The home health nurse visits a client with chronic diabetes insipidus:
Which three (4) client statements would indicate a correct understanding of the teaching?
"If I develop confusion with this medication, I should call 911."
"I should limit the amount of fluids that I drink after 5:00 PM."
"I will need to weigh myself at the same time every day."
"I should put both doses of the desmopressin in one nostril."
"I need to keep a log of my fluid intake and urine output."
"I may need an additional dose if I keep urinating a lot."
Correct Answer : A,C,E
Choice A rationale: Correct. The statement is accurate because developing confusion could be a sign of a serious condition like severe electrolyte imbalance or dehydration, requiring immediate medical attention.
Choice B rationale: Incorrect. Fluid intake should not be arbitrarily limited without medical advice, especially for a client with diabetes insipidus. Maintaining a consistent fluid intake is crucial, and any changes should be guided by a healthcare provider.
Choice C rationale: Correct. Weighing oneself at the same time every day is a good practice for monitoring fluid balance and identifying sudden changes that may indicate a problem.
Choice D rationale: Incorrect. Desmopressin doses should be administered as prescribed. The medication's administration should be consistent with the healthcare provider's instructions or the medication guide, not arbitrarily altered.
Choice E rationale: Correct. Keeping a log of fluid intake and urine output is important for managing diabetes insipidus effectively and allows for informed adjustments in fluid intake or medication dosage.
Choice F rationale: Incorrect. Adjusting medication dosage without consulting a healthcare provider is not safe. While increased urination is a symptom of diabetes insipidus, the client should consult their healthcare provider if their symptoms persist or worsen, rather than self-adjusting the medication dose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Metformin belongs to the biguanide class of antidiabetic medications.
Choice B rationale: Pioglitazone is a thiazolidinedione used to treat diabetes, not a sulfonylurea.
Choice C rationale: Glipizide is a sulfonylurea used to stimulate insulin secretion in type 2 diabetes.
Choice D rationale: Repaglinide is a meglitinide, another class of drugs that stimulates insulin release.
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Correct Answer is B
Explanation
Choice A rationale: Localization of pain refers to the ability of an individual to pinpoint the exact location of pain, which is different from the described response.
Choice B rationale: Decorticate posturing involves the arms flexing inward toward the body, which is consistent with the observed response to nail bed pressure.
Choice C rationale: Decerebrate posturing involves extension and outward rotation of the arms, which is different from the described response.
Choice D rationale: Flexion withdrawal typically involves pulling away from a painful stimulus, which differs from the specific response observed in the scenario.
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