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 C
Explanation
A. This is unpredictable chest pain that occurs at rest or with minimal exertion. It's a more serious condition and often a precursor to a heart attack.
B. Also known as Prinzmetal angina, this occurs at rest due to coronary artery spasms.
C. This is characterized by chest pain that occurs predictably with exertion and is relieved by rest. It's the most common type of angina.
D. This is another name for variant angina.
Correct Answer is B
Explanation
A. This is a late-stage sign of hypoxia, indicating cardiac arrest and no heart activity.
B. This is an early sign of hypoxia. As oxygen levels drop, the brain becomes agitated and the patient may exhibit restlessness, confusion, or anxiety.
C. This is a late sign of hypoxia, occurring when the brain is severely deprived of oxygen.
D. This is a late sign of hypoxia, indicating a bluish discoloration of the skin due to deoxygenated hemoglobin.
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