A client who is newly diagnosed with diabetes insipidus (DI) is receiving a synthetic vasopressin intravenously. Which side effect of vasopressin reported by the client should the nurse report to the healthcare provider?
Worsening headache.
Low urine specific gravity.
Polyuria.
Polydipsia.
The Correct Answer is A
A. Worsening headache:
Vasopressin is used to manage diabetes insipidus by reducing excessive urine output and increasing water reabsorption. A worsening headache could indicate an adverse reaction or side effect such as water intoxication or an increase in intracranial pressure, which requires immediate attention from the healthcare provider.
B. Low urine specific gravity:
Vasopressin should increase urine specific gravity by concentrating the urine. A low urine specific gravity would indicate that the medication is not effectively concentrating the urine, but it is not an immediate or severe side effect needing urgent reporting.
C. Polyuria:
Polyuria (excessive urine output) is a characteristic of diabetes insipidus, and vasopressin is intended to reduce this symptom. If polyuria persists despite treatment, it suggests that the medication is not working as intended but does not indicate a severe side effect.
D. Polydipsia:
Polydipsia (excessive thirst) can occur in diabetes insipidus and may continue despite treatment with vasopressin. While it indicates ongoing symptoms, it is not a severe side effect of the medication that would require urgent reporting to the healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["37.5"]
Explanation
Convert grams to milligrams: 4 grams = 4000 mg
Determine the concentration of magnesium sulfate in the solution: 4000 mg / 500 mL = 8 mg/mL
Calculate the volume needed to deliver 300 mg/hour:
300 mg/hour ÷ 8 mg/mL = 37.5 mL/hour
Therefore, the nurse should set the infusion pump to deliver 37.5 mL/hour.
Correct Answer is B
Explanation
A) Migraine headaches: While migraine headaches are significant for overall health management, they are less directly related to the risks associated with NSAID use compared to other conditions. Migraines do not typically influence the safety profile of NSAIDs.
B) Chronic alcoholism: Chronic alcoholism is a major concern because it significantly increases the risk of gastrointestinal complications with NSAID use. NSAIDs can cause gastric irritation, bleeding, and ulcers, and alcohol can exacerbate these risks, leading to severe gastrointestinal issues or liver damage.
C) Osteoarthritis: Osteoarthritis is a common indication for NSAID use and, therefore, does not pose an additional risk specific to the medication. NSAIDs are often prescribed to manage pain and inflammation associated with osteoarthritis.
D) Type 2 diabetes mellitus: Although diabetes mellitus requires careful management, it does not directly increase the risk of NSAID-related complications. However, clients with diabetes need to be monitored for overall health and medication effects, but chronic alcoholism poses a more immediate risk for NSAID use.
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