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.

Measure urinary output every hour.

Monitor serum potassium frequently.

Answer and Explanation

The Correct Answer is C

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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Free Nursing Study Resources

Correct Answer is ["A","C","D"]

Explanation

A. Metformin should be taken with meals to reduce gastrointestinal side effects and to improve absorption.

B. Sliding scale insulin is not typically initiated at the start of metformin therapy; it is used when blood glucose levels are not controlled by oral medications alone.

C. Patients should be aware of the signs and symptoms of hypoglycemia, as it can occur with metformin, especially when combined with other antidiabetic medications or significant

lifestyle changes.

D. Persistent polyuria can be a sign of uncontrolled diabetes, and patients should report this to their healthcare provider for further assessment.

E. Taking an additional dose of metformin for signs of hyperglycemia is not recommended; instead, patients should follow their healthcare provider's instructions for managing high blood sugar levels.

A. "Which medication works best?" B. "When do you hear voices?" C. "How do you cope with the voices?" D. "What are the voices saying?"

Correct Answer is D

Explanation

A. "Which medication works best?": While medication management is important in treating schizophrenia, asking about medication effectiveness may not provide immediate insight into the nature or content of the hallucinations.

B. "When do you hear voices?": Understanding the timing of hallucinations can provide some context, but it may not directly address the content or impact of the hallucinations on the client's well-being.

C. "How do you cope with the voices?": Understanding coping strategies is valuable, but it may not reveal the specific content of the hallucinations.

D. "What are the voices saying?": This question is crucial because it helps the nurse understand the content and potential themes of the auditory hallucinations, which can inform the treatment plan and interventions for the client's symptoms.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","C","D"]

Explanation

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Explanation

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