A nurse is providing care to a client recently diagnosed with schizophrenia during an inpatient hospital stay. Throughout the day, the nurse observes the client drinking from the water fountain quite frequently, as well as carrying cans of soda and bottles of water everywhere. Upon entering the client's room, the nurse sees numerous empty cups that had been filled with fluids on the bedside table and in the trash can. The room has an odor of urine. The nurse suspects which cause of this behavior?

Question

Quizplus · Accepted Answer

Some persons with schizophrenia develop disturbed fluid and electrolyte balance. Nurses should observe for polydipsia (frequently drinking an excessive amount of fluids) or frequent incontinence. These individuals are obsessed with drinking water and compulsively consume fluids. Because of urgency and incontinence, especially at night, the client's clothing and room may smell of urine. Diabetes would be manifested by changes in glucose concentrations and possibly weight loss (as a result of polydipsia). Tardive dyskinesia would be indicated by involuntary movements; this condition is a late-appearing side effect of antipsychotic agents. Orthostatic hypotension would be suggested by changes in blood pressure, and dizziness upon position changes.

A Nurse Is Providing Care to a Client Recently Diagnosed