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 D
Explanation
A. This patient is likely to have secondary hypertension due to an underlying endocrine disorder.
B. This patient may experience gestational hypertension, which is a temporary condition related to pregnancy.
C. This patient is likely to have secondary hypertension due to kidney dysfunction.
D. This patient has multiple risk factors for essential hypertension, which is the most common type of hypertension with no identifiable underlying cause. Smoking and obesity are both strong risk factors for developing hypertension.
Correct Answer is ["A","B","D"]
Explanation
A. Excessive hunger is more commonly associated with hypoglycemia (low blood sugar), not hyperglycemia.
B. When blood sugar levels are high, the kidneys work overtime to filter out the excess glucose, leading to increased urination and dehydration. This causes increased thirst.
C. Sweaty skin is more often associated with hypoglycemia or other conditions like anxiety.
D. As mentioned above, the kidneys work harder to eliminate excess glucose, leading to increased urine production.
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