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 effective?
A decrease in urine output
A decrease in blood sugar
A decrease in specific gravity
A decrease in blood pressure
The Correct Answer is A
A. A decrease in urine output indicates that vasopressin is effectively reducing the excessive urine production in diabetes insipidus.
B. Vasopressin does not affect blood sugar levels.
C. A decrease in specific gravity would indicate more dilute urine, not an effective treatment outcome for diabetes insipidus.
D. A decrease in blood pressure is not a desired effect of vasopressin therapy in diabetes insipidus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Checking urine specific gravity is essential in diabetes insipidus to monitor the concentration of urine and assess the effectiveness of treatment.
B. Administering a diuretic is not appropriate as it could worsen the fluid loss in diabetes insipidus.
C. Measuring blood glucose levels is not specifically relevant to the management of diabetes insipidus.
D. Initiating fluid restrictions is not appropriate; in fact, increasing fluid intake is necessary to prevent dehydration.
Correct Answer is C
Explanation
A. A balanced diet with adequate carbohydrates is important for managing Addison's disease; a low-carbohydrate diet is not recommended.
B. Restricting fluid intake is not appropriate for Addison's disease; adequate fluid intake is necessary.
C. Administering oral corticosteroids is crucial to replace the deficient cortisol levels and prevent Addisonian crisis.
D. While daily weight monitoring is important, administering corticosteroids addresses the immediate risk of crisis.
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