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 C
Explanation
The nurse should inform the client that they will need to take two or more medications to treat their disease [C].
The treatment of active pulmonary tuberculosis typically involves a combination of several antibiotics for a period of 6 to 12 months.
Choice A is wrong because monitoring kidney function is not typically necessary while taking medication for tuberculosis [A].
Choice B is wrong because tuberculin skin tests are not necessary every 6 months while taking medication for tuberculosis [B].
Choice D is wrong because the duration of treatment for active pulmonary tuberculosis is typically 6 to 12 months, not 3 years [D].
Correct Answer is A
Explanation
Propranolol is a beta-blocker that is used to treat high blood pressure and other heart conditions.
It works by slowing down the heart rate and reducing the force of heart muscle contraction.
Therefore, it is important for the nurse to assess the client’s heart rate prior to administering this medication to ensure that it is within a safe range.
Choice B is wrong because respiratory rate is not directly affected by propranolol.
Choice C is wrong because temperature is not directly affected by propranolol.
Choice D is wrong because pain level is not directly affected by propranolol.
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