The nurse is caring for a patient with esophageal varices with a new order for vasopressin (Pitressin)
The nurse reviews the patient's history and notes that the patient's comorbidities in-clude coronary artery disease (CAD), type 2 diabetes, gastroesophageal reflux disease (GERD), and fibromyalgia. The nurse should immediately notify the physician about which component of the patient's history?
a. CAD
b. Diabetes mellitus (DM) type 2
c. GERD
d. Fibromyalgia.
A
Vasopressin (Pitressin) is a potent medication that causes vasoconstriction and stops bleeding of esophageal varices. With the use of potent vasoconstrictors such as vasopressin (Pitressin), which constricts all vessels, the possibility of it causing a myocardial infarction (MI) is a very real concern and should be used most cautiously with the patient with CAD.
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A patient is asking advice about which
over-the-counter antacid is considered the most safe to use for heartburn. The nurse explains that the reason that calcium antacids are not used as frequently as other antacids is for which of these reasons? a. Their use may result in kidney stones. b. They cause decreased gastric acid production. c. They cause severe diarrhea. d. Their use may result in fluid retention and edema.
The new nurse has an adequate understanding of bullying when stating which of the following? (Select all that apply.)
a. "The purpose of bullying is to control the target.". b. "Bullying can verbal, behavioral, or sabo-tage.". c. "Bullying usually occurs as a single event.". d. "Bullying is initiated by the perpetrator.". e. "The victim usually deserves the bullying.".
A patient's nurse-midwife tells the woman that she has developed dystocia. What should the nurse explain to the patient about the meaning of this term?
A) Difficult or abnormal labor B) High blood pressure related to difficult labor C) Potential for placental detachment D) Muscle weakness related to prolonged labor
A nurse is preparing to suction a patient. The pulse is 65 and pulse oximetry is 94%. Which finding will cause the nurse to stop suctioning?
a. Pulse 75 b. Pulse 80 c. Oxygen saturation 91% d. Oxygen saturation 88%