A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension? (Select all that apply.)

A) Check the client's vital signs:
The first priority after administering the wrong medication is to assess the client's immediate condition and check for any adverse reactions or changes in vital signs. This helps determine if the medication has caused any immediate harm and guides further action to ensure the client's safety.

B) Document the client's condition in the electronic medical record:
Documenting the incident is important for legal and clinical reasons, but it should be done after addressing the immediate health concerns of the client. Ensuring the client’s safety is the top priority.

C) Notify the provider:
Notifying the healthcare provider is crucial, but it is important to first assess the client's condition. Once the client’s immediate needs are addressed, informing the provider will help in deciding further medical interventions or adjustments needed.

D) Fill out an incident report:
Filling out an incident report is a necessary step for documenting the error and contributing to quality improvement processes, but it should be done after the client’s safety has been assured and immediate medical concerns have been addressed.

A) Cardiac output is reduced:
Dopamine is used to improve cardiac output in conditions like left ventricular failure. A reduction in cardiac output would indicate that the medication is not having the desired therapeutic effect.

B) Systolic blood pressure is increased:
Dopamine has positive inotropic and vasoconstrictive effects, which can increase systolic blood pressure. An increase in systolic blood pressure is a good indicator that the medication is having a therapeutic effect by improving cardiac function and perfusion.

C) Apical heart rate is increased:
While dopamine can affect heart rate, an increase in the apical heart rate alone does not necessarily indicate therapeutic efficacy. The primary goal is to improve cardiac output and blood pressure, not just to increase heart rate.

D) Urine output is reduced:
Dopamine is expected to increase urine output by improving renal perfusion. A reduction in urine output would suggest that the medication is not effectively enhancing renal function or cardiac output.