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. Refusing one meal is concerning for anorexia nervosa, but it does not pose an immediate safety threat and can be monitored closely.
B. Being yelled at may cause distress but is not an urgent threat to safety or health.
C. Pacing in a client with bipolar disorder can signal severe agitation, risk of aggression, or inability to control impulses, requiring immediate intervention to prevent harm.
D. Refusal to participate in group signals withdrawal or low mood, but it is not immediately dangerous.

A. Administer a half dose now. B. Give another dose C. Mix the next dose with food. D. Withhold this dose.

Correct Answer is D

Explanation

A. Administering a half dose now may lead to an incorrect dosage and potential toxicity.

B. Giving another dose without medical guidance could result in overdose.

C. Mixing the next dose with food may not ensure proper absorption and dosage control.

D. Withholding the dose is the appropriate action to take after vomiting to prevent potential overdose or toxicity.

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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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