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

alcohol consumption affects liver metabolism due to injury to the hepatic parenchyma. Impairment of liver function interferes with the metabolism and clearance of phenytoin leading to increased risk of adverse effects.

A-antacids should be avoided as they decrease the absorption of phenytoin

B flossing teeth is important for maintaining oral hygiene reducing the risk of oral complications of phenytoin-induced gingival hyperplasia

D phenytoin does not cause changes in urine color

A. The client has become addicted to the medication. B. The client is experiencing episodes of confusion. C. The client not been taking the medication properly. D. The client developed tolerance to the medication.

Correct Answer is D

Explanation

Tolerance refers to where there is reduced responsiveness to a drug due to prolonged exposure to the drug requiring higher doses to achieve the same effect. This effect requires progressive increment in dosages of the medication which may increase the risk for toxicity.
A. Addiction is characterized by compulsive efforts to acquire the drug despite being aware of its adverse consequences
C and D are not related to the continuous need for higher doses of morphine

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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

A nurse is providing teaching to a client who has seizures and a new prescription for phenytoin. Which of the following information should the nurse provide?

Correct Answer is C

Explanation

A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?

Correct Answer is D

Explanation

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