A nurse is teaching a student nurse about the effects of vasopressin that is prescribed for a client with diabetes insipidus. Which statement by the student nurse indicates an understanding of the teaching?

"This medication will increase the client's heart rate."

"This medication will decrease the client's blood pressure."

"This medication will decrease the client's urine specific gravity."

"This medication will decrease the client's urine output."

Answer and Explanation

The Correct Answer is D

A. Vasopressin does not typically increase the client's heart rate; its primary effect is on the kidneys and urine output.
B. Vasopressin generally increases blood pressure by promoting vasoconstriction, not decreases it.
C. Vasopressin will increase, not decrease, urine specific gravity by reducing urine output and concentrating the urine.
D. Vasopressin acts to decrease urine output by increasing water reabsorption in the kidneys, which helps manage diabetes insipidus.

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Correct Answer is C

Explanation

A. The treatment for vancomycin-resistant enterococcus (VRE) in a previous admission is not directly related to the development of CLABSI in the current situation. The infection is more likely caused by improper handling or maintenance of the central line.
B. Drawing blood cultures from the central line, while not ideal, is not the most likely cause of CLABSI. Proper technique can mitigate the risk of introducing infection during this procedure.
C. Changing the central line dressing using clean technique instead of sterile technique increases the risk of introducing pathogens to the central line site, leading to a central line-associated bloodstream infection (CLABSI).
D. Receiving antibiotics and intravenous fluids through the same line does not typically cause CLABSI if the line is properly maintained and sterile techniques are observed during administration.

Correct Answer is ["11.074"]

Explanation

To calculate the infusion rate, we'll use the following formula:

Infusion rate (mL/hr) = Desired dose (units/hr) / Concentration of heparin (units/mL)

First, calculate the desired dose in units/hr:

14 units/kg/hr x 79.1 kg = 1107.4 units/hr

Next, calculate the concentration of heparin in the IV bag:

25,000 units / 250 mL = 100 units/mL

Finally, plug the values into the formula:

Infusion rate = 1107.4 units/hr / 100 units/mL = 11.074 mL/hr

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A nurse is teaching a student nurse about the effects of vasopressin that is prescribed for a client with diabetes insipidus. Which statement by the student nurse indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adult client in the intensive care unit (ICU) with a central venous catheter has developed signs and symptoms that are suggestive of a central line-associated bloodstream infection (CLABSI). What is most likely the cause of the infection?

Correct Answer is C

Explanation

Correct Answer is ["11.074"]

Explanation

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