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 B
Explanation
A. Symptoms of DVT typically include pain, swelling, and redness in the affected leg, not sweating and tachycardia.
B. Given the patient's NPO status since midnight, the prolonged fasting coupled with the stress of surgery can lead to low blood sugar. Symptoms of hypoglycemia include sweating, tachycardia, and hunger.
C. Symptoms of hyperglycemia usually include increased thirst, frequent urination, and fatigue, not sweating and tachycardia.
D. While anxiety can cause some physical symptoms, sweating and tachycardia are more characteristic of hypoglycemia in this context.
Correct Answer is B
Explanation
A. While respiratory depression and cyanosis can be associated with opioid toxicity, agitation is not a typical symptom.
B. Pinpoint Pupils, Respiratory Depression, and ALOC (Altered Level of Consciousness are the three signs are classic indicators of opioid overdose.
C. PERRLA (pupils equal, round, reactive to light, and accommodation) indicates normal pupil function, which is opposite to opioid toxicity.
D. Dilated pupils are more indicative of stimulant use, not opioid overdose.
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