The nurse is caring for a client with neurogenic diabetes insipidus and administers what drug to treat the condition.

Desmopressin.

Methylprednisolone.

Dexamethasone.

Physostigmine.

Answer and Explanation

The Correct Answer is A

Desmopressin Acetate - Amring Pharmaceuticals

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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Correct Answer is D

Explanation

Guaifenesin is an expectorant that helps thin and loosen mucus in the lungs, making it easier to cough up the sputum. Some possible explanations for the other choices are:

Choice A. Benzonatate is wrong because benzonatate is an antitussive that suppresses the cough reflex by numbing the throat and lungs.

It does not help with sputum production or clearance.

Choice B. Dextromethorphan is wrong because dextromethorphan is also an antitussive that acts on the brain to reduce the urge to cough.

It does not affect the mucus or bronchial secretions.

Choice C. Hydrocodone is wrong because hydrocodone is a narcotic antitussive that works by binding to opioid receptors in the brain and spinal cord, blocking pain signals and decreasing cough.

It can cause sedation, respiratory depression, and dependence, and is not indicated for bronchitis.

Normal ranges for sputum production vary depending on the individual and the cause of the cough, but generally range from 10 to 100 mL per day.

Excessive or abnormal sputum may indicate an infection, inflammation, or obstruction of the airways.

A. “Remain in the upright position for 30 minutes after taking it.”. B. “Take the medication with a full glass of water.”. C. “Take the medication before going to bed at night.”. D. “Take the medication after breakfast.”.

Correct Answer is B

Explanation

Levothyroxine is a synthetic thyroid hormone that is used to treat hypothyroidism. It should be taken on an empty stomach, preferably in the morning, with a full glass of water to facilitate absorption and prevent choking. Taking the medication with food or other substances may interfere with its effectiveness.

Choice A is wrong because levothyroxine does not need to be taken after breakfast.

In fact, taking it after breakfast may reduce its absorption and efficacy.

Choice C is wrong because levothyroxine does not require the patient to remain in the upright position for 30 minutes after administering.

This instruction is more applicable to bisphosphonates, which are drugs used to treat osteoporosis.

Choice D is wrong because levothyroxine should not be taken at night.

Taking it at night may cause insomnia, as well as reduced absorption and efficacy.

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The nurse is caring for a client with neurogenic diabetes insipidus and administers what drug to treat the condition.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client presents at the clinic with a dry nonproductive cough. The client is diagnosed with bronchitis, and it has been determined that assistance is needed in thinning the sputum so the cough can become productive. What does the nurse expect the provider will prescribe?

Correct Answer is D

Explanation

The nurse is providing client teaching regarding the administration of levothyroxine. What is the nurse’s priority teaching point?

Correct Answer is B

Explanation

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When providing client teaching to the family of a 12-year-old child receiving somatropin, the nurse stresses the need to notify prescriber if what manifestation occurs?

A client with type 2 diabetes presents at the clinic for a routine follow-up appointment. The client asks the nurse whether he or she can take the herbal supplement ginseng. What is the correct response by the nurse?