Vascular Access Exam Prep

Category - Vascular Access Practice Test

A nurse is administering vasopressin IV to a patient with bleeding esophageal varices. When evaluating the therapeutic effect of this drug on the patient’s condition, the nurse should check for:
  1. Increased pulse rate
  2. Increased hemostasis
  3. Increased urine output
  4. Increased blood pressure
Explanation
Answer: D - Vasopressin and ADH hormone act by constricting the blood vessels, resulting in increased circulating blood volume that causes an increase in blood pressure. Increase in blood pressure subsequently normalizes the heart rate. Vasopressin allows reabsorption of water by the kidneys leading to increased fluid volume and lesser urine output. This drug is not associated with hemostasis, but since it constricts the blood vessels it may result in controlled bleeding.
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