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 hours. The nurse should anticipate a prescription for which of the following intravenous (IV) medications?A. EpinephrineB. FurosemideC. NitroprussideD. Desmopressin
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 hours. The nurse should anticipate a prescription for which of the following intravenous (IV) medications?A. EpinephrineB. FurosemideC. NitroprussideD. Desmopressin
Solution
The client's symptoms of excessive thirst and high urinary output could indicate diabetes insipidus, a condition that can occur with damage to the brainstem. Diabetes insipidus is characterized by an inability of the kidneys to conserve water, leading to excessive urination and consequent thirst.
Desmopressin (D) is a synthetic form of the hormone vasopressin, which helps regulate water balance in the body. It is often used to treat diabetes insipidus. Therefore, the nurse should anticipate a prescription for Desmopressin.
Epinephrine (A) is typically used to treat severe allergic reactions, not symptoms of diabetes insipidus. Furosemide (B) is a diuretic, which would increase urine output and exacerbate the client's symptoms. Nitroprusside (C) is used to treat high blood pressure, which is not the issue in this case.
So, the correct answer is D. Desmopressin.
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