Question

A nurse is preparing to administer a prescribed dose of desmopressin to a client who has hemophilia A. The client's laboratory results indicate that the client has a sodium level of 130 mEq/L. What actions should the nurse take?

Answer 1

When administering desmopressin to a client with hemophilia A, the nurse should assess the client's sodium level and take appropriate actions. These actions include consulting with the healthcare provider for the correct dose, monitoring the sodium level closely, and educating the client and family about fluid and electrolyte balance.

Step-by-step explanation:

Desmopressin is a medication used to treat certain bleeding disorders, such as hemophilia A. It works by increasing the levels of a hormone called antidiuretic hormone (ADH), which helps the body retain water and prevent excessive bleeding.

However, before administering desmopressin to a client, it is important for the nurse to assess the client's sodium level. In this case, the client has a sodium level of 130 mEq/L, which is lower than the normal range of 135-145 mEq/L. To ensure the safe administration of desmopressin, the nurse should take the following actions:

1. Consult with the healthcare provider to confirm the appropriate dose of desmopressin based on the client's sodium level. Generally, a lower dose may be recommended for clients with hyponatremia (low sodium levels).
2. Monitor the client's sodium level closely during and after administration of desmopressin. Rapid correction of hyponatremia can lead to neurological complications, so it is important to avoid over-correction.
3. Educate the client and their family about the signs and symptoms of hyponatremia and the importance of maintaining adequate fluid and electrolyte balance.