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)
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
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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