Author Question: A client with long-term nephrogenic diabetes insipidus (DI) is admitted to a medical unit. During ... (Read 73 times)

haleyc112

  • Hero Member
  • *****
  • Posts: 600
A client with long-term nephrogenic diabetes insipidus (DI) is admitted to a medical unit. During the medication reconciliation process, the nurse realizes it is crucial that which medication be included in the client's regimen?
 
  1. Chlorpropamide
  2. Hydrochlorothiazide (HCTZ)
  3. Intranasal or oral desmopressin
  4. Conivaptan (Vaprisol)

Question 2

A nurse is explaining the need to track blood glucose levels to a client who will be receiving growth hormone injections. The explanation is based on the recognition that additional growth hormone will:
 
  1. increase insulin resistance.
  2. decrease blood glucose levels.
  3. promote very rapid growth.
  4. trigger type I diabetes mellitus.



Ahnyah

  • Sr. Member
  • ****
  • Posts: 336
Answer to Question 1

Correct Answer: 2
Rationale 1: This medication is not indicated for long-term nephrogenic diabetes insipidus.
Rationale 2: Nephrogenic DI is a condition in which the kidneys do not respond to ADH or conserve water properly. The conventional treatment is administration of the thiazide diuretic HCTZ.
Rationale 3: Additional desmopressin (ADH) will not help treat the disorder.
Rationale 4: Conivaptan (Vaprisol) would make the problem worse because it is a vasopressin-receptor blocker.
Global Rationale: Nephrogenic DI is a condition in which the kidneys do not respond to ADH or conserve water properly. The conventional treatment is administration of the thiazide diuretic HCTZ. ADH supplementation is not effective. Conivaptan (Vaprisol) would make the problem worse because it is a vasopressin-receptor blocker.

Answer to Question 2

Correct Answer: 1
Rationale 1: Higher levels of growth hormone tend to increase insulin resistance at the cellular level, which makes blood glucose increase.
Rationale 2: Growth hormone does not decrease blood glucose levels.
Rationale 3: Growth accelerates, but it is not rapid at the recommended dose range. This also does not explain the purpose of tracking blood glucose levels.
Rationale 4: The increased level of GH does not damage the pancreas or cause type 1 diabetes mellitus.
Global Rationale: Higher levels of growth hormone tend to increase insulin resistance at the cellular level, which makes blood glucose increase. Growth accelerates, but it is not rapid at the recommended dose range. This also does not explain the purpose of tracking blood glucose levels. The increased level of GH does not damage the pancreas or cause type 1 diabetes mellitus.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

ACTH levels are normally highest in the early morning (between 6 and 8 A.M.) and lowest in the evening (between 6 and 11 P.M.). Therefore, a doctor who suspects abnormal levels looks for low ACTH in the morning and high ACTH in the evening.

Did you know?

The highest suicide rate in the United States is among people ages 65 years and older. Almost 15% of people in this age group commit suicide every year.

Did you know?

Vaccines prevent between 2.5 and 4 million deaths every year.

Did you know?

Human neurons are so small that they require a microscope in order to be seen. However, some neurons can be up to 3 feet long, such as those that extend from the spinal cord to the toes.

Did you know?

About 3.2 billion people, nearly half the world population, are at risk for malaria. In 2015, there are about 214 million malaria cases and an estimated 438,000 malaria deaths.

For a complete list of videos, visit our video library