A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer?

Lithium

Regular insulin

Furosemide

Desmopressin

Answer and Explanation

The Correct Answer is D

Desmopressin is a synthetic form of antidiuretic hormone (ADH), which regulates water balance in the body. Diabetes insipidus is a condition caused by a deficiency or resistance to ADH, resulting in excessive urination and thirst. Desmopressin helps reduce urine output and prevent dehydration by mimicking the action of ADH on the kidneys. Lithium is a mood stabilizer that can cause nephrogenic diabetes insipidus by interfering with the response of the kidneys to ADH. Regular insulin is used to treat diabetes mellitus, not diabetes insipidus, as it lowers blood glucose levels by facilitating its uptake into cells.

Furosemide is a diuretic that increases urine output and can worsen dehydration in clients with diabetes insipidus.

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Correct Answer is A

Explanation

The ABG results show a low pH (acidosis), a high PaCO2 (respiratory component), and a normal HCO3 (metabolic component). This indicates respiratory acidosis, which is caused by hypoventilation and retention of carbon dioxide.

A. Inspect the feet every other day. B. Apply lotion between the toes. C. Soak the feet twice a day. D. Trim toenails straight across.

Correct Answer is D

Explanation

The nurse should instruct the client to trim toenails straight across to prevent ingrown toenails and infection. The nurse should also advise the client to inspect the feet daily for any signs of injury or ulceration, to avoid applying lotion between the toes as this can cause maceration and fungal growth, and to avoid soaking the feet as this can dry out the skin and increase the risk of injury.

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A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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