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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
A.
Salt substitutes can be used in moderation to help reduce sodium intake, which is beneficial for controlling blood pressure, a key aspect of managing coronary artery disease (CAD).
B. Eat more canned vegetables - Canned vegetables can be high in sodium, which is not recommended for clients with coronary artery disease as it can contribute to hypertension and further heart strain.
C. Include oatmeal for breakfast - This is a recommended practice as oatmeal is high in soluble fiber, which can help lower cholesterol levels.
D. Consume foods with saturated fats - Saturated fats can increase the level of bad cholesterol in the blood, contributing to the progression of coronary artery disease, thus not recommended.
E. Walk 30 minutes per day - This is a recommended practice as regular physical activity can help manage weight, lower cholesterol, and reduce blood pressure.
Correct Answer is B
Explanation
A. An abdominal binder can be worn daily to reduce the protrusion: This is not an appropriate intervention for an umbilical hernia in an infant. Abdominal binders are typically used for support after abdominal surgeries or to manage hernias in adults.
B. This hernia is a normal variation that resolves without treatment: Umbilical hernias are common in infants and typically resolve on their own without intervention by around 1 to 2 years of age. Reassuring the mother about the benign nature of the hernia is appropriate.
C. The quarter should be secured with an elastic bandage wrap: Taping a quarter over the umbilicus is not a recommended treatment for an umbilical hernia and could pose a choking hazard to the infant.
D. Restrictive clothing will be adequate to help the hernia go away: Restrictive clothing is not an effective treatment for umbilical hernias in infants and could potentially cause discomfort or complications.
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