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","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.
Correct Answer is ["B","D","E"]
Explanation
A. Pitting edema is more commonly associated with right-sided heart failure, where blood backs up in the systemic venous system, leading to fluid accumulation in the extremities. While it can occur in left- sided heart failure due to secondary effects on right-sided heart function, it is not a primary feature.
B. This is a common symptom of left-sided heart failure. It refers to sudden, severe shortness of breath that occurs at night, often causing the patient to wake up gasping for air. It is due to fluid accumulation in the lungs when lying flat, which worsens the patient’s breathing.
C. JVD is typically associated with right-sided heart failure. It occurs when blood backs up into the veins of the neck. In left-sided heart failure, this is not a primary symptom, though it can appear if left-sided heart failure progresses to affect the right side of the heart.
D. Crackles (or rales) are often heard during auscultation of the lungs in patients with left-sided heart failure. They are caused by fluid accumulation in the alveoli and are a direct result of pulmonary congestion.
E. This is a classic and severe symptom of left-sided heart failure, specifically associated with acute pulmonary edema. It occurs due to significant fluid leakage from the capillaries into the alveoli, mixing with air to create the pink, frothy appearance.
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