A client who is newly diagnosed with diabetes insipidus (DI) is receiving a synthetic vasopressin intravenously. Which side effect of vasopressin reported by the client should the nurse report to the healthcare provider?

Worsening headache.

Low urine specific gravity.

Polyuria.

Polydipsia.

Answer and Explanation

The Correct Answer is A

A. Worsening headache:
Vasopressin is used to manage diabetes insipidus by reducing excessive urine output and increasing water reabsorption. A worsening headache could indicate an adverse reaction or side effect such as water intoxication or an increase in intracranial pressure, which requires immediate attention from the healthcare provider.

B. Low urine specific gravity:
Vasopressin should increase urine specific gravity by concentrating the urine. A low urine specific gravity would indicate that the medication is not effectively concentrating the urine, but it is not an immediate or severe side effect needing urgent reporting.

C. Polyuria:
Polyuria (excessive urine output) is a characteristic of diabetes insipidus, and vasopressin is intended to reduce this symptom. If polyuria persists despite treatment, it suggests that the medication is not working as intended but does not indicate a severe side effect.

D. Polydipsia:
Polydipsia (excessive thirst) can occur in diabetes insipidus and may continue despite treatment with vasopressin. While it indicates ongoing symptoms, it is not a severe side effect of the medication that would require urgent reporting to the healthcare provider.

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Correct Answer is C

Explanation

A. Digoxin level of 1.1 ng/mL (1.4 nmol/L):
A digoxin level of 1.1 ng/mL is within the therapeutic range (0.8 to 2.0 ng/mL). While it is important to monitor digoxin levels, this value does not indicate an immediate concern.

B. Creatinine level of 0.8 mg/dL (70.72 μmol/L):
A creatinine level of 0.8 mg/dL is within the normal range (0.5 to 1.1 mg/dL) and does not indicate any renal impairment or immediate issue.

C. Potassium level of 3.2 mEq/L (3.2 mmol/L):
A potassium level of 3.2 mEq/L is below the normal range (3.5 to 5.0 mEq/L). Hypokalemia can increase the risk of digoxin toxicity and arrhythmias, making this an urgent issue that should be reported to the healthcare provider immediately.

D. Sodium level of 135 mEq/L (135 mmol/L):
A sodium level of 135 mEq/L is slightly below the normal range (136 to 145 mEq/L), but it is not as critical as a significantly abnormal potassium level in the context of digoxin use. While it should be monitored, it is less urgent compared to the potassium level.

A. Perform a bladder scan. B. Obtain daily weights. C. Assess urine output. D. Monitor blood pressure.

Correct Answer is D

Explanation

A. Perform a bladder scan:
This intervention is useful for assessing urinary retention or post-void residual volumes but is not specifically related to monitoring the adverse effects of tamsulosin.

B. Obtain daily weights:
Daily weights are typically used to monitor fluid balance and signs of fluid retention, not specifically for adverse reactions to tamsulosin.

C. Assess urine output:
While monitoring urine output can be important in managing BPH, it is not specifically targeted to identify adverse reactions to tamsulosin.

D. Monitor blood pressure:
Tamsulosin, an alpha-1 blocker, can cause orthostatic hypotension (a drop in blood pressure when standing up) and dizziness. Monitoring blood pressure helps detect this potential adverse effect, ensuring the client is not experiencing significant drops in blood pressure.

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A client who is newly diagnosed with diabetes insipidus (DI) is receiving a synthetic vasopressin intravenously. Which side effect of vasopressin reported by the client should the nurse report to the healthcare provider?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?

Correct Answer is D

Explanation

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