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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Oliguria, characterized by urine output less than 400 mL per 24 hours, is a hallmark of the oliguric phase of acute kidney injury.
B. BUN and creatinine levels typically increase during the oliguric phase due to decreased kidney function.
C. Renal function is not reestablished during the oliguric phase; this phase represents reduced kidney function.
D. The glomerular filtration rate remains decreased during the oliguric phase.
Correct Answer is D
Explanation
A. Hyponatremia is characterized by low sodium levels in the blood and is not typically associated with crackles in the lungs or elevated blood pressure.
B. While hyperkalemia is a concern in end-stage kidney disease, it is not typically associated with crackles in the lungs or elevated blood pressure.
C. Hypovolemia, or low blood volume, is not consistent with the client's reported symptoms of swelling in the lower extremities and crackles in the lungs.
D. Hypervolemia, or fluid overload, is common in end-stage kidney disease and can manifest with symptoms such as shortness of breath, lower extremity edema, crackles in the lungs (due to pulmonary congestion), and elevated blood pressure.
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