What should the nurse include in the teaching plan for parents of a child with diabetes insipidus who is receiving DDAVP?
a. Increase the dosage of DDAVP as the urine specific gravity (SG) increases.
b. Give DDAVP only if urine output decreases.
c. The child should have free access to water and toilet facilities at school.
d. Cleanse skin before administering the transdermal patch.
C
Feedback
A DDAVP needs to be given as ordered by the physician. If the parents are
monitoring urine SG at home, they would not increase the medication dose for
increased SG; the physician may order an increased dosage for very dilute urine
with decreased SG.
B DDAVP needs to be given continuously as ordered by the physician.
C The child's teachers should be aware of the diagnosis, and the child should have
free access to water and toilet facilities at school.
D DDAVP is typically given intranasally or by subcutaneous injection. For
nocturnal enuresis, it may be given orally.
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