A nurse assesses a client who is prescribed an infusion of vasopressin (Pitressin) for bleeding esophageal varices. Which clinical manifestation should alert the nurse to a serious adverse effect?
a. Nausea and vomiting
b. Frontal headache
c. Vertigo and syncope
d. Mid-sternal chest pain
ANS: D
Mid-sternal chest pain is indicative of acute angina or myocardial infarction, which can be precipitated by vasopressin. Nausea and vomiting, headache, and vertigo and syncope are not side effects of vasopressin.
You might also like to view...
A nurse educator is teaching a group of new staff members recently hired on a behavioral health unit. Which examples of cognitive-behavioral therapy (CBT) does the educator include as expected when providing care to clients on the unit?
Select all that apply. A) Cognitive restructuring B) Relaxation techniques C) Systematic desensitization D) Reciprocal inhibition E) Benzodiazepine administration
The nurse gathers the following data: BP = 150/94; neck veins distended; P = 104; pulse bounding; respiratory rate = 20; T = 37°C (98.6°F). What disorder should the nurse suspect?
1) Hypovolemia 2) Hypercalcemia 3) Hyperkalemia 4) Hypervolemia
A client asks the nurse what a shoulder dislocation is. Which response should the nurse provide the client?
A. "Your shoulder is fractured and separated from the joint." B. "You have a muscle tear at the shoulder." C. "Your shoulder bone has come apart from the shoulder joint." D. "Your tendons and muscles have been damaged."
Rehabilitation starts when the person:
a. First seeks health care b. Seeks hospital care c. Is in an assisted living residence d. Is admitted to a nursing center