Nokea
A nurse is preparing to teach a client about vasopressin. Which of the following would the nurse integrate into the teaching? Select all that apply.
- A. Vasopressin is secreted by the adrenal gland.
- B. Vasopressin is secreted when body fluids must be conserved.
- C. Vasopressin exhibits its greatest activity in the bladder.
- D. Vasopressin regulates the reabsorption of water from the kidney.
- E. Vasopressin is used to treat diabetes mellitus.
Correct Answer: B,D
Rationale: The following is true of the hormone vasopressin: it is secreted by the posterior pituitary gland, is secreted when body fluids must be conserved, exhibits its greatest activity on the renal tubular epithelium, regulates the reabsorption of water from the kidney, and is used to treat diabetes insipidus.
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A physician has ordered a client to receive growth hormone subcutaneously. Which of the following tests would the nurse anticipate as required at different intervals during the treatment?
- A. Carbohydrate tolerance
- B. Serum electrolyte levels
- C. Glucose tolerance
- D. pH level of the blood
Correct Answer: C
Rationale: Periodic testing of growth hormone levels, glucose tolerance, and thyroid functioning are required during growth hormone treatment for the client. The pH level of blood and carbohydrate tolerance testing are not required. Testing serum electrolyte levels is needed when a client is undergoing vasopressin therapy.
A nurse would administer vasopressin (Pressyn) cautiously to a client with which of the following? Select all that apply.
- A. Sleep apnea
- B. Migraine headaches
- C. Asthma
- D. Seizure disorders
- E. Angina
Correct Answer: B,C,D,E
Rationale: Vasopressin (Pressyn) is used cautiously in clients with a history of seizure disorder, migraine headaches, asthma, congestive heart failure, or vascular disease (angina and myocardial infarction).
After teaching a group of nursing students about corticosteroids, the instructor determines that the teaching was successful when the students identify which of the following as a mineralocorticoid?
- A. Hydrocortisone
- B. Betamethasone
- C. Triamcinolone
- D. Fludrocortisone
Correct Answer: D
Rationale: Fludrocortisone is a mineralocorticoid. Hydrocortisone, betamethasone, and triamcinolone are glucocorticoids.
A nurse completing discharge counseling should advise a client taking vasopressin (Pressyn) to notify the physician if which of the following occur? Select all that apply.
- A. Changes in urine output
- B. Abdominal cramps
- C. Skin blanching
- D. Diarrhea
- E. Cough
Correct Answer: A,B,C
Rationale: A nurse completing discharge counseling should advise a client taking vasopressin (Pressyn) to notify the physician if any of the following occur: a significant increase or decrease in urine output, abdominal cramps, skin blanching, nausea, confusion, headache, drowsiness, or signs of inflammation or infection at the injection sites.
A client is receiving corticosteroid therapy. Which nursing diagnosis would the nurse be least likely to identify for this client?
- A. Risk for Infection
- B. Disturbed Body Image
- C. Risk for Injury
- D. Deficient Fluid Volume
Correct Answer: D
Rationale: A client who is receiving corticosteroid therapy would be least likely to have a nursing diagnosis of Deficient Fluid Volume. Rather, Excess Fluid Volume would be more appropriate. Risk for Infection related to immunosuppression, Disturbed Body Image related to cushingoid effects, and Risk for Injury related to muscle atrophy and osteoporosis would be appropriate.