The nurse plans to administer intranasal desmopressin (DDAVP) to the client. What will the best plan by the nurse include?
1. Instruct the client to blow his nose following administration.
2. Be sure to have fresh water at the bedside.
3. Withhold other medications so absorption of desmopressin (DDAVP) will not be affected.
4. Direct the spray high into the nasal cavity.
Correct Answer: 4
Rationale 1: Intranasal sprays of desmopressin (DDAVP) should be alternately rotated between nares. There is no need for the client to blow his nose following administration of intranasal desmopressin (DDAVP).
Rationale 2: Fresh water is a good idea, but not necessary with intranasal desmopressin (DDAVP).
Rationale 3: There is no need to withhold other medications when a client receives intranasal desmopressin (DDAVP).
Rationale 4: The spray should be directed high into the nasal cavity, not into the nasopharynx.
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