A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications?A. FurosemideB. DesmopressinC. EpinephrineD. Nitroprusside
Question
A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications?A. FurosemideB. DesmopressinC. EpinephrineD. Nitroprusside
Solution
The nurse should anticipate a prescription for Desmopressin.
Here's why:
The client's symptoms of extreme thirst and high urinary output are indicative of diabetes insipidus, a condition often associated with damage to the brainstem where the hypothalamus is located. The hypothalamus is responsible for the production of ADH (antidiuretic hormone), which helps the kidneys manage the amount of water in the body. Damage to this area can disrupt the production of ADH, leading to symptoms like excessive thirst and urination.
Desmopressin (option B) is a synthetic form of ADH and is used to treat symptoms of diabetes insipidus. Therefore, given the client's symptoms and their brainstem injury, Desmopressin is the most likely medication to be prescribed.
Furosemide (option A) is a diuretic, which would increase urine output, not decrease it. Epinephrine (option C) is typically used to treat severe allergic reactions, not symptoms of diabetes insipidus. Nitroprusside (option D) is used to treat congestive heart failure and life-threatening high blood pressure, not symptoms of diabetes insipidus.
Similar Questions
The nurse is caring for a client who has nephrogenic diabetes insipidus. Which of the following medications should the nurse expect to be prescribed for the client?A. PrednisoneB. HydrochlorothiazideC. VerapamilD. Lithium
50) A nurse is managing several IV medications to maintain the blood pressure of aclient in hypovolemic shock. Which medication places the client at risk for ahypertensive reaction, requiring the nurse to assess the blood pressure at least every15 minutes?(a) Norepinephrine (Levophed)(b) Sodium nitroprusside (Nipride)(c) Adenosine (Adenocard)(d) Amiodorone (Cordorone)
The nurse is admitting a new client from the emergency department who suffered a hemorrhagic stroke three days ago. Which of the following prescriptions and orders should the nurse question?Cassidy RhodyID: 112703Question 23Select all that apply:Insert an indwelling catheter due to impaired eliminationLabetalol 10 mg IV PRNIntake of 2000 mL of fluids per dayEnoxaparin 1 mg/kg SC q12hrsActive range-of-motion (ROM) exercises every 4 hours
30) A patient with septic shock has a urine output of 20 ml/hr for the past 3 hours. Thepulse rate is 120, and the central venous pressure and pulmonary artery wedgepressure are low. Which of these orders by the health care provider will the nursequestion?(a) Give furosemide(b) Increased normal saline infusion(c) Administer hydrocortisone(d) Prepare to give broad spectrum antibiotic
A client has been diagnosed with overhydration and is confused. Which intervention does the nurse include in the client's plan of care to relieve the confusion?*1 pointa. Measuring intake and output every shiftb. Slowing the IV flow rate to 50 mL/hrc. Administering diuretic agents as prescribedd. Placing the client in Trendelenburg position
Upgrade your grade with Knowee
Get personalized homework help. Review tough concepts in more detail, or go deeper into your topic by exploring other relevant questions.