A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication is working? A decrease in...
urine output
specific gravity
blood glucose
blood pressure
The Correct Answer is A
A. Urine output is correct. Diabetes insipidus (DI) causes excessive urine output due to a deficiency in antidiuretic hormone (ADH). Vasopressin acts as a synthetic ADH, helping the kidneys retain water. A decrease in urine output indicates the medication is effective.
B. Specific gravity would actually increase if the medication is working, as the urine becomes more concentrated. A decrease in specific gravity would indicate continued dilute urine, suggesting the medication is not effective.
C. Blood glucose is not typically affected by vasopressin or directly related to diabetes insipidus, which is different from diabetes mellitus.
D. Blood pressure might slightly increase due to vasopressin's vasoconstrictive effects, but this is not the primary indicator that the medication is working for diabetes insipidus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Discuss the behavior with other colleagues to gain support may provide emotional relief, but it doesn’t formally address the issue or ensure appropriate intervention. It can also risk spreading gossip rather than resolving the conflict.
B. Report the bullying to a supervisor or manager is the most appropriate action. Bullying should be addressed through proper channels to protect the nurse and maintain a safe, professional work environment. Leaders are responsible for enforcing a zero-tolerance policy and can take corrective steps.
C. Ignore the behavior and focus on your work is not a healthy or effective strategy. Ignoring bullying can lead to increased stress, burnout, and decreased job satisfaction, and it allows the behavior to continue unchecked.
D. Confront the experienced nurse directly and demand respect may escalate the situation or lead to further conflict. While direct communication can be part of conflict resolution, it should be done professionally and often with support or guidance from a manager or HR.
Correct Answer is A
Explanation
A. Elevated body temperature and profuse sweating is correct. Thyroid storm (also known as thyrotoxicosis) is a severe, life-threatening exacerbation of hyperthyroidism. Common signs include elevated body temperature (fever), profuse sweating, tachycardia, hypertension, and agitation, all of which are indicative of this condition.
B. Weight gain and cold intolerance is incorrect. These are signs of hypothyroidism, not hyperthyroidism or thyroid storm. In hyperthyroidism, weight loss and heat intolerance are more typical.
C. Muscle weakness and fatigue is incorrect. While muscle weakness and fatigue can occur in hyperthyroidism, they are more commonly seen in chronic hyperthyroidism rather than in the acute setting of thyroid storm, where more extreme symptoms such as fever and tachycardia are prominent.
D. Bradycardia and low blood pressure is incorrect. Bradycardia and low blood pressure are signs of hypothyroidism, not hyperthyroidism or thyroid storm, where you would expect tachycardia and elevated blood pressure.
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