The nurse is caring for a client with neurogenic diabetes insipidus and administers what drug to treat the condition.
Desmopressin.
Methylprednisolone.
Dexamethasone.
Physostigmine.
The Correct Answer is A
Desmopressin is a synthetic analog of antidiuretic hormone (ADH) that acts on the kidneys to increase water reabsorption and decrease urine output. Neurogenic diabetes insipidus is a condition caused by a deficiency of ADH due to damage to the hypothalamus or pituitary gland. Patients with this condition have excessive thirst and urination, dehydration, and low urine specific gravity.
Choice B. Methylprednisolone is wrong because it is a corticosteroid that suppresses inflammation and immune response.
It is not used to treat diabetes insipidus.
Choice C. Dexamethasone is wrong because it is also a corticosteroid that has similar effects as methylprednisolone.
It is not used to treat diabetes insipidus.
Choice D. Physostigmine is wrong because it is a cholinesterase inhibitor that increases the levels of acetylcholine in the body.
It is used to treat myasthenia gravis and anticholinergic poisoning.
It has no effect on diabetes insipidus.
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Related Questions
Correct Answer is D
Explanation
Glargine is a long-acting insulin that can provide a steady level of insulin for up to 24 hours. This would be suitable for a client who does not want to administer insulin on the plane, as they can take it once a day at the same time.
Choice A. Glulisine is wrong because glulisine is a rapid-acting insulin that starts working within 15 minutes and lasts for 3 to 4 hours.
This would require frequent injections and monitoring of blood glucose levels.
Choice B. Lispro is wrong because lispro is also a rapid-acting insulin that starts working within 15 minutes and lasts for 3 to 4 hours.
This would also require frequent injections and monitoring of blood glucose levels.
Choice C. Aspart is wrong because aspart is another rapid-acting insulin that starts working within 15 minutes and lasts for 3 to 4 hours.
This would also require frequent injections and monitoring of blood glucose levels.
Normal ranges for blood glucose levels are 70 to 130 mg/dL before meals and less than 180 mg/dL two hours after meals.
Correct Answer is C
Explanation
This strategy can help the client read the numbers on the syringe and prepare the correct dose of insulin. A magnifying glass is also an affordable and accessible tool for the client.
Choice A is wrong because preparing a week’s supply of syringes and refrigerating them can affect the potency and sterility of insulin.
It can also increase the risk of errors or confusion.
Choice B is wrong because asking a neighbor to come over every day to prepare the medication can compromise the client’s privacy and independence.
It can also be unreliable and inconvenient for both parties.
Choice D is wrong because changing the client to oral antidiabetics is not possible for type 1 diabetes.
People with type 1 diabetes need to take insulin for life because their pancreas cannot make insulin.
Oral antidiabetics are only effective for people with type 2 diabetes who have functioning pancreatic beta cells
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