For a client with diabetes insipidus (DI), what should be the nurse's priority intervention?

In the case of a client with diabetes insipidus (DI), the priority intervention is to maintain adequate hydration. This is crucial because diabetes insipidus is characterized by an inability to concentrate urine due to a deficiency of antidiuretic hormone (ADH), leading to excessive urination and increased thirst. Clients with DI are at significant risk of dehydration due to the large volumes of dilute urine produced.

Maintaining adequate hydration helps to prevent complications associated with dehydration, such as electrolyte imbalances, hypotension, and renal injury. By ensuring that the client receives sufficient fluids, the nurse helps to manage the primary condition of diabetes insipidus effectively and promotes overall health and stability.

While monitoring urine specific gravity, checking weight, and observing for signs of septic shock are important aspects of care, they do not take precedence over the immediate need for hydration. Establishing fluid balance is a fundamental step in managing DI and ensuring the client's safety.