A client has diabetes insipidus and receives desmopressin ...

[FButt]

A client has diabetes insipidus and receives desmopressin (DDAVP). The nurse completes medication education and evaluates that learning has occurred when the client makes which statement?
 
  1. This medication is a potent vasodilator; my blood pressure can fall.
  2. This medication promotes diuresis in my body; my blood pressure can fall.
  3. This medication increases water reabsorption in my kidneys.
  4. This medication suppresses hormone secretion from my posterior pituitary gland.

Question 2

The client is very distraught that her 12-year-old son is of very short stature. What is the best plan by the nurse?
 
  1. Tell the client that treatment with growth hormone might result in acromegaly.
  2. Tell the client that treatment for short stature is too expensive for many to afford.
  3. Tell the client that treatment with growth hormone might help, and refer her to an endocrinologist.
  4. Tell the client that treatment with growth hormone can add 6 inches of height to her son.

[amy.lauersdorf90]

Answer to Question 1

Correct Answer: 3
Rationale 1: Desmopressin is a potent vasoconstrictor, not a vasodilator, and can cause blood pressure to rise, not fall.
Rationale 2: Desmopressin promotes water retention; blood pressure can rise, not fall.
Rationale 3: Desmopressin is the same as ADH (antidiuretic hormone), and acts on the collecting ducts in the kidney to increase water reabsorption.
Rationale 4: Desmopressin does not suppress hormone secretion from the posterior pituitary gland.

Answer to Question 2

Correct Answer: 3
Rationale 1: Acromegaly is the result of too much growth hormone in adults.
Rationale 2: Treatment with growth hormone is very expensive, but it is up to the client to decide whether or not to pursue treatment.
Rationale 3: Clients should be referred to endocrinologists to discuss the uses of this hormone.
Rationale 4: In order to achieve this much additional growth, treatment would have to be started very early in life, not at age 12.

[FButt]

Excellent

[komodo7]

TYSM