Your patient with Diabetes Insipidus is prescribed Vasopressin. Which of the following findings in your patient's medical history should cause you to question the order with the Dr.?
Patient has a history of angina and is taking SL Nitroglycerin
Patient has a history of hyperglycemia and is taking SQ insulin
Patient has history of hypotension and is taking PO Digoxin
Patient's mother died from ovarian cancer
The Correct Answer is A
A. Vasopressin has a vasoconstrictive effect, which means it narrows blood vessels while nitroglycerin has a vasodilatory effect, meaning it widens blood vessels. Combining these two medications could potentially lead to a significant drop in blood pressure and increase the risk of angina or myocardial infarction.
B. While hyperglycemia and insulin use are relevant for managing diabetes, they are not directly related to the use of Vasopressin. Vasopressin's main concerns are related to fluid balance and blood pressure rather than glucose levels.
C. Vasopressin can actually help to increase blood pressure, which might be beneficial for a patient with hypotension.
D. The family history of ovarian cancer does not have a direct impact on the use of Vasopressin. Vasopressin’s use is more closely related to cardiovascular and fluid balance issues rather than cancer history.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Skinny, muscle-wasted appearance is more characteristic of emphysema, another type of COPD. Patients with chronic bronchitis often have a more ruddy complexion due to chronic hypoxia.
B. Dependent edema can occur due to right-sided heart failure, which is a complication of chronic bronchitis.
C. Production of large amounts of sputum is a hallmark symptom of chronic bronchitis.
D. Cyanotic Skin tone is also a common finding in patients with chronic bronchitis due to chronic hypoxia.
Correct Answer is C
Explanation
A. Pink skin is characteristic of emphysema. Unlike chronic bronchitis, patients with emphysema often maintain adequate oxygen levels until the disease is very advanced.
B. Barrel chest is a classic sign of emphysema due to air trapping in the lungs, causing the chest to become hyperinflated.
C. Cyanotic skin tone is more common in chronic bronchitis due to chronic hypoxia.
D. Pursed-lip breathing is a common technique used by patients with emphysema to help them exhale more completely.
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