The nurse is evaluating outcomes after administering desmopressin therapy. Which assessment finding is considered a desired outcome in an adult male client?
1. Urine output of 3,500 mL/day
2. Urine specific gravity of 1.015
3. Edema of lower extremities absent
4. Serum sodium 156 mEq/L
Correct Answer: 2
Rationale 1: A urine output of 3,500 mL/day is high for an adult. Normal output is around 2,500 mL/day.
Rationale 2: Desmopressin is administered to treat diabetes insipidus (DI). The client with DI is typically dehydrated before treatment. A urine specific gravity of 1.015 is normal, which indicates that the treatment has stopped the diuresis associated with DI.
Rationale 3: Lower extremity edema is not typical of DI.
Rationale 4: A serum sodium of 156 mEq/L is too high and indicates that dehydration is still present.
Global Rationale: Desmopressin is administered to treat diabetes insipidus (DI). The DI client is typically dehydrated before treatment. A urine specific gravity of 1.015 is normal, which indicates that the treatment has stopped the diuresis associated with DI. A urine output of 3,500 mL/day is high for an adult. Normal output is around 2,500 mL/day. Lower extremity edema is not typical of DI. A serum sodium of 156 mEq/L is too high and indicates that dehydration is still present.
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