]

Thanks so much! Be sure to join our app for full study guides, videos, and test banks! Simplenursing.com/nursing-school

[@WBartok77]

Thank you finally someone makes sense!

[@SimpleNursing]

Glad it was helpful! Be sure to take the free quiz here simplenursing.com/nursing-school/

[@laurarivera3407]

So nice of you to do this for us. God bless you🥰

[@SimpleNursing]

Thank you so much! You are too kind :) Please do not forget to take the free quiz & see our new videos NOT RELEASED yet :) at simplenursing.com/nursing-school/

[@alphymathew1410]

thank you!!! appreciate this!

[@SimpleNursing]

You are so very welcome! Be sure to take the free quiz here Simplenursing.com/nursing-school

[@ermionepoliard3740]

This is my first time watching your video. I love your teaching and the demonstration you use. I am preparing to take the Nclex exam in December. I don't know how you can help me. thank you so much . my name is Ermione P

[@SimpleNursing]

hi there Ermione! Please check out or new NCLEX app :) simplenursing.com/NCLEX

[@jyotidrall3208]

Very important information thank you

[@manalhu1262]

please do a video on type of fluids

[@julliyan21]

Thank you. I learned a lot :)

[@SimpleNursing]

You are so welcome! Be sure to take the free quiz here Simplenursing.com/nursing-school

[@bertannelemino4512]

In the last question about Desmopressin Nasal Spray, does restricting water intake not require further teaching? I'm confused.

[@bullsforever23]

Wouldn't the answer to the last question be 1,2,4,6?

[@87lafoie]

Yeah, I think so too

[@skyblue2121]

Yes, he should not have checked #3, and he skipped #2 but they would want to drink water since they are "dry inside."

[@relindisfuh8401]

that's what I thought. Thank God you caught that too.

[@suckonballz91]

I thought that too

[@ijeomanwaigwe8193]

My exact thinking @ Bullsforever, since it depress urine output( is not the same as decrease frequency of urination?) & increases BP. Pls more clarification, thanks @ Mike

[@louisereglos2475]

Isn't Demeclocycline the drug of choice for SIADH? Great video btw! This helped me grasp the concepts easier.

[@meatballz8440]

more free lectures 😊 thank you.

[@verodelgado5357]

Thank you!

[@SimpleNursing]

You are so very welcome! We have a quiz bank that’s NCLEX based that you can customize. You can get the full 15 video course + study guides & quiz bank! Try it free at Simplenursing.com/nursing-school

[@teelo793]

Nurse Mike to my rescue! I promote this guy like he's running for president!

[@SimpleNursing]

Thank you so much! You are too kind :) Please do not forget to take the free quiz & see our new videos NOT RELEASED yet :) at simplenursing.com/nursing-school

[@zaraysantiago4187]

Thank you you awesome 🥰

[@SimpleNursing]

You are welcome! Be sure to download our app Simplenursing.com/nursing-school

[@longlivechinny5151]

You don’t restrict your water intake on desmopressin right?

[@rena.m1970]

Hi Mike! For the question "A client is newly prescribed desmopressin nasal spray, which statement by the client indicates further education is needed"? (Select all that apply) 1. Frequent headaches are normal 2. I will make sure to restrict my water intake 3. This drug is used to decrease my frequent urination 4. I am glad this drug is able to treat my syndrome of inappropriate ADH 5. I will record my UOP closely while taking this drug 6. I will make sure to weigh myself weekly In the video, the answers were 1,3,4,6 I was thinking 1,2,4,6. Could you please explain this? ** Thank you so much. All your videos have been super helpful!! :) **

[@dimchochan]

1,4,6 are my answer. 2 is incorrected because desmopressin hold the water that why the PT needs to restrict the fluid intake.