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

Explanation

A. Obtain postoperative vital signs: This task is within the scope of practice for a practical nurse (PN) as it involves monitoring and recording the vital signs of a client post-surgery, which is a fundamental nursing skill.

B. Start the second blood transfusion: This task is typically reserved for a registered nurse (RN) due to the complexity and potential complications associated with blood transfusions.

C. Initiate PCA pumps: The initiation of PCA pumps is generally a responsibility of the RN because it requires assessment and understanding of the medication dosage and patient pain management needs.

D. Perform daily surgical dressing change: This is an appropriate task for a PN as it involves wound care and monitoring for signs of infection, which are within the PN's capabilities.

E. Administer a dose of insulin per sliding scale: Administering medications, including insulin, is a task that can be delegated to a PN, provided they have the knowledge and skills to do so safely.

A. A sluggish blood return B. Cool sensation above the site C. Iced streak tracking the vein D. Circumferential skin irritation

Correct Answer is C

Explanation

A. A sluggish blood return: While a sluggish blood return may indicate potential issues with the IV line, it does not require immediate intervention unless accompanied by other signs of
complications.
B. Cool sensation above the site: Cool sensation above the site may indicate impaired circulation, but it is not as concerning as other findings requiring immediate intervention.
C. Iced streak tracking the vein: Correct! An iced streak tracking the vein suggests infiltration of IV fluids into the surrounding tissue, which can cause tissue damage and compromise the
effectiveness of the IV therapy. Immediate intervention is needed to prevent further complications.
D. Circumferential skin irritation: Circumferential skin irritation may indicate an allergic reaction or contact dermatitis, which requires attention but is not as urgent as an infiltration.

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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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Explanation

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