A nurse is caring for a client who has diabetes insipidus and is receiving desmopressin by intermittent IV balus. Which of the fediowing manifestations should indicate to the nurse a therapeutic response to the medication?
Decrease in urine output
Increase in serum glucose
Increase in WBC count
Decrease in blood pressure
The Correct Answer is A
A. Decrease in urine output:
This is the correct answer. Desmopressin is a synthetic form of antidiuretic hormone (ADH) that works to reduce urine output in individuals with diabetes insipidus. A decrease in urine output indicates a positive response to the medication.
B. Increase in serum glucose:
Desmopressin does not have a direct effect on serum glucose levels. Its primary action is to increase water reabsorption in the kidneys, reducing urine output.
C. Increase in WBC count:
Desmopressin does not have a direct impact on white blood cell (WBC) count. Its main action is on fluid balance and urine concentration.
D. Decrease in blood pressure:
Desmopressin can cause a mild increase in blood pressure, particularly at higher doses. However, blood pressure changes are not the primary therapeutic effect of desmopressin in the context of diabetes insipidus.
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Related Questions
Correct Answer is C
Explanation
A. Weight loss:
Weight lossis not typically associated with methimazole use. In fact, hyperthyroidism (such as in Graves’ disease) can lead to unintentional weight loss due to increased metabolism. Methimazole helps normalize thyroid function, but it doesn’t directly cause weight loss.
B. Increase in pulse rate:
While an increased pulse rate is a symptom of hyperthyroidism, the goal of methimazole treatment is to normalize thyroid function and, consequently, decrease the pulse rate over time.
C. Increased sleeping:
Increased sleeping:Methimazole works by inhibiting the production of thyroid hormones (T3 and T4) in the thyroid gland. It helps normalize thyroid function by reducing excessive hormone synthesis.As thyroid hormone levels decrease due to methimazole, the client’s metabolic rate may slow down. This can lead to feelings of fatigue and increased need for rest, resulting in more sleep.
D. Warmer skin:
Warmer skin is a symptom of hyperthyroidism. With effective treatment using methimazole, the normalization of thyroid function should lead to improved thermoregulation, potentially reducing the sensation of warmer skin.
Correct Answer is D
Explanation
A. Omit over-the-counter medications from the at-home medication list:
Over-the-counter medications should be included in the medication reconciliation process to provide a comprehensive overview of all medications the client is taking. These can have interactions or implications for the client's overall health.
B. Include medications the client received in the acute setting but will no longer need after transfer:
Medications that the client will no longer need after transfer should be excluded from the reconciliation list to avoid confusion and unnecessary continuation of those medications.
C. Compare the current list of medications to medications the client will receive after transfer:
This is part of the medication reconciliation process. It is important to ensure continuity of care by comparing the current list of medications with the medications the client will receive after transfer. Any discrepancies or changes should be addressed.
D. Remove duplicate medications of different dosages from the reconciliation list:
This is the correct answer. Duplicate medications with different dosages can lead to confusion and errors. The reconciliation process involves identifying and resolving discrepancies, including duplicates, to ensure accuracy and safety in medication administration
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