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 D
Explanation
. Increasing fluid intake would worsen fluid retention in SIADH.
B. A low-sodium diet is not indicated as it could exacerbate hyponatremia.
C. IV hypertonic saline is used in severe cases of hyponatremia but requires careful monitoring.
D. Restricting fluid intake is the primary intervention to prevent further dilution of sodium and manage SIADH effectively.
Correct Answer is C
Explanation
A. Dilute urine is a primary symptom of DI but not a neurologic effect.
B. Hypotension is a cardiovascular effect of DI due to excessive fluid loss.
C. Ataxia, or lack of muscle coordination, can occur due to severe dehydration and electrolyte imbalances affecting the nervous system in DI.
D. Poor skin turgor indicates dehydration but is not a neurologic effect.
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