A nurse administers desmopressin to a client who has a diagnosis of diabetes insipidus. The nurse recognizes that which of the following laboratory findings indicate a therapeutic effect of the medication?

Blood glucose 80 mg/dL

Serum sodium 146 mEq/L

Blood urea nitrogen (BUN) 15 mg/dL

Urine specific gravity 1.015

Answer and Explanation

The Correct Answer is D

A. Blood glucose levels are not directly affected by desmopressin, as it is used to treat diabetes insipidus, which is related to antidiuretic hormone (ADH) deficiency, not glucose metabolism.
B. A serum sodium level of 146 mEq/L is slightly elevated and may indicate dehydration, which is common in diabetes insipidus if not well controlled. Desmopressin should help lower the sodium level by reducing the excessive urine output.
C. Blood urea nitrogen (BUN) is typically used to assess kidney function and hydration status, but it is not a primary indicator of the effectiveness of desmopressin in treating diabetes insipidus.
D. A urine specific gravity of 1.015 is within the normal range and indicates more concentrated urine, which is a therapeutic effect of desmopressin. The medication helps the kidneys retain water, leading to more concentrated urine, and improving symptoms of diabetes insipidus.

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Correct Answer is ["B","C","D"]

Explanation

A. Moon face is typically associated with Cushing's syndrome, not acromegaly, which is characterized by changes in the hands, feet, and facial features rather than a rounded, moon-shaped face.
B. Enlarged distal extremities (hands and feet) are classic symptoms of acromegaly due to excessive growth hormone production.
C. Hepatomegaly (enlarged liver) is a common finding in acromegaly due to the overproduction of growth hormone, which affects organ size.
D. Coarse facial features (such as a protruding jaw, enlarged nose, and thickened lips) are a hallmark of acromegaly, resulting from the overgrowth of soft tissues.
E. Loss of color discrimination is not typically associated with acromegaly and may be seen in other conditions affecting the optic nerve or eye, but it is not a key symptom of acromegaly.

A. An increase in the secretion of both bile and pancreatic enzymes B. A decrease in the secretion of insulin caused by carbohydrates C. When the passage of food into the small intestine occurs too rapidly D. The inability to digest high-fat foods

Correct Answer is C

Explanation

A. Dumping syndrome is not related to the increased secretion of bile and pancreatic enzymes; it occurs when food passes too quickly from the stomach into the small intestine.
B. Dumping syndrome is not caused by a decrease in insulin secretion, but rather by rapid gastric emptying that can result in fluctuating blood sugar levels.
C. Dumping syndrome occurs when food moves too quickly from the stomach into the small intestine, causing a sudden release of insulin and other gastrointestinal symptoms, such as nausea, diarrhea, and dizziness.
D. While high-fat foods can be problematic for some gastric bypass patients, dumping syndrome is specifically related to rapid gastric emptying and not the inability to digest fat.

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A nurse administers desmopressin to a client who has a diagnosis of diabetes insipidus. The nurse recognizes that which of the following laboratory findings indicate a therapeutic effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is being evaluated for acromegaly. Which of the following manifestations should the nurse expect to find during assessment? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

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Correct Answer is C

Explanation

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