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

Answer and Explanation

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

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Correct Answer is C

Explanation

Rationale- Grape fruit inhibits the action of intestinal enzymes interfering with absorption and actions of most drugs. It is therefore, important for clients on oral medication to avoid the intake of grape fruit to allow optimal absorption of the drugs.

A, B, D- Have very minimal drug interactions and hence safe to take with most medications

A. Give the insulin at 0700. B. Give the insulin when the breakfast tray arrives. C. Give the insulin 30 min after breakfast with the client's Other routine medicines. D. Give the insulin at 0730.

Correct Answer is D

Explanation

The regular insulin should be administered subcutaneously about 30 mins before the client take their meals. This is because the insulin has a short onset of action. The peak time (30 mins after injection) should match the eating time provide optimum sugar control

B Arrival of the tray does not provide an exact time account to help match the peak time with meal time

C regular insulin should be given before meals

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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