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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Undergo annual eye examinations:
While eye examinations are important for monitoring certain conditions, they are not specifically required for clients taking methotrexate or adalimumab.

B. Avoid crowds and people who are sick:
Both methotrexate and adalimumab can suppress the immune system, increasing the risk of infections. Therefore, avoiding crowds and people who are sick is a crucial precaution to reduce the risk of infection.

C. Have a chest x-ray prior to your first dose:
A chest x-ray is not typically required for the initiation of adalimumab. However, screening for tuberculosis with a tuberculin skin test or other methods might be necessary due to the risk of reactivation.

D. Obtain routine vaccinations as scheduled:
Clients on methotrexate or adalimumab should consult their healthcare provider before receiving any vaccinations, as live vaccines are usually contraindicated in immunosuppressed individuals. Routine vaccinations may need to be reviewed and adjusted accordingly.

A. Avoid prolonged exposure to direct sunlight. B. Stop the oral contraceptive immediately. C. Take the medications at least 12 hours apart. D. Use an additional form of contraception.

Correct Answer is D

Explanation

A) Avoid prolonged exposure to direct sunlight: While erythromycin can increase sensitivity to sunlight, this is not directly related to the interaction between oral contraceptives and erythromycin. The primary concern with erythromycin and oral contraceptives is their interaction rather than sun exposure.

B) Stop the oral contraceptive immediately: There is no need to stop oral contraceptives when taking erythromycin. However, erythromycin can potentially reduce the effectiveness of oral contraceptives, so additional precautions should be taken rather than discontinuing the contraceptive.

C) Take the medications at least 12 hours apart: Timing of administration is not a primary concern for this interaction. The main issue is the potential reduction in contraceptive efficacy rather than timing the doses of the medications.

D) Use an additional form of contraception: Erythromycin can potentially decrease the effectiveness of oral contraceptives due to its effect on liver enzymes and drug metabolism. It is advisable to use an additional form of contraception to prevent unintended pregnancy while taking erythromycin.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who takes methotrexate for rheumatoid arthritis and receives a prescription for adalimumab. Which instructions should the nurse provide the client?

Correct Answer is B

Explanation

A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which instruction should the nurse provide to the client?

Correct Answer is D

Explanation

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