A nurse is providing care for a 71-year-old client who has diabetes insipidus (DI) and is receiving treatment with desmopressin. Which of the following lab values is most important for the nurse to monitor?

Serum phosphate levels

Serum calcium levels

Serum sodium levels

Blood urea nitrogen (BUN)

Answer and Explanation

The Correct Answer is C

Choice A reason:

Serum phosphate levels are not the primary concern in the management of diabetes insipidus (DI). While phosphate levels are important for overall health, they do not directly relate to the condition or its treatment with desmopressin. DI primarily affects water balance and sodium levels in the body.

Choice B reason:

Serum calcium levels, although important, are not the most critical lab value to monitor in a client with DI receiving desmopressin. Calcium levels are crucial for bone health and various metabolic functions, but they do not directly reflect the effectiveness or complications of desmopressin therapy.

Choice C reason:

Serum sodium levels are the most important lab value to monitor in a client with DI receiving desmopressin. DI causes an imbalance in water regulation, leading to excessive urination and potential dehydration. Desmopressin helps to reduce urine output and maintain water balance, but it can also lead to water retention and hyponatremia (low sodium levels). Monitoring serum sodium is crucial to prevent complications such as seizures, confusion, and other neurological symptoms associated with hyponatremia.

Choice D reason:

Blood urea nitrogen (BUN) levels are useful in assessing kidney function and hydration status, but they are not the primary concern in the management of DI with desmopressin. While BUN levels can provide valuable information about renal function, they do not directly indicate the effectiveness or potential complications of desmopressin therapy.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason:

Thickening of the walls of the ventricles is not typically associated with restrictive cardiomyopathy (RCM). This condition is more characteristic of hypertrophic cardiomyopathy (HCM), where the heart muscle becomes abnormally thick, making it harder for the heart to pump blood. In RCM, the walls of the ventricles are usually not thickened but become rigid due to fibrosis or infiltration, which restricts the heart’s ability to fill with blood during diastole.

Choice B reason:

Stretching of the ventricles is more commonly seen in dilated cardiomyopathy (DCM), not restrictive cardiomyopathy. In DCM, the heart’s ventricles become enlarged and weakened, which impairs the heart’s ability to pump blood efficiently. RCM, on the other hand, involves stiffening of the ventricular walls without significant dilation.

Choice C reason:

Thickening of the ventricular walls and septum is a hallmark of hypertrophic cardiomyopathy (HCM), not restrictive cardiomyopathy. In HCM, the thickened walls can obstruct blood flow and lead to various complications. RCM is characterized by the stiffening of the ventricular walls due to fibrosis or infiltration, which restricts diastolic filling.

Choice D reason:

When the ventricular tissue becomes fibrous and fatty is the correct description of restrictive cardiomyopathy (RCM). In RCM, the heart’s ventricles become stiff and less elastic due to fibrosis (scarring) or infiltration by abnormal substances, such as amyloid proteins. This rigidity impairs the heart’s ability to fill properly during diastole, leading to symptoms of heart failure

A. The client who had a myocardial infarction and required stent placement. B. The client whose mother and uncle were diagnosed with this same condition. C. The client who is recovering from a recent illness that caused vomiting and diarrhea. D. The client who is out of work and has been experiencing increased stress.

Correct Answer is A

Explanation

Choice A Reason:

A history of myocardial infarction (heart attack) and the need for stent placement are significant risk factors for developing atrial flutter. Atrial flutter is often associated with structural heart disease, including coronary artery disease, which can lead to myocardial infarction. The damage to the heart muscle and the changes in the heart’s electrical system following a myocardial infarction can predispose a person to atrial flutter.

Choice B Reason:

While a family history of atrial flutter can indicate a genetic predisposition to arrhythmias, it is not as strong a risk factor as having a history of myocardial infarction and stent placement. Genetic factors can play a role, but they are typically less influential compared to direct cardiac events.

Choice C Reason:

Recovering from an illness that caused vomiting and diarrhea is not a direct risk factor for atrial flutter. These conditions can lead to electrolyte imbalances, which might temporarily affect heart rhythm, but they do not typically cause atrial flutter.

Choice D Reason:

Increased stress can contribute to various health issues, including heart problems, but it is not a primary risk factor for atrial flutter. Chronic stress can exacerbate existing heart conditions, but it is not as significant a risk factor as a history of myocardial infarction.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is providing care for a 71-year-old client who has diabetes insipidus (DI) and is receiving treatment with desmopressin. Which of the following lab values is most important for the nurse to monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has restrictive cardiomyopathy (RCM). Which of the following statements should the nurse cue in the client?

Correct Answer is D

Explanation

A nurse is teaching a group of clients about risk factors for developing atrial flutter. Which of the following clients should the nurse understand is at highest risk for developing atrial flutter?

Correct Answer is A

Explanation

A nurse is providing teaching to a client who has coronary artery disease. Which of the following statements should the nurse include in the teaching to explain the correlation between changes in the coronary arteries and manifestations that occur?

A nurse is preparing to administer medications to a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following medications should the nurse question?

A nurse is preparing to administer medications to a client who has pericarditis. Which of the following medications should the nurse anticipate administering to this client? (Select All that Apply.)

A nurse is assessing a client who has peripheral artery disease. Which of the following findings should the nurse recognize as requiring immediate intervention?

A nurse is providing care for a client diagnosed with diabetic ketoacidosis (DK

A nurse is providing care for several clients who have type 2 diabetes mellitus. Which of the following clients is most at risk for developing hyperosmolar hyperglycemic syndrome (HHS)?

A nurse is caring for a client who was diagnosed with type 2 diabetes mellitus 2 years ago. The client reports following the recommended diet and exercising four times per week. Which of the following findings indicates that the client’s beta cells are restoring normal function?

A nurse is providing education to a client who has type 1 diabetes mellitus and has been experiencing hypoglycemic episodes. Which of the following statements by the nurse is appropriate?