A client with hypovolemic shock who did not respond to fluid resuscitation is started on norepinephrine. What is the desired outcome?
Urine output of less than 0.5mL/kg
Improved mental status, decreased lactate level
A mean arterial pressure (MAP) of 65
A pain level of 4 or less on a scale of 0-10
The Correct Answer is C
A. Urine output of less than 0.5 mL/kg
Norepinephrine is a vasopressor used to improve perfusion. A urine output of less than 0.5 mL/kg suggests ongoing hypoperfusion and inadequate organ perfusion, which is an undesirable outcome.
B. Improved mental status, decreased lactate level
These are positive indicators of improved perfusion and oxygen delivery, but they are not the primary target for norepinephrine therapy.
C. A mean arterial pressure (MAP) of 65
A MAP of at least 65 mmHg is the target for vasopressor therapy, as it ensures adequate perfusion of vital organs.
D. A pain level of 4 or less on a scale of 0-10
While pain management is important, norepinephrine’s primary role is not pain control but rather maintaining adequate perfusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. Reassure the client that information they share with the nurse is confidential
Establishing trust and confidentiality is essential in a health interview, especially for clients with neurological deficits who may feel vulnerable.
B. Instruct that complementary therapies are rarely helpful
This statement is not evidence-based and may dismiss patient preferences. Some complementary therapies, such as physical therapy or mindfulness, can be helpful in neurological conditions.
C. Assess physical appearance and gait
Observing physical appearance and gait provides important clues about neurological deficits, such as weakness, ataxia, or tremors.
D. Review current medication list including dosage & frequency
Medication history is critical in neurological assessments, as certain medications (e.g., anticoagulants, anticonvulsants) can impact the client’s condition.
E. Ask about current alcohol or drug use
Alcohol and drug use can contribute to neurological impairment and should be assessed during the history-taking process.
Correct Answer is ["31"]
Explanation
Flow rate=(Total volume×Drop factor​)÷ Time in minutes
= (250×15)÷120
= 31.25
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