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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Purulent dialysate outflow is a sign of infection, specifically peritonitis, which is a serious complication of peritoneal dialysis that requires immediate medical attention.

B. Blood-tinged dialysate can occur, especially if the client is new to dialysis or has had recent abdominal surgery, but it should be monitored rather than immediately reported unless it is excessive.

C. A feeling of fullness during the dialysate dwelling phase is common and usually resolves as the body adjusts to the procedure.

D. Discomfort during dialysate inflow can occur, particularly with fast inflow rates or high dialysate volumes, but it is not immediately life-threatening.

A. "Examine your feet carefully every day." B. "Wear compression stockings daily." C. "Maintain stable blood glucose levels." D. "Have an eye examination once per year."

Correct Answer is C

Explanation

A. Examining feet daily is important for preventing foot complications, such as ulcers, in diabetics but is not directly related to preventing retinopathy and nephropathy.

B. Wearing compression stockings is not specifically recommended for preventing retinopathy or nephropathy in diabetes.

C. Maintaining stable blood glucose levels is crucial for preventing or slowing the progression of diabetic complications such as retinopathy and nephropathy. Good glycemic control minimizes the damage to blood vessels in the eyes and kidneys.

D. While regular eye exams are important for detecting retinopathy early, maintaining stable blood glucose levels is key to preventing the development of complications in the first place.

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A client is receiving desmopressin intranasally. Which assessment parameters would the nurse monitor to determine the effectiveness of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is undergoing initial peritoneal dialysis. Which of the following should the nurse report immediately to the provider?

Correct Answer is A

Explanation

A nurse is teaching an older adult client who has diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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