Nokea
The health-care provider has ordered 40 g/24 hr of intranasal vasopressin for a client diagnosed with diabetes insipidus. Each metered spray delivers 10 g. The client takes the medication every 12 hours. How many sprays are delivered at each dosing time?
Correct Answer: 2 sprays
Rationale: Total dose: 40 g/24 hr, split every 12 hr = 20 g/dose. Each spray = 10 g, so 20 g ÷ 10 g/spray = 2 sprays per dose.
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Which problem is most likely to develop if hyperthyroidism remains untreated?
- A. Pulmonary embolism
- B. Respiratory acidosis
- C. Cerebro vascular accident
- D. Heart failure
Correct Answer: D
Rationale: Untreated hyperthyroidism causes severe tachycardia, which can lead to heart failure due to increased cardiac workload.
The diabetic client tells the nurse that breakfast is always skipped. Which response by the nurse is most appropriate?
- A. If you drink a glass of milk and eat a breakfast bar, that will be sufficient for breakfast.
- B. You should eat each meal and snack at the same time each day.
- C. If you skip breakfast, eat a high-calorie snack at midmorning.
- D. Wait to take your medication until you eat your first meal of the day.
Correct Answer: B
Rationale: Consistent meal timing is crucial for blood glucose control in diabetes.
The nurse is assessing a client with complaints of vague upper abdominal pain worse at night but relieved by sitting up and leaning forward. Which assessment question should the nurse ask next?
- A. Have you noticed a yellow haze when you look at things?
- B. Does the pain get worse when you eat a meal or snack?
- C. Have you had your amylase and lipase checked recently?
- D. How much weight have you gained since you saw an HCP?
Correct Answer: A
Rationale: The pain description suggests pancreatic cancer; jaundice (yellow haze) is a common symptom due to bile duct obstruction, guiding further assessment. Eating effects, labs, and weight gain are less specific.
The nurse is teaching the client diagnosed with diabetes. Which should the nurse teach to limit the complications of diabetes?
- A. Teach the client to keep the blood glucose under 140 mg/dL.
- B. Demonstrate how to test the urine for ketones.
- C. Instruct the client to apply petroleum jelly between the toes.
- D. Allow the client to eat meals as desired and then take insulin.
Correct Answer: A
Rationale: Maintaining blood glucose <140 mg/dL prevents complications like neuropathy and retinopathy. Ketone testing is for type 1, petroleum jelly is incorrect, and meal-based insulin is unsafe.
How does the nurse expect the urine that is collected for a routine urinalysis to appear?
- A. Tea-colored
- B. Pale yellow
- C. Goldless
- D. Light pink
Correct Answer: B
Rationale: In diabetes insipidus, the urine is typically dilute and pale yellow due to the large volume of water excreted.