An adolescent client is prescribed nasal desmopressin for treatment of diabetes insipidus (DI). It is essential for the nurse to teach the client and family the signs and symptoms associated with:
1. acute renal failure.
2. hypoglycemic reaction.
3. liver failure.
4. water intoxication.
Correct Answer: 4
Rationale 1: Desmopressin does not cause kidney failure.
Rationale 2: Desmopressin does not cause hypoglycemia.
Rationale 3: Desmopressin does not cause liver failure.
Rationale 4: Desmopressin is a synthetic form of ADH. It corrects the polydipsia and polyuria associated with DI. Water intoxication and severe hyponatremia are real concerns if the client does not decrease fluid intake as the drug takes effect. Coma and death can result if the amount of fluid in the bloodstream is not decreased.
Global Rationale: Desmopressin is a synthetic form of ADH. It corrects the polydipsia and polyuria associated with DI. Water intoxication and severe hyponatremia are real concerns if the client does not decrease fluid intake as the drug takes effect. Coma and death can result if the amount of fluid in the bloodstream is not decreased. The drug does not cause kidney failure, hypoglycemia, or liver failure.
You might also like to view...
The nursing instructor is observing the student nurse take a blood pressure on an older adult client. The nursing instructor intervenes when the student nurse is observed doing which of the following? Standard Text: Select all that apply
1. The student nurse ushers the client into the exam room and immediately assesses the client's blood pressure. 2. The student nurse places the blood pressure cuff on the client's arm over a lightweight, long-sleeved sweater. 3. The student nurse immediately reinflates the cuff after identifying the palpatory systolic blood pressure. 4. The student nurse has the client sit in a chair and supports the client's arm on a table at the level of the heart. 5. The student nurse places the blood pressure cuff on the thigh of a client with a bilateral mastectomy and takes the blood pressure using the popliteal artery.
A 9-year-old child hospitalized for febrile seizures associated with varicella is placed in isolation because of his open lesions
The most appropriate response for the nurse to make when the child asks, "Why do you have to wear a gown and mask when you're in my room?" is: a. "Nurses and doctors wear gowns and masks because you have a condition that could be spread to others.". b. "The gown and mask are to protect you because you could get an infection very easily.". c. "I'm wearing this because there are a lot of bacteria in the hospital.". d. "I might look scary, but you won't need this after you have had medication for 24 hours.".
The nurse has assessed a client's blood pressure (BP) using the left thigh because of bilateral up-per arm casts. The client's precasting left arm BP was 108/70 mm Hg. The nurse expects the pre-sent BP reading to be:
1. 10-40 mm Hg higher systolic pressure than before the casting 2. 5-10 mm Hg higher reading in both systolic and diastolic pressures 3. Representative of the original baseline established before the casting 4. A slight decrease in the diastolic pressure when compared to precasting pressure
The nurse recommends that the newly diagnosed patient with herpes get current information about her disease from the local _______________
Fill in the blanks with correct word