A nurse is monitoring a client who received desmopressin (DDAVP) to treat diabetes insipidus. Which of the following findings indicates effectiveness of the medication?

Increased heart rate

Increased blood pressure

Serum sodium 150 mEq/L (136-145)

Urine specific gravity 1.015 (1.005 - 1.030)

Answer and Explanation

The Correct Answer is D

A. Increased heart rate: An increased heart rate may indicate dehydration or hypovolemia, which would suggest desmopressin is ineffective in managing diabetes insipidus.

B. Increased blood pressure: Desmopressin might increase blood pressure slightly, but this is not a direct indicator of its effectiveness in controlling diabetes insipidus.

C. Serum sodium 150 mEq/L (136-145): Elevated sodium levels indicate persistent dehydration or insufficient control of fluid balance, suggesting the treatment is ineffective.

D. Urine specific gravity 1.015 (1.005 - 1.030): A normalized urine specific gravity indicates that desmopressin is effectively concentrating the urine, a key goal in managing diabetes insipidus.

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Correct Answer is B

Explanation

A. "I'll put lotion between my toes.": This increases the risk of fungal infections and should be avoided.

B. "I'll check my feet every day for sores and bruises.": Daily foot inspections help identify injuries or infections early, crucial for clients with diabetes due to poor healing and neuropathy.

C. "I'll wear sandals in warm weather.": Open-toed shoes can lead to foot injuries or exposure to harmful elements, which should be avoided.

D. "I'll soak my feet in warm, soapy water every night before I go to bed.": Soaking can cause skin maceration and increase the risk of infection, especially in clients with diabetes.

A. Hoarseness B. Airway patency C. Visual deficits D. Pain control

Correct Answer is B

Explanation

A. Hoarseness: Hoarseness may indicate laryngeal nerve injury, which is important to monitor, but it is not the most immediate concern.

B. Airway patency: Airway patency is the priority due to the risk of swelling, hematoma, or laryngeal spasm post-thyroidectomy, which can compromise breathing.

C. Visual deficits: Visual deficits are not typically a concern after thyroidectomy.

D. Pain control: While important, pain control is secondary to maintaining airway patency, which is life-threatening if compromised.

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A nurse is monitoring a client who received desmopressin (DDAVP) to treat diabetes insipidus. Which of the following findings indicates effectiveness of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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