The nurse is discharging a client diagnosed with diabetes insipidus. Which statement made by the client warrants further intervention? 1. “I will keep a list of my medications in my wallet and wear a Medic Alert bracelet.” 2. “I should take my medication in the morning and leave it refrigerated at home.” 3. “I should weigh myself every morning and record any weight gain.” 4. “If I develop a tightness in my chest, I will call my health-care provider.”
The statement made by the client that warrants further intervention is option 2: “I should take my medication in the morning and leave it refrigerated at home
The statement made by the client that warrants further intervention is option 2: “I should take my medication in the morning and leave it refrigerated at home.”
Diabetes insipidus is a condition characterized by inadequate production or utilization of the hormone vasopressin (also known as anti-diuretic hormone or ADH). Vasopressin helps regulate the body’s water balance. Without enough vasopressin, excessive amounts of water are excreted in the urine, leading to frequent urination and increased thirst.
To manage diabetes insipidus, medication is often prescribed. One common medication used is desmopressin (DDAVP), a synthetic form of vasopressin. It is usually administered nasally or orally.
The reason why the statement in option 2 requires further intervention is that desmopressin, as with most medications, typically needs to be stored in a cool place to maintain its effectiveness. This doesn’t necessarily mean it has to be refrigerated, but it should be kept away from extreme temperatures and stored according to the instructions provided by the healthcare provider or pharmacist.
If the client is informed that they should refrigerate their medication but leave it at home, there could be a misunderstanding or potential for incorrect storage of the medication. Refrigeration may be necessary, especially if the medication is in liquid or nasal spray form.
To clarify any confusion, the nurse needs to further educate the client on the proper storage requirements for their medication and ensure they have a clear understanding. It is crucial for the client to follow the medication instructions accurately to maintain its effectiveness and manage their condition effectively.
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