Which of the following would alert the nurse that a client with diabetes insipidus may be getting too much desmopressin?

Heart rate 95

Oxygen saturation 93%

Hemoglobin 14.1

Blood pressure 170/90

Answer and Explanation

The Correct Answer is D

Choice A reason: This statement is false. The nurse would not be alerted by a heart rate of 95, as this is within the normal range of 60 to 100 beats per minute. Desmopressin is a synthetic form of antidiuretic hormone (ADH) that reduces urine output and increases water retention in the body. It does not affect the heart rate significantly.

Choice B reason: This statement is false. The nurse would not be alerted by an oxygen saturation of 93%, as this is within the normal range of 95% to 100%. Desmopressin is a synthetic form of antidiuretic hormone (ADH) that reduces urine output and increases water retention in the body. It does not affect the oxygen level in the blood.

Choice C reason: This statement is false. The nurse would not be alerted by a hemoglobin of 14.1, as this is within the normal range of 12 to 18 grams per deciliter. Desmopressin is a synthetic form of antidiuretic hormone (ADH) that reduces urine output and increases water retention in the body. It does not affect the hemoglobin level in the blood.

Choice D reason: This statement is true. The nurse would be alerted by a blood pressure of 170/90, as this is above the normal range of 120/80 or lower. Desmopressin is a synthetic form of antidiuretic hormone (ADH) that reduces urine output and increases water retention in the body. However, it can also cause hypertension, which is a condition where the blood pressure is too high. Hypertension can damage the blood vessels and organs, such as the heart, kidneys, and brain. The nurse should monitor the client's blood pressure closely and report any changes to the prescriber.

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Correct Answer is B

Explanation

Choice A reason: This statement is false. The nurse would not question an order for lisinopril for this client, as lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It does not have a significant effect on blood glucose levels. The client has a normal blood glucose level, which can be maintained by following a balanced diet and exercise regimen.

Choice B reason: This statement is true. The nurse would question an order for lisinopril for this client, as lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. However, it can also cause hyperkalemia, which is a condition where the potassium level is too high. The client has a high potassium level, which can cause cardiac arrhythmias or muscle weakness. The nurse should hold the lisinopril and notify the prescriber.

Choice C reason: This statement is false. The nurse would not question an order for lisinopril for this client, as lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It can also reduce the symptoms and mortality of heart failure, which is indicated by a high BNP level. BNP stands for B-type natriuretic peptide, which is a hormone that is released by the heart when it is stretched or stressed. The client has a high BNP level, which suggests that they have heart failure.

Choice D reason: This statement is false. The nurse would not question an order for lisinopril for this client, as lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It can also prevent cardiovascular events, such as stroke or heart attack, in people with hypertension. The client has a high blood pressure, which can damage the blood vessels and organs. The nurse should administer the lisinopril as ordered and monitor the client's blood pressure and renal function.

A. Atenolol B. Labetalol C. Metoprolol D. Captopril

Correct Answer is ["A","B","C"]

Explanation

Choice A reason: This statement is true. Atenolol is a beta blocker, which is a type of medication that blocks the effects of adrenaline on the beta receptors in the heart and blood vessels. This lowers the blood pressure and heart rate, and prevents angina and heart attacks.

Choice B reason: This statement is true. Labetalol is a beta blocker, which is a type of medication that blocks the effects of adrenaline on both the alpha and beta receptors in the heart and blood vessels. This lowers the blood pressure and heart rate, and prevents hypertension and preeclampsia.

Choice C reason: This statement is true. Metoprolol is a beta blocker, which is a type of medication that blocks the effects of adrenaline on the beta receptors in the heart and blood vessels. This lowers the blood pressure and heart rate, and prevents angina, heart failure, and arrhythmias.

Choice D reason: This statement is false. Captopril is not a beta blocker, but an angiotensin-converting enzyme (ACE) inhibitor, which is a type of medication that blocks the conversion of angiotensin I to angiotensin II, a hormone that constricts the blood vessels and raises the blood pressure. This lowers the blood pressure and prevents hypertension, heart failure, and kidney damage.

Choice E reason: This statement is false. Ramipril is not a beta blocker, but an angiotensin-converting enzyme (ACE) inhibitor, which is a type of medication that blocks the conversion of angiotensin I to angiotensin II, a hormone that constricts the blood vessels and raises the blood pressure. This lowers the blood pressure and prevents hypertension, heart failure, and stroke.

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Which of the following would alert the nurse that a client with diabetes insipidus may be getting too much desmopressin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following clients would the nurse question an order for lisinopril?

Correct Answer is B

Explanation

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Correct Answer is ["A","B","C"]

Explanation

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