A client has received vasopressin for diabetes insipidus. Which assessment finding indicates the most therapeutic response to this therapy?
Urine output has increased; specific gravity has decreased.
Urine output has increased; specific gravity has increased.
Urine output has decreased; specific gravity has decreased.
Urine output has decreased; specific gravity has increased.
The Correct Answer is D
Choice A rationale: This is a sign of worsening diabetes insipidus.
Choice B rationale: This shows signs of overhydration, as urine output is high and specific gravity is high.
Choice C rationale: This is a sign of worsening diabetes insipidus.
Choice D rationale: Vasopressin is a hormone that helps the kidneys retain water and concentrate urine. Diabetes insipidus is a condition where the body does not produce enough vasopressin or does not respond to it, resulting in excessive urination and diluted urine. The goal of vasopressin therapy is to reduce urine output and increase urine concentration, which indicates that the kidneys are functioning properly and the body is hydrated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Peptic ulcer disease doesn't typically present with ecchymosis around the umbilicus (Cullen's sign) or significantly elevated amylase and lipase levels.
Choice B rationale: Gastroenteritis is less likely given the specific symptoms, physical exam findings, and laboratory results indicating pancreatic involvement.
Choice C rationale: Acute pancreatitis fits the clinical picture with epigastric pain after heavy alcohol use, persistent nausea/vomiting, tenderness, and elevated amylase and lipase levels.
Choice D rationale: Diverticulitis typically presents with symptoms more localized to the lower abdomen and doesn't cause the characteristic findings seen in this scenario.
Correct Answer is A
Explanation
Choice A rationale: Hypoglycemia (blood sugar less than 30 mg/dL) can lead to seizures due to inadequate glucose supply to the brain.
Choice B rationale: Anorexia (loss of appetite) is not directly associated with low blood sugar but can be a symptom of other conditions.
Choice C rationale: Anhidrosis refers to the inability to sweat and is not typically associated with low blood sugar.
Choice D rationale: Bradycardia (slow heart rate) can be a symptom of severe hypoglycemia but is not the primary complication expected at this blood sugar level.
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