Which statement indicates a patient understands the purpose of antidiuretic hormone (ADH)?
"It increases my urine output."
"It reduces the reabsorption of sodium in my kidneys."
"It decreases water reabsorption in my kidneys."
"It helps retain water to maintain my blood pressure."
The Correct Answer is D
(A) "It increases my urine output." ADH reduces urine output by increasing water retention.
(B) "It reduces the reabsorption of sodium in my kidneys." ADH affects water reabsorption, not sodium regulation.
(C) "It decreases water reabsorption in my kidneys." ADH increases, not decreases, water reabsorption.
(D) "It helps retain water to maintain my blood pressure." ADH promotes water reabsorption in the kidneys, reducing urine output and increasing blood volume, which helps maintain blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
(A) Erythropoietin Injection: CKD patients often develop anemia due to reduced erythropoietin production by the kidneys. Administering synthetic erythropoietin stimulates red blood cell production.
(B) Packed Red Blood Cells Transfusion: Reserved for severe anemia (Hgb < 7 g/dL) or symptomatic cases, not mild anemia.
(C) Intravenous Iron Infusion: Used if iron deficiency is present, but erythropoietin deficiency is the main issue in CKD anemia.
(D) Platelet Transfusion: Platelets are used for bleeding disorders, not anemia.
(E) Bone Marrow Transplant: Not a treatment for CKD-related anemia, which is not caused by bone marrow failure.
Correct Answer is ["D","E"]
Explanation
(A) Serum Glucose Levels: Mannitol does not significantly affect glucose metabolism.
(B) Heart Rate: It does not directly impact heart rate, though secondary effects like dehydration may influence it.
(C) Respiration Rate: Mannitol does not directly impact respiratory function.
(D) Urine Output: Mannitol is an osmotic diuretic that increases urine output. Monitoring urine output helps assess the drug’s effectiveness and prevent dehydration or hypovolemia.
(E) Serum Potassium Levels: Mannitol causes diuresis, which can lead to electrolyte imbalances, including hypokalemia. Monitoring potassium levels helps prevent complications like arrhythmias.
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