A client who is hypotensive is receiving dopamine, an adrenergic agonist, intravenously (IV) at the rate of 8 mcg/kg/min. Which intervention should the nurse implement while administering this medication?
Measure urinary output every hour.
Initiate seizure precautions.
Assess pupillary response to light hourly.
Monitor serum potassium frequently.
The Correct Answer is A
A. Measure urinary output every hour. Dopamine is commonly used to improve blood pressure and renal perfusion in hypotensive clients. Monitoring urinary output is crucial because dopamine can increase renal blood flow and urine output. Hourly measurement allows for early detection of changes in renal function and urine output, enabling prompt intervention if needed.
B. Initiate seizure precautions. Seizures are not a common adverse effect of dopamine administration. Therefore, initiating seizure precautions is unnecessary in this context.
C. Assess pupillary response to light hourly. While assessing pupillary response is important in neurological assessments, it is not a priority intervention specifically related to dopamine
administration for hypotension.
D. Monitor serum potassium frequently. Dopamine administration is not directly associated with alterations in serum potassium levels. While electrolyte monitoring is important in some
situations, it is not the primary concern when administering dopamine for hypotension. Monitoring urinary output is more pertinent in this scenario.
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Related Questions
Correct Answer is D
Explanation
A. Histamine 2-receptor antagonists do not directly neutralize hydrochloric acid (HCl) in the stomach. Instead, they reduce acid secretion by blocking the histamine 2 receptors on parietal cells, thereby decreasing the production of gastric acid.
B. This describes the mechanism of action of anticholinergic medications, not histamine 2- receptor antagonists.
C. Histamine 2-receptor antagonists do not have antimicrobial properties and are not used to destroy microorganisms causing stomach inflammation. They primarily target acid secretion.
D. This is the correct purpose of histamine 2-receptor antagonists. They work by blocking the action of histamine on parietal cells in the stomach, leading to a reduction in the secretion of hydrochloric acid. This helps in the management of peptic ulcer disease and other conditions related to excessive gastric acid secretion.
Correct Answer is B
Explanation
A: Leaving the client alone could increase the risk of harm to herself or others and does not address the immediate need for safety and boundaries.
B: Clearly stating that undressing is unacceptable sets immediate boundaries, which is essential in managing acute behavioral situations, ensuring the client's dignity, and maintaining a professional environment.
C: Ignoring the behavior does not provide any guidance or boundaries for the client, which could lead to escalation or reinforce the inappropriate behavior.
D: While changing to less anxiety-provoking questions may be helpful, it does not directly address the behavior at hand, which could lead to further inappropriate actions or misunderstandings about acceptable behavior during the assessment.
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