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 D
Explanation
A. Many of the herbal preparations are helpful primarily because of their placebo effect:
While placebo effects can play a role, many herbal preparations, including echinacea, have been studied for their potential therapeutic benefits beyond placebo effects. This statement oversimplifies and may dismiss valid efficacy.
B. This product is essentially harmless but also is not very beneficial in treating skin infections:
Echinacea is generally considered safe for topical use and has been used for various infections, including canker sores. This statement underestimates the potential benefits of echinacea in treating certain conditions.
C. Topical echinacea is usually used to soothe burns and can cause damage to the skin:
Topical echinacea is commonly used for various skin conditions, but it is not typically associated with causing skin damage. The statement may create unnecessary concern.
D. Echinacea seems to be useful in the treatment of some infections, such as canker sores:
Echinacea has been used traditionally and in some studies for its antimicrobial properties, which may be beneficial for certain infections, including canker sores. This statement acknowledges its potential utility without dismissing its benefits.
Correct Answer is B
Explanation
A. High density lipoprotein (HDL):
HDL levels are important for cardiovascular health as higher levels are associated with a lower risk of coronary artery disease. However, atorvastatin primarily targets LDL levels. While increasing HDL is beneficial, it is not the primary measure of atorvastatin's effectiveness.
B. Low density lipoprotein (LDL):
Atorvastatin is a statin medication used to lower LDL cholesterol levels, which is a major risk factor for coronary artery disease. A decrease in LDL levels indicates that the medication is having its desired effect, reducing the risk of cardiovascular events.
C. Creatine phosphokinase (CK):
CK levels are monitored to assess muscle damage or side effects related to statin use, such as rhabdomyolysis. While important for safety monitoring, changes in CK levels do not directly reflect the effectiveness of atorvastatin in managing cholesterol levels.
D. Prothrombin time (PT):
PT is used to evaluate blood clotting ability and is not directly related to the effectiveness of atorvastatin. It is more relevant for monitoring anticoagulant therapy rather than statin therapy for cholesterol management.
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