A nurse is monitoring a client who received desmopressin (DDAVP) to treat diabetes insipidus. Which of the following findings indicates effectiveness of the medication?

Increased heart rate

Increased blood pressure

Serum sodium 150 mEq/L (136-145)

Urine specific gravity 1.015 (1.005 - 1.030)

Answer and Explanation

The Correct Answer is D

A. Increased heart rate: An increased heart rate may indicate dehydration or hypovolemia, which would suggest desmopressin is ineffective in managing diabetes insipidus.

B. Increased blood pressure: Desmopressin might increase blood pressure slightly, but this is not a direct indicator of its effectiveness in controlling diabetes insipidus.

C. Serum sodium 150 mEq/L (136-145): Elevated sodium levels indicate persistent dehydration or insufficient control of fluid balance, suggesting the treatment is ineffective.

D. Urine specific gravity 1.015 (1.005 - 1.030): A normalized urine specific gravity indicates that desmopressin is effectively concentrating the urine, a key goal in managing diabetes insipidus.

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Correct Answer is ["B","D","E"]

Explanation

A. "I must avoid all sweets and carbohydrates": A balanced diet including carbohydrates is essential for energy. The focus should be on managing portion sizes and choosing complex carbohydrates.

B. "I must check my feet daily": Regular foot inspections help prevent complications such as ulcers and infections, which are common in diabetes.

C. "I will stop exercising so my blood sugar doesn't drop": Exercise is important for managing diabetes, but clients should monitor blood sugar levels before and after exercising and have a carbohydrate source available to prevent hypoglycemia.

D. "I should have a yearly eye exam": Annual eye exams are necessary to detect diabetic retinopathy early.

E. "I should aim to keep my premeal blood glucose reading under 126 mg/dL": This goal aligns with ADA recommendations for glycemic control in diabetes management.

Correct Answer is ["2"]

Explanation

Dose required: 0.2 mg

Dose available: 0.1 mg tablets

Number of tablets = 0.2mg /0.1mg/tablet

= 2 tablets

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A nurse is monitoring a client who received desmopressin (DDAVP) to treat diabetes insipidus. Which of the following findings indicates effectiveness of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statements by the patient with a new diagnosis of diabetes show understanding of instruction related to leading a healthy life and preventing complications? Select all that apply

Correct Answer is ["B","D","E"]

Explanation

A nurse is preparing to administer desmopressin 0.2 mg PO daily. The amount available is 0.1 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number.)

Correct Answer is ["2"]

Explanation

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