The nurse is evaluating the patient’s response to therapy with 1-deamino-8-ᴅ-arginine vasopressin (DDAVP) for treatment of mild bleeding caused by hemophilia A. Which assessment indicates the patient is experiencing an adverse effect to therapy?

5% weight gain in 3 days. DDAVP is used to increase a mild deficiency of factor VIII; a side effect is fluid retention, as evidenced by a 5% weight gain in 3 days. Stiff, swollen, painful knee joints indicates hemarthrosis, which is an indication the hemophilia A is worsening, not an adverse effect of the medication. Avascular necrosis, a complication of hemarthrosis due to hemophilia A, is characterized by limited passive abduction of the hip. This indicates increasing severity of the disorder, not an adverse effect of therapy. DDAVP is not associated with hyperkalemia, which manifests as peaked T-waves on electrocardiogram.

The nurse is evaluating the patient’s response to therapy w...

NCLEX Practice
Categories
Pharmacological and Parenteral Therapies
View Question

Category: Pharmacological and Parenteral Therapies
Difficulty: 10

Topics: Assessment Endocrine Hematology/Oncology Neurology

Want help? View the answer with rationale.

Additional Pharmacological and Parenteral Therapies Questions

Which symptoms, if present in the patient receiving a blood transfusion, indicate the patient is experiencing an acute hemolytic transfusion reaction? Select all that apply.

Question Type: Multiple Choice - Select All
Difficulty: 8

The 35-year-old woman is interested in starting hormonal birth control. Which characteristic, if found in the patient's medical record, indicates the patient requires an alternative form of contraceptive?

Question Type: Multiple Choice - Select One
Difficulty: 5

The nurse assesses the insertion site of an intravenous catheter through which the patient is receiving amphotericin. The nurse notes erythema, edema, and tenderness immediately proximal to the insertion site. Which of the following terms is most appropriate for the nurse to use to document this finding?

Question Type: Multiple Choice - Select One
Difficulty: 4

Show Calculator

Want help? View the answer with rationale.

Rationale

Additional Pharmacological and Parenteral Therapies Questions

Nursing Careers

Nursing Degrees

NCLEX