A nurse is monitoring a client who is receiving a continuous IV infusion of dopamine. Which of the following findings requires immediate intervention by the nurse?

Heart rate 105/min

Infiltration of the peripheral IV

Increased blood pressure

Occasional premature ventricular complexes (PVCs)

Answer and Explanation

The Correct Answer is B

A. A heart rate of 105/min is slightly elevated, but it does not require immediate intervention unless the client is symptomatic or has other concerning signs.

B. Infiltration of the peripheral IV requires immediate intervention, as it can lead to tissue damage and prevent the medication from being effectively delivered. The nurse should stop the infusion, assess the site, and take appropriate action.

C. Increased blood pressure is a common effect of dopamine administration and does not necessarily require urgent intervention unless it becomes critically high or is associated with other adverse symptoms.

D. Occasional PVCs can occur during dopamine infusion and can be monitored unless they become frequent or symptomatic; they typically do not require immediate intervention.

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Correct Answer is D

Explanation

A. Acetylcysteine is not indicated for gastrointestinal bleeding; other treatments are used for that condition.

B. Acute bronchospasm is treated with bronchodilators rather than acetylcysteine.

C. Morphine toxicity requires other interventions, such as opioid antagonists (e.g., naloxone), and acetylcysteine is not effective in this case.

D. Acetylcysteine is specifically indicated for acetaminophen toxicity as it acts as an antidote, replenishing glutathione stores and preventing liver damage from toxic metabolites.

A. Cloudy B. Granisetron C. Insulin lispro D. Docusate sodium E. Prednisone

Correct Answer is B

Explanation

A. "Cloudy" is not a medication and does not address any adverse effects related to topotecan.

B. Granisetron is an antiemetic medication used to prevent nausea and vomiting, which are common adverse effects of topotecan.

C. Insulin lispro is a rapid-acting insulin used to control blood sugar levels and does not relate to the adverse effects of topotecan.

D. Docusate sodium is a stool softener used to prevent constipation, but it does not specifically address the nausea and vomiting associated with chemotherapy.

E. Prednisone is a corticosteroid that may be used for other indications but is not primarily indicated for treating the nausea and vomiting caused by topotecan.

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A nurse is monitoring a client who is receiving a continuous IV infusion of dopamine. Which of the following findings requires immediate intervention by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is caring for a client who has a new prescription for acetylcysteine. For which of the following conditions should the nurse expect to administer this medication?

Correct Answer is D

Explanation

A nurse is preparing to administer topotecan IV to a client. Which of the following medications should the nurse expect to administer to treat the adverse effects of topotecan?

Correct Answer is B

Explanation

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