A client who is hypotensive is receiving dopamine, an adrenergic agonist, IV at the rate of 8 mcg/kg/min. Which intervention should the nurse implement while administering this medication?

Assess pupillary response to light hourly.

Initiate seizure precautions.

Monitor serum potassium frequently.

Measure urinary output every hour.

Answer and Explanation

The Correct Answer is D

A. Assess pupillary response to light hourly: Dopamine administration may cause changes in pupillary response, but it is not the primary concern associated with its administration. Hourly pupillary assessment may not be necessary unless other signs of neurological changes are present.

B. Initiate seizure precautions: While dopamine administration may cause neurological effects, such as agitation or tremors, it is not typically associated with seizure activity. Seizure precautions are not indicated solely due to dopamine infusion.

C. Monitor serum potassium frequently: Dopamine administration can affect potassium levels, but monitoring serum potassium levels frequently may not be necessary unless the client has pre- existing potassium imbalances or is at risk for electrolyte disturbances.

D. Measure urinary output every hour: Dopamine is a vasopressor medication that can increase blood pressure and cardiac output, potentially leading to increased renal perfusion and urinary output. Monitoring urinary output hourly is essential to assess the client's response to dopamine therapy and ensure adequate renal function.

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Correct Answer is A

Explanation

A. Influenza is a respiratory virus that is primarily spread through droplets. Wearing a face mask is essential to prevent the spread of the virus, especially in close contact situations.
B. While a fitted respirator mask is beneficial in certain situations, it is not typically required for standard influenza precautions unless the client has a known or suspected case of a highly
infectious disease like tuberculosis.

C. Assigning the UAP to another client and assuming full care of the client with influenza is not necessary and could disrupt the workflow and care of other clients.
D. Notifying the nurse of any changes in the client's respiratory status is important, but it does not address the immediate concern of preventing the spread of influenza.

A. Moderate amount of foul-smelling lochia. B. Blood pressure of 122/74 mm Hg. C. Oral temperature of 100.2° F (37.9°C). D. White blood count of 19,000/mm3.

Correct Answer is A

Explanation

A. A moderate amount of foul-smelling lochia can indicate an infection, especially if accompanied by other signs such as fever or abdominal pain.
B. Blood pressure within normal range is not indicative of postpartum infection.

C. While an elevated temperature can be a sign of infection, it's not specific enough on its own.

D. A high white blood count can indicate infection, but it's not as specific as the presence of foul-smelling lochia in the postpartum period.

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A client who is hypotensive is receiving dopamine, an adrenergic agonist, IV at the rate of 8 mcg/kg/min. Which intervention should the nurse implement while administering this medication?

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