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.

Answer and Explanation

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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Correct Answer is C

Explanation

A. Feeding the infant every 4 hours is important for nutrition but not specifically related to phototherapy.
B. Performing diaper changes under the light is important to ensure the effectiveness of

phototherapy but repositioning is more crucial for avoiding pressure points and ensuring even exposure to the light.
C. Repositioning the infant every 2 hours helps ensure even exposure to the phototherapy light, reducing the risk of complications and maximizing effectiveness.
D. Covering the infant with a receiving blanket may interfere with the effectiveness of phototherapy and is not recommended.

A. Blood alcohol level of 0.09% (90 mmol/L) B. Six hours of sleep in the past three days. C. Serum lithium level of 1.6 mEq/L (1.6 mmol/L). D. Weight loss of 10 pounds (4.5 kg) in past month.

Correct Answer is C

Explanation

A. Blood alcohol level of 0.09% (90 mmol/L): Although an elevated blood alcohol level could contribute to slurred speech and unsteady gait, the client's clinical presentation is more consistent with lithium toxicity rather than alcohol intoxication. However, it's important to assess for recent alcohol consumption and potential interactions with medications.

B. Six hours of sleep in the past three days: Sleep disturbances are common in bipolar disorder, but in this scenario, the more concerning issue is the potential lithium toxicity, as indicated by the client's symptoms.

C. Serum lithium level of 1.6 mEq/L (1.6 mmol/L): Correct! A serum lithium level above the therapeutic range (greater than 1.2 mEq/L) can lead to adverse effects such as slurred speech, ataxia, and tremors. This finding indicates lithium toxicity and requires immediate intervention.

D. Weight loss of 10 pounds (4.5 kg) in past month: Weight changes can be a concern in bipolar disorder, but in this case, the symptoms are more suggestive of lithium toxicity rather than related to weight loss

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

Correct Answer is C

Explanation

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