A client is receiving an infusion of vasopressin (Pitressin) to treat bleeding esophageal varices. Which client complaint indicates to the nurse that a serious adverse effect of the drug may be occurring?

a. Acute nausea and vomiting
b. A pounding frontal headache
c. Vertigo and syncope
d. Midsternal chest pain


D
Midsternal chest pain is indicative of acute angina or myocardial infarction, which can be preci-pitated by vasopressin. The other side effects do not necessarily indicate that a serious side effect has occurred.

Nursing

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Following a spinal cord injury suffered in a motor vehicle accident, a 22-year-old male has lost fine motor function of his fingers and thumb but is still able to perform gross motor movements of his hand and arm

Which of the following components of his white matter has most likely been damaged? A) The inner layer (archilayer) B) The middle layer (paleolayer) C) The outer layer (neolayer) D) The reticular formation

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A nurse is providing care to clients through the FNS. Which of the following clients would the nurse most likely have seen?

a. An injured soldier b. A homebound, elderly male c. A woman in labor d. A child with measles

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When hospitals are competing for recruitment and retention purposes, the graduate may benefit by the hospital offering?

a. Fixed day shifts b. Opportunities to help the new graduate pass the NCLEX-RN exam c. A salary equivalent to that of the experienced nurse d. Free meals in the cafeteria

Nursing

During a group conference, the topic of eating disorders is discussed. One of your classmates is caring for a teenager who is emaciated but continues to refuse to eat enough and engages in jogging daily. This client likely has the diagnosis of:

a. anorexia nervosa b. bulimia nervosa c. binge eating disorder d. histrionic personality disorder

Nursing