A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer?

Lithium

Regular insulin

Furosemide

Desmopressin

Answer and Explanation

The Correct Answer is D

Desmopressin is a synthetic form of antidiuretic hormone (ADH), which regulates water balance in the body. Diabetes insipidus is a condition caused by a deficiency or resistance to ADH, resulting in excessive urination and thirst. Desmopressin helps reduce urine output and prevent dehydration by mimicking the action of ADH on the kidneys. Lithium is a mood stabilizer that can cause nephrogenic diabetes insipidus by interfering with the response of the kidneys to ADH. Regular insulin is used to treat diabetes mellitus, not diabetes insipidus, as it lowers blood glucose levels by facilitating its uptake into cells.

Furosemide is a diuretic that increases urine output and can worsen dehydration in clients with diabetes insipidus.

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Correct Answer is C

Explanation

This is because peritonitis is an infection of the peritoneal cavity that can occur as a complication of peritoneal dialysis. Peritonitis can cause inflammation and irritation of the peritoneum, which can lead to cloudy or milky appearance of the dialysate fluid that drains out of the abdomen (also known as effluent). Cloudy effluent is often the first and most reliable sign of peritonitis in peritoneal dialysis patients. Other signs and symptoms of peritonitis may include increased heart rate, generalized abdominal pain, fever, nausea, vomiting, loss of appetite, and malaise.

The nurse should instruct the client and his partner to inspect the effluent for clarity every time they perform an exchange and to report any changes to their health care provider immediately. The nurse should also teach them how to prevent peritonitis by following strict aseptic technique when handlingcatheters and supplies, washing hands before and after each exchange, wearing a mask during exchanges, and storing supplies in a clean and dry place.

A. Check the IV site for redness. B. Ensure the tubing connections are secure. C. Reposition the client's left arm. D. Flush the IV catheter.

Correct Answer is C

Explanation

This is because the most common cause of infusion pump alarms is occlusion or obstruction of the IV line, which can be due to kinking, bending, or compression of the tubing or catheter by the client's arm or body position. By repositioning the client's arm, the nurse can relieve the occlusion and restore the flow of the IV fluid.

This action should be done before checking for other possible causes of alarm, such as redness at the IV site (which could indicate infection or inflammation), loose tubing connections (which could cause leakage or air embolism), or clogged IV catheter (which could require flushing with saline or heparin solution).

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A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?

Correct Answer is C

Explanation

A nurse is caring for a client who has an IV in the left forearm and whose infusion pump has alarmed several times. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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