Nokea
A nurse would administer vasopressin (Pressyn) cautiously to a client with which of the following? Select all that apply.
- A. Sleep apnea
- B. Migraine headaches
- C. Asthma
- D. Seizure disorders
- E. Angina
Correct Answer: B,C,D,E
Rationale: Vasopressin (Pressyn) is used cautiously in clients with a history of seizure disorder, migraine headaches, asthma, congestive heart failure, or vascular disease (angina and myocardial infarction).
You may also like to solve these questions
A group of nursing students demonstrate understanding of a class discussion on pituitary hormones when they identify which of the following hormones as secreted by the posterior pituitary gland? Select all that apply.
- A. Growth hormone
- B. Adrenocorticotropic hormone
- C. Vasopressin
- D. Prolactin
- E. Oxytocin
Correct Answer: C,E
Rationale: Vasopressin and oxytocin are secreted by the posterior pituitary gland. Growth hormone, adrenocorticotropic hormone, and prolactin are secreted by the anterior pituitary gland, not the posterior.
Which of the following should be included in the nurse's preadministration assessment of a client about to receive somatropin (Nutropin)? Select all that apply.
- A. Height
- B. Weight
- C. Blood pressure
- D. Pulse
- E. Respiratory rate
Correct Answer: A,B,C,D,E
Rationale: Blood pressure, pulse, respiratory rate, temperature, height, and weight should be included in the nurse's preadministration assessment of a client about to receive somatropin (Nutropin).
Which of the following hormones would the instructor include as being secreted by the anterior pituitary gland? Select all that apply.
- A. Growth hormone
- B. Adrenocorticotropic hormone
- C. Vasopressin
- D. Prolactin
- E. Oxytocin
Correct Answer: A,B,D
Rationale: Prolactin, adrenocorticotropic hormone, growth hormone, luteinizing hormone, follicle-stimulating hormone, and thyroid-stimulating hormone are secreted by the anterior pituitary gland. Vasopressin and oxytocin are secreted by the posterior pituitary gland.
A nurse is caring for a client who has been undergoing glucocorticoid therapy at a health care facility and is getting discharged. Which of the following instructions should the nurse include in the teaching plan for the client and family?
- A. Report any symptoms of sore throat or fever immediately.
- B. Notify the PHCP if glucose appears in the urine.
- C. Measure the amount of fluids taken each day.
- D. Take the oral drug with meals or snacks.
Correct Answer: D
Rationale: The nurse should instruct the client to take the oral drug with meals or snacks to decrease the gastrointestinal effects and upsets in the teaching plan for the client and family. Reporting any symptoms of sore throat or fever immediately and notifying the primary health care provider if glucose appears in the urine should be included in the teaching plan for a client undergoing adrenocorticotropic hormone (ACTH) therapy. The nurse should instruct the client to measure the amount of fluids taken each day in the teaching plan for the client receiving vasopressin.
After teaching a group of nursing students about corticosteroids, the instructor determines that the teaching was successful when the students identify which of the following as a mineralocorticoid?
- A. Hydrocortisone
- B. Betamethasone
- C. Triamcinolone
- D. Fludrocortisone
Correct Answer: D
Rationale: Fludrocortisone is a mineralocorticoid. Hydrocortisone, betamethasone, and triamcinolone are glucocorticoids.