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 ["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.
Correct Answer is D
Explanation
A. Securing the chest tube to the stretcher is important, but not the most critical action as it does not directly affect the function of the chest tube during transport.
B. Administering pain medication is important for comfort but is not the most immediate concern during urgent transport for a CT scan.
C. Marking the amount of chest drainage is a routine monitoring action and can be done before or after transport, thus not the most critical action.
D. Keeping the chest tube container below the site of insertion is crucial to maintain proper
drainage by gravity and prevent complications such as tension pneumothorax, which can be life- threatening.
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