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Author Question: The nurse is caring for a patient with esophageal varices with a new order for vasopressin ... (Read 52 times)

natalie2426

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on: Jun 25, 2018
The nurse is caring for a patient with esophageal varices with a new order for vasopressin (Pitressin).
 
  The nurse reviews the patient's history and notes that the patient's comorbidities in-clude coronary artery disease (CAD), type 2 diabetes, gastroesophageal reflux disease (GERD), and fibromyalgia. The nurse should immediately notify the physician about which component of the patient's history?
  a. CAD
  b. Diabetes mellitus (DM) type 2
  c. GERD
  d. Fibromyalgia.

Question 2

A nurse is caring for a patient who is 4 hours postoperative after a laparoscopic cholecystectomy. The patient reports abdominal fullness and mild discomfort.
 
  After verifying that the patient's vi-tal signs are stable, what action is most important for the nurse to take next?
  a. Ambulate the patient.
  b. Notify the charge nurse.
  c. Position the patient in high Fowler.
  d. Administer the ordered PRN analgesic.


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adammoses97

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Reply #1 on: Jun 25, 2018
Answer to Question 1

A
Vasopressin (Pitressin) is a potent medication that causes vasoconstriction and stops bleeding of esophageal varices. With the use of potent vasoconstrictors such as vasopressin (Pitressin), which constricts all vessels, the possibility of it causing a myocardial infarction (MI) is a very real concern and should be used most cautiously with the patient with CAD.

Answer to Question 2

Props to you, cheers.


natalie2426

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Reply #2 on: Jun 25, 2018
Thank you :)


adammoses97

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Reply #3 on: Jun 25, 2018
Happy to help you


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