After administering an inotropic medication to a patient in shock, the nurse monitors the patient for signs of:

Decreased cardiac output.

Increased afterload.

Increased cardiac output.

Slowing of the heart rate.

Answer and Explanation

The Correct Answer is C

A. Decreased cardiac output: Inotropic medications are intended to improve cardiac function and increase cardiac output, so monitoring for signs of decreased cardiac output would be contrary to the expected therapeutic effect of these medications.

B. Increased afterload: Inotropic medications primarily affect the contractility of the heart muscle and do not typically have a direct effect on afterload (the force against which the heart must pump blood). While changes in afterload can occur as a secondary consequence of altered cardiac function, monitoring for signs of increased afterload would not be the primary focus after administering an inotropic medication.

C. Increased cardiac output.
Inotropic medications are drugs that affect the contractility of the heart muscle. They are often used in the management of shock to improve cardiac function and increase cardiac output. Therefore, after administering an inotropic medication, the nurse would monitor the patient for signs of increased cardiac output, such as improved peripheral perfusion, increased blood pressure, and resolution of signs and symptoms of shock.

D. Slowing of the heart rate: Inotropic medications can affect heart rate indirectly by altering cardiac output, but their primary effect is on contractility rather than heart rate. Monitoring for signs of bradycardia (slowing of the heart rate) may be appropriate in certain clinical situations, but it is not the primary consideration after administering an inotropic medication for shock.

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Free Nursing Study Resources

Correct Answer is ["A","E"]

Explanation

A. The medication will relieve wheezing: Albuterol is a short-acting beta agonist bronchodilator that works by quickly relaxing the smooth muscles of the airways, leading to rapid bronchodilation. This helps relieve symptoms such as wheezing, shortness of breath, and chest tightness commonly associated with asthma exacerbations.

B. The medication will reduce inflammation: Albuterol is not primarily indicated for reducing inflammation in asthma. While it can help alleviate symptoms of bronchospasm, it does not target the underlying inflammation associated with asthma.

C. The medication will increase the amount of mucus: Albuterol does not increase mucus production. In fact, it is a bronchodilator medication that primarily targets airway smooth muscle relaxation and bronchodilation to improve airflow and relieve symptoms.

D. The medication will decrease coughing episodes: Albuterol can help decrease coughing episodes by relieving bronchospasm and improving airflow. However, its primary mechanism of action is bronchodilation rather than directly targeting coughing.

E. The medication will open the airways: Albuterol works by stimulating beta-2 adrenergic receptors in the airway smooth muscles, resulting in relaxation of these muscles and dilation of the bronchial tubes. This action helps to open the airways, allowing for improved airflow and easier breathing.

A. The amount of blood pumped by the heart through the circulatory system in 1 minute. B. Smooth muscle movement of the GI tract by way of contractions. C. Neutralization by use of bicarbonate from pancreatic and biliary secretions. D. It is the process when food is broken down into molecules that can be absorbed.

Correct Answer is D

Explanation

A) The amount of blood pumped by the heart through the circulatory system in 1 minute.
This statement describes cardiac output, which is the volume of blood pumped by the heart in one minute. Cardiac output is not directly related to the process of digestion.

B) Smooth muscle movement of the GI tract by way of contractions.
This statement describes peristalsis, which is the rhythmic contraction of smooth muscles in the GI tract that propels food and digestive contents through the digestive system. While peristalsis is an essential aspect of digestion, it does not encompass the entire process.

C) Neutralization by use of bicarbonate from pancreatic and biliary secretions.
This statement describes the role of bicarbonate in neutralizing stomach acid in the small intestine. Bicarbonate is released from pancreatic and biliary secretions to neutralize acidic chyme from the stomach, creating a more favorable environment for digestive enzymes to function. While this is an important aspect of digestion, it does not fully encompass the entire process.

D) It is the process when food is broken down into molecules that can be absorbed.
Digestion refers to the process by which food is broken down into smaller molecules that can be absorbed and utilized by the body. This process occurs in the gastrointestinal (GI) tract and involves the mechanical and chemical breakdown of food into nutrients such as carbohydrates, proteins, and fats, as well as vitamins and minerals. These nutrients are then absorbed across the lining of the GI tract and transported to cells throughout the body for energy, growth, and repair.

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After administering an inotropic medication to a patient in shock, the nurse monitors the patient for signs of:

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has asthma. The client asks the nurse how albuterol helps his breathing. Which of the following information should the nurse include in the response? (Select all that apply.)

Correct Answer is ["A","E"]

Explanation

The nurse is teaching a client about digestion. Which statement reflects that the client understands the teaching?

Correct Answer is D

Explanation

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