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 urine output
A decrease in specific gravity
A decrease in blood sugar
The Correct Answer is B
Vasopressin (ADH) is used to treat diabetes insipidus by increasing water reabsorption in the kidneys, thereby decreasing urine output. Therefore, a decrease in urine output would indicate that the medication is effective in managing the condition. Options
A- Water retention increases blood pressure and not vice versa
C- Water retention leads to increased specific gravity of urine
D- Vasopressin has no effect on blood glucose
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Amphotericin B causes renal injury and baseline renal function is an important predictor of risk of nephrotoxicity. A BUN of 55mg/mL indicates already compromised renal function and hence requires follow up due to risk of further damage.
A. Sodium level within the normal range (140 mEq/L) is a contraindication for initiating amphotericin B therapy.
C. Amphotericin B causes hypokalemia buy potassium level of 4.5 is within the normal range.
D. Glucose level within the normal range (120 mg/dL) is not a contraindication for initiating amphotericin B therapy.
Correct Answer is D
Explanation
The Z-track technique is an intramuscular injection technique used to prevent leakage to medication into the subcutaneous site after injection. It involves;
- pulling the skin and subculture tissue about one inch away from the muscle
- Insert the needle at 90 degrees
- Needle inserted quickly and deeply
- Remove the needle then release the skin
- Do not massage or aspirate
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