A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication is effective?
A decrease in blood pressure
A decrease in blood sugar
A decrease in urine output
A decrease in specific gravity
The Correct Answer is C
A. Vasopressin does not typically affect blood pressure significantly.
B. Vasopressin is not used to lower blood sugar levels; it is primarily used for water retention.
C. Vasopressin, also known as antidiuretic hormone (ADH), acts on the kidneys to decrease urine output, making this the expected outcome of therapy.
D. Specific gravity of urine may increase with vasopressin therapy due to decreased urine output, rather than decrease.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. In primary hypothyroidism, the thyroid gland fails to produce sufficient thyroid hormone.
Consequently, free T4 levels are typically decreased.
B. Although serum T3 levels may also decrease in primary hypothyroidism due to impaired thyroid function, TSH is the primary marker used for diagnosis and monitoring.
C. Similarly, serum T4 levels may decrease in primary hypothyroidism due to decreased synthesis by the thyroid gland.
D. In primary hypothyroidism, the anterior pituitary gland releases more TSH to stimulate the thyroid gland to produce thyroid hormones. Therefore, elevated TSH levels are characteristic of primary hypothyroidism.
Correct Answer is D
Explanation
A. This statement is unrelated to the client's kidney stones and does not require reporting to the provider.
B. This statement indicates good fluid intake, which is generally beneficial for preventing kidney stones. It does not require reporting.
C. This statement is unrelated to the client's kidney stones and does not require reporting.
D. This statement indicates possible hematuria (blood in the urine) and pain, which could be indicative of a urinary tract issue related to the kidney stones and requires reporting to the provider for further assessment and management.
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