{"id":137859,"date":"2024-09-13T16:02:36","date_gmt":"2024-09-13T16:02:36","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=137859"},"modified":"2024-09-13T16:02:38","modified_gmt":"2024-09-13T16:02:38","slug":"a-nurse-is-assessing-a-5-year-old-child-who-has-diabetes-insipidus-and-is-receiving-desmopressin","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/13\/a-nurse-is-assessing-a-5-year-old-child-who-has-diabetes-insipidus-and-is-receiving-desmopressin\/","title":{"rendered":"A nurse is assessing a 5-year-old child who has diabetes insipidus and is receiving desmopressin"},"content":{"rendered":"\n<p>A nurse is assessing a 5-year-old child who has diabetes insipidus and is receiving desmopressin.<br>Which of the following findings should the nurse identify as an indication that the medication is effective?<br>A.<br>Heart rate 140\/min.<\/p>\n\n\n\n<p>B.<br>Cessation of nocturnal enuresis.<\/p>\n\n\n\n<p>C.<br>Capillary refill 3 seconds.<\/p>\n\n\n\n<p>D.<br>Absence of hypoglycemic episodes.<\/p>\n\n\n\n<p><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\"><strong>The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n<p>The correct answer is <strong>B. Cessation of nocturnal enuresis.<\/strong><\/p>\n\n\n\n<p><strong>Explanation:<\/strong><\/p>\n\n\n\n<p>Desmopressin is a synthetic analog of vasopressin (antidiuretic hormone) used to treat diabetes insipidus (DI), a condition characterized by excessive thirst and urination due to a deficiency of vasopressin. Desmopressin helps to reduce the volume of urine produced and alleviate the symptoms of DI.<\/p>\n\n\n\n<p>In children with DI, one common symptom is nocturnal enuresis (bedwetting). This occurs because the child is unable to concentrate urine effectively during the night. The effectiveness of desmopressin can be evaluated by observing improvements in this symptom. If the medication is effective, the child should experience a reduction or cessation of bedwetting as their body begins to concentrate urine more effectively.<\/p>\n\n\n\n<p>Here\u2019s why the other options are not the best indicators of desmopressin effectiveness:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A. Heart rate 140\/min:<\/strong> While heart rate changes might be observed in various conditions or responses to medication, this finding alone is not specific to the effectiveness of desmopressin in treating diabetes insipidus. The heart rate can be influenced by many factors unrelated to DI treatment.<\/li>\n\n\n\n<li><strong>C. Capillary refill 3 seconds:<\/strong> Capillary refill time is a measure of peripheral perfusion and can be affected by various factors, including dehydration or shock. While it might indicate fluid status, it is not a direct measure of the effectiveness of desmopressin.<\/li>\n\n\n\n<li><strong>D. Absence of hypoglycemic episodes:<\/strong> Hypoglycemia is related to low blood sugar levels and is not directly related to diabetes insipidus or the action of desmopressin. Therefore, the absence of hypoglycemic episodes does not indicate the effectiveness of desmopressin for managing DI.<\/li>\n<\/ul>\n\n\n\n<p>In summary, the cessation of nocturnal enuresis directly reflects the improved ability of the child\u2019s kidneys to concentrate urine, which is a primary goal of desmopressin therapy in managing diabetes insipidus.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse is assessing a 5-year-old child who has diabetes insipidus and is receiving desmopressin.Which of the following findings should the nurse identify as an indication that the medication is effective?A.Heart rate 140\/min. B.Cessation of nocturnal enuresis. C.Capillary refill 3 seconds. D.Absence of hypoglycemic episodes. The correct answer and Explanation is : The correct answer [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-137859","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137859","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=137859"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137859\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=137859"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=137859"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=137859"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}