A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion.
Which of the following findings indicates that the nurse should increase the rate of infusion?
Hypotension.
Extravasation.
Headache.
Chest pain.
The Correct Answer is A
Dopamine is a medication used to treat hypotension, low cardiac output, and poor perfusion of vital organs.
It is used to increase mean arterial pressure in septic shock patients who remain hypotensive after adequate volume expansion 1.
If the client is still experiencing hypotension while receiving dopamine by continuous IV infusion, the nurse should increase the rate of infusion to improve the client’s blood pressure.
Choice B is wrong because Extravasation, is not the correct answer because it refers to the leakage of IV fluid or medication into the surrounding tissue and is not an indication to increase the rate of dopamine infusion.
Choice C is wrong because Headache, is not the correct answer because it is not specifically related to dopamine therapy or an indication to increase the rate of infusion.
Choice D is wrong because Chest pain, is not the correct answer because it is not specifically related to dopamine therapy or an indication to increase the rate of infusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is Choice B.
Choice A rationale:
Documenting the administration of the medication is crucial for maintaining accurate records and ensuring accountability. However, it is not the first action to take. The priority is to ensure the correct patient receives the correct medication.
Choice B rationale:
Identifying the client using two identifiers is the first and most critical step. This action ensures that the right patient receives the right medication, thereby minimizing the risk of medication errors.
Choice C rationale:
Comparing the amount of medication available to the inventory record is important for maintaining accurate inventory and preventing misuse or theft of controlled substances. However, this is not the first step in the process of administering medication to a patient in pain.
Choice D rationale:
Removing the medication from the medication dispensing cabinet is part of the process, but it should only be done after the patient has been properly identified to avoid any potential errors.
Correct Answer is B
Explanation
An HbA1c value of 6.8% indicates that the client is adhering to the treatment plan [B].
HbA1c is a measure of long-term blood glucose control and is used to monitor the effectiveness of diabetes treatment.
An HbA1c value of less than 7% is generally considered a good target for people with diabetes.
Choice A is wrong because positive urinary ketones can indicate poor diabetes control [A].
Choice C is wrong because a total cholesterol level of 225 mg/dL is considered high and does not indicate adherence to the treatment plan [C].
Choice D is wrong because a creatinine level of.0 mg/dL is within the normal range but does not specifically indicate adherence to glipizide therapy [D].
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