A client who is hypotensive is receiving dopamine, an adrenergic agonist, IV at the rate of 6 mcg/kg/min. Which intervention should the nurse implement while administering this medication?
Initiate seizure precautions.
Monitor serum potassium frequently.
Assess pupillary response to light hourly.
Measure urinary output every hour.
The Correct Answer is D
A. Initiate seizure precautions: Dopamine administration does not typically require seizure
precautions. The focus should be on monitoring for adverse effects related to blood pressure and urinary output.
B. Monitor serum potassium frequently: While electrolyte imbalances can occur with dopamine administration, the priority is to monitor urinary output as dopamine affects renal perfusion and urine output.
C. Assess pupillary response to light hourly: Monitoring pupillary response is important in some situations, but it's not the primary concern with dopamine administration.
D. Measure urinary output every hour: Correct! Dopamine is administered to improve renal perfusion and increase urine output in hypotensive patients. Monitoring urinary output every
hour is essential to assess the effectiveness of dopamine therapy and detect any signs of renal dysfunction or worsening hypotension.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This hernia is a normal variation that resolves without treatment: Umbilical hernias are common in infants and usually resolve on their own by around 1 to 2 years of age without any specific treatment.
B. An abdominal binder can be worn daily to reduce the protrusion: Using an abdominal binder is not recommended for treating umbilical hernias in infants, as they typically resolve spontaneously and do not require intervention.
C. Restrictive clothing will be adequate to help the hernia go away: Restrictive clothing is not necessary and will not affect the resolution of an umbilical hernia in infants.
D. The quarter should be secured with an elastic bandage wrap: Securing a quarter over the umbilicus with an elastic bandage wrap is not an appropriate treatment for an umbilical hernia and may cause harm.
Correct Answer is C
Explanation
A. Assessing pupillary response to light is not directly related to the administration of dopamine for hypotension and does not reflect the immediate effects of the medication on the cardiovascular or renal systems.
B. Seizure precautions are not a standard intervention for a patient receiving dopamine unless the patient has a history of seizures or there is another indication for such precautions.
C. Measuring urinary output every hour is essential as it reflects the patient's fluid balance and kidney function, which can be affected by dopamine administration. It is a direct measure of the effectiveness of the medication in improving renal perfusion and the patient's hemodynamic status.
D. While monitoring serum potassium levels is important in patients receiving IV therapy, it is not the most immediate concern when administering dopamine for hypotension, unless the patient has a known electrolyte imbalance.
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