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A client has received vasopressin for diabetes insipidus. Which assessment finding indicates the most therapeutic response to this therapy?

Urine output has increased; specific gravity has decreased.

Urine output has increased; specific gravity has increased.

Urine output has decreased; specific gravity has decreased.

Urine output has decreased; specific gravity has increased.

Answer and Explanation

The Correct Answer is D

Choice A rationale: This is a sign of worsening diabetes insipidus.

Choice B rationale: This shows signs of overhydration, as urine output is high and specific gravity is high.

Choice C rationale: This is a sign of worsening diabetes insipidus.

Choice D rationale: Vasopressin is a hormone that helps the kidneys retain water and concentrate urine. Diabetes insipidus is a condition where the body does not produce enough vasopressin or does not respond to it, resulting in excessive urination and diluted urine. The goal of vasopressin therapy is to reduce urine output and increase urine concentration, which indicates that the kidneys are functioning properly and the body is hydrated.

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Correct Answer is D

Explanation

Choice A rationale: Symptoms and findings described align more with an acute, severe condition rather than a chronic one.

Choice B rationale: While cholecystitis can present with similar symptoms, the radiation of pain to the back is more indicative of a different condition.

Choice C rationale: Cholelithiasis (gallstones) might cause abdominal pain but typically doesn’t lead to fever and hypotension.

Choice D rationale: Symptoms including severe abdominal pain, radiation to the back, fever, and hypotension suggest acute pancreatitis, a potentially serious condition requiring urgent medical attention.

A. Wear loose-fitting clothing and cotton underwear. B. Abstain from eating yogurt. C. Use oral contraceptives during sexual intercourse. D. Practice regular douching.

Correct Answer is A

Explanation

Choice A rationale: This instruction helps to promote airflow and prevent moisture accumulation, aiding in vaginitis recovery.

Choice B rationale: Yogurt with live cultures containing lactobacilli can actually help restore the natural balance of bacteria in the vagina and can be beneficial for some types of vaginitis.

Choice C rationale: Oral contraceptives are not a treatment for vaginitis and do not impact the condition.

Choice D rationale: Douching can disrupt the vaginal pH and natural bacterial balance, potentially exacerbating vaginitis.

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A client has received vasopressin for diabetes insipidus. Which assessment finding indicates the most therapeutic response to this therapy?

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Correct Answer is D

Explanation

The nurse is giving discharge instructions to a client recently diagnosed with vaginitis. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

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