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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: This statement is correct; it's important to include the final voided urine in the collection.
Choice B rationale: Proper storage at a cool temperature helps maintain the integrity of the collected urine.
Choice C rationale: Avoiding protein intake during the collection can significantly alter the results of the creatinine clearance test. Eating a regular diet is important to maintain accurate test results.
Choice D rationale: Discarding the first void and starting the collection afterward is a common practice in 24-hour urine collections to ensure a complete sample.
Correct Answer is D
Explanation
Choice A rationale: Used in the management of hepatic encephalopathy by reducing the production of ammonia in the gut.
Choice B rationale: Often prescribed to reduce ammonia levels in hepatic encephalopathy by promoting bowel movements and aiding ammonia excretion. Choice C rationale: Typically used in managing ascites by reducing fluid retention and treating edema.
Choice D rationale: This medication can potentially worsen hepatic encephalopathy due to its sedative effects and impact on mental function. It's crucial to clarify its use in a patient with hepatic encephalopathy.
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