A client is receiving desmopressin intranasally. Which assessment parameters would the nurse monitor to determine the effectiveness of this medication?
Urine output
Pupillary response
Temperature
Apical heart rate
The Correct Answer is A
A. Desmopressin is a synthetic analog of antidiuretic hormone (ADH) and is used to reduce urine output in conditions like diabetes insipidus. Monitoring urine output is the primary way to assess the effectiveness of this medication. A decrease in urine volume indicates the medication is working effectively.
B. Pupillary response is not relevant in assessing the effectiveness of desmopressin.
C. Temperature monitoring is important in general patient care but does not directly relate to the effectiveness of desmopressin.
D. Apical heart rate is important to monitor in many scenarios but is not a direct indicator of desmopressin's effectiveness.
Nursing Test Bank
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Related Questions
Correct Answer is D
Explanation
A. Theophylline is a bronchodilator used in the management of asthma.
B. Montelukast is a leukotriene receptor antagonist that helps control asthma symptoms.
C. Prednisone is a corticosteroid used to reduce inflammation during an asthma exacerbation.
D. Propranolol is a non-selective beta-blocker that can cause bronchoconstriction and should be avoided in clients with asthma, as it may exacerbate their condition.
Correct Answer is C
Explanation
A. Hypernatremia, an elevated sodium level, does not cause Trousseau's or Chvostek's signs.
B. Hypermagnesemia, an elevated magnesium level, is not associated with positive Trousseau's and Chvostek's signs.
C. Hypocalcemia, a low calcium level, is commonly associated with positive Trousseau's and Chvostek's signs. Trousseau's sign is a carpopedal spasm induced by inflating a blood pressure cuff, while Chvostek's sign is facial twitching in response to tapping over the facial nerve. Both are indicative of neuromuscular irritability due to low calcium levels.
D. Hypokalemia, a low potassium level, does not cause these specific signs and is associated with different clinical manifestations.
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