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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This statement is false. Captopril does not cause hypokalemia, which is a condition where the potassium level is too low. Captopril is an angiotensin converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It can actually cause hyperkalemia, which is a condition where the potassium level is too high. Hyperkalemia can cause muscle weakness, irregular heartbeat, or cardiac arrest.
Choice B reason: This statement is false. Captopril does not cause lower extremity edema, which is a swelling of the legs or ankles due to fluid accumulation. Captopril is an angiotensin converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It can actually reduce edema, which is a common symptom of heart failure or kidney disease.
Choice C reason: This statement is false. Captopril does not cause hypertension, which is a condition where the blood pressure is too high. Captopril is an angiotensin converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. It can actually treat hypertension, which is a risk factor for cardiovascular diseases, such as stroke or heart attack.
Choice D reason: This statement is true. Captopril can cause dry cough, which is a common and mild side effect of this drug. Captopril is an angiotensin converting enzyme (ACE) inhibitor that lowers blood pressure and prevents kidney damage. However, it can also affect the metabolism of a substance called bradykinin, which is involved in inflammation and coughing. Captopril can increase the levels of bradykinin in the lungs, which can irritate the airways and cause dry cough. Dry cough is not a serious condition, but it can be annoying and interfere with sleep or daily activities. The cough usually goes away after stopping the drug or switching to another type of blood pressure medication.
Correct Answer is ["A","B","C"]
Explanation
Choice A reason: This statement is true. The nurse should include tremors as a sign of hypoglycemia, which is a condition where the blood glucose level is too low. Tremors are involuntary shaking or trembling of the body, caused by the release of adrenaline in response to low blood glucose.
Choice B reason: This statement is true. The nurse should include diaphoresis as a sign of hypoglycemia, which is excessive sweating, caused by the activation of the sympathetic nervous system in response to low blood glucose.
Choice C reason: This statement is true. The nurse should include confusion as a sign of hypoglycemia, which is impaired mental function, caused by the lack of glucose supply to the brain.
Choice D reason: This statement is false. The nurse should not include polyuria as a sign of hypoglycemia, which is increased urination, caused by the excess glucose in the urine. Polyuria is more common with hyperglycemia, which is a condition where the blood glucose level is too high.
Choice E reason: This statement is false. The nurse should not include polydipsia as a sign of hypoglycemia, which is increased thirst, caused by the dehydration from polyuria. Polydipsia is also more common with hyperglycemia, which is a condition where the blood glucose level is too high.
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