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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Related Questions
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
Correct Answer is A
Explanation
A. Checking for a distended bladder is the priority action because a distended bladder can contribute to uterine atony and excessive bleeding postpartum.
B. Reviewing the hemoglobin to determine hemorrhage may be necessary, but assessing for a distended bladder takes precedence as it can directly affect uterine tone.
C. Massaging the uterus to decrease atony may be appropriate if the uterus is boggy, but in this scenario, the uterus is firm.
D. Increasing intravenous infusion may be necessary if the client is hypovolemic, but assessing for a distended bladder should be done first to address potential causes of uterine atony.
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