() RN VATI Comprehensive
() RN VATI Comprehensive
Predictor Form A, B, & C, Exam 1 with NGN
Questions and Revised Correct Answers, 100%
Guarantee Pass GRADED A+
A client has a primary health care provider's appointment to get a prescription
for sildenafil. The nurse obtains the health history from the client. Which finding
indicates that the medication is contraindicated?
The client has type 2 diabetes mellitus.
The client has a history of renal calculi.
The client is taking glargine insulin.
A+ TEST BANK 1
, () RN VATI Comprehensive
The client takes isosorbide dinitrate –
Correct Answer :The client takes isosorbide dinitrate .
Rationale:
Sildenafil is used to treat male erectile dysfunction. It is contraindicated in the
client who is using isosorbide dinitrate, a form of sodium nitroprusside or
organic nitrates in any form, because both sildenafil and nitrates promote
hypotension. When these medications are combined, life-threatening
hypotension may result. Type 2 diabetes mellitus, a history of renal calculi, and
the use of glargine insulin are not contraindications to the use of sildenafil.
Vasopressin is prescribed to a client with diabetes insipidus. For which
sign/symptom, indicative of an adverse effect of the medication, does the nurse
monitor the client?
Chest pain
Constipation
Loss of appetite
Decreased urine output –
Correct Answer :Chest pain
Rationale:
A+ TEST BANK 2
, () RN VATI Comprehensive
Chest pain is a sign of an adverse effect of vasopressin, and if it occurs, the
primary health care provider must be notified. Because of its powerful
vasoconstrictive action, vasopressin can cause adverse cardiovascular effects.
By constricting arteries of the heart, vasopressin can cause angina pectoris and
even myocardial infarction, especially if the medication is administered to a
client with existing coronary artery disease. Vasopressin may also cause
gangrene by decreasing blood flow in the periphery. Decreased urine output is
an expected effect. Neither constipation nor loss of appetite is associated with
this medication.
Desmopressin is prescribed to a client with diabetes insipidus. Which parameter
does the nurse tell the client that it is important to monitor while taking the
medication?
Appetite
Pulse rate
Bowel pattern
Intake and output –
Correct Answer :Intake and output
Rationale:
The client is instructed to monitor and record daily intake and output of fluid.
Diabetes insipidus is a disorder of water metabolism caused by a deficiency of
antidiuretic hormone. Desmopressin promotes renal conservation of water. The
hormone accomplishes this by acting on the collecting ducts of the kidney to
A+ TEST BANK 3
, () RN VATI Comprehensive
increase their permeability to water, resulting in increased water reabsorption. If
the dose prescribed is adequate, urine volume should rapidly drop to normal.
Appetite, pulse rate, and changes in bowel pattern are not associated with the
use of this medication.
The nurse is giving discharge instructions to a client recently diagnosed with
hypothyroidism. The client was also given a prescription for levothyroxine by the
primary health care provider. What comment by the client indicates a need for
further instruction?
"I'm glad constipation won't be such a problem anymore."
"I'll remember to take the medication without food in the morning."
"I'm looking forward to maybe losing some weight with this medication."
"I know I have to notify the primary health care provider if I have any problems
with a slow heart rate." - Correct Answer :"I know I have to notify the primary
health care provider if I have any problems with a slow heart rate."
Rationale:
There is a need for further instruction if the client says, "I know I have to notify
the primary health care provider if I have any problems with a slow heart rate."
The primary health care provider must be notified if the client has any problems
with tachycardia or fast heart rate, not slow heart rate. Excessive doses of
levothyroxine sodium can produce signs/symptoms of hyperthyroidism. These
include tachycardia, chest pain, tremors, nervousness, insomnia, hyperthermia,
extreme heat intolerance, and sweating. The other comments are correct.
A+ TEST BANK 4
() RN VATI Comprehensive
Predictor Form A, B, & C, Exam 1 with NGN
Questions and Revised Correct Answers, 100%
Guarantee Pass GRADED A+
A client has a primary health care provider's appointment to get a prescription
for sildenafil. The nurse obtains the health history from the client. Which finding
indicates that the medication is contraindicated?
The client has type 2 diabetes mellitus.
The client has a history of renal calculi.
The client is taking glargine insulin.
A+ TEST BANK 1
, () RN VATI Comprehensive
The client takes isosorbide dinitrate –
Correct Answer :The client takes isosorbide dinitrate .
Rationale:
Sildenafil is used to treat male erectile dysfunction. It is contraindicated in the
client who is using isosorbide dinitrate, a form of sodium nitroprusside or
organic nitrates in any form, because both sildenafil and nitrates promote
hypotension. When these medications are combined, life-threatening
hypotension may result. Type 2 diabetes mellitus, a history of renal calculi, and
the use of glargine insulin are not contraindications to the use of sildenafil.
Vasopressin is prescribed to a client with diabetes insipidus. For which
sign/symptom, indicative of an adverse effect of the medication, does the nurse
monitor the client?
Chest pain
Constipation
Loss of appetite
Decreased urine output –
Correct Answer :Chest pain
Rationale:
A+ TEST BANK 2
, () RN VATI Comprehensive
Chest pain is a sign of an adverse effect of vasopressin, and if it occurs, the
primary health care provider must be notified. Because of its powerful
vasoconstrictive action, vasopressin can cause adverse cardiovascular effects.
By constricting arteries of the heart, vasopressin can cause angina pectoris and
even myocardial infarction, especially if the medication is administered to a
client with existing coronary artery disease. Vasopressin may also cause
gangrene by decreasing blood flow in the periphery. Decreased urine output is
an expected effect. Neither constipation nor loss of appetite is associated with
this medication.
Desmopressin is prescribed to a client with diabetes insipidus. Which parameter
does the nurse tell the client that it is important to monitor while taking the
medication?
Appetite
Pulse rate
Bowel pattern
Intake and output –
Correct Answer :Intake and output
Rationale:
The client is instructed to monitor and record daily intake and output of fluid.
Diabetes insipidus is a disorder of water metabolism caused by a deficiency of
antidiuretic hormone. Desmopressin promotes renal conservation of water. The
hormone accomplishes this by acting on the collecting ducts of the kidney to
A+ TEST BANK 3
, () RN VATI Comprehensive
increase their permeability to water, resulting in increased water reabsorption. If
the dose prescribed is adequate, urine volume should rapidly drop to normal.
Appetite, pulse rate, and changes in bowel pattern are not associated with the
use of this medication.
The nurse is giving discharge instructions to a client recently diagnosed with
hypothyroidism. The client was also given a prescription for levothyroxine by the
primary health care provider. What comment by the client indicates a need for
further instruction?
"I'm glad constipation won't be such a problem anymore."
"I'll remember to take the medication without food in the morning."
"I'm looking forward to maybe losing some weight with this medication."
"I know I have to notify the primary health care provider if I have any problems
with a slow heart rate." - Correct Answer :"I know I have to notify the primary
health care provider if I have any problems with a slow heart rate."
Rationale:
There is a need for further instruction if the client says, "I know I have to notify
the primary health care provider if I have any problems with a slow heart rate."
The primary health care provider must be notified if the client has any problems
with tachycardia or fast heart rate, not slow heart rate. Excessive doses of
levothyroxine sodium can produce signs/symptoms of hyperthyroidism. These
include tachycardia, chest pain, tremors, nervousness, insomnia, hyperthermia,
extreme heat intolerance, and sweating. The other comments are correct.
A+ TEST BANK 4
