A client who is hypotensive is receiving dopamine, an adrenergic agonist, IV at the rate of 8 mcg/kg/min. Which intervention should the nurse implement while administering this medication?

Assess pupillary response to light hourly.

Initiate seizure precautions.

Monitor serum potassium frequently.

Measure urinary output every hour.

Answer and Explanation

The Correct Answer is D

A. Assess pupillary response to light hourly: Dopamine administration may cause changes in pupillary response, but it is not the primary concern associated with its administration. Hourly pupillary assessment may not be necessary unless other signs of neurological changes are present.

B. Initiate seizure precautions: While dopamine administration may cause neurological effects, such as agitation or tremors, it is not typically associated with seizure activity. Seizure precautions are not indicated solely due to dopamine infusion.

C. Monitor serum potassium frequently: Dopamine administration can affect potassium levels, but monitoring serum potassium levels frequently may not be necessary unless the client has pre- existing potassium imbalances or is at risk for electrolyte disturbances.

D. Measure urinary output every hour: Dopamine is a vasopressor medication that can increase blood pressure and cardiac output, potentially leading to increased renal perfusion and urinary output. Monitoring urinary output hourly is essential to assess the client's response to dopamine therapy and ensure adequate renal function.

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

Explanation

A. Obtain postoperative vital signs: This task is within the scope of practice for a practical nurse (PN) as it involves monitoring and recording the vital signs of a client post-surgery, which is a fundamental nursing skill.

B. Start the second blood transfusion: This task is typically reserved for a registered nurse (RN) due to the complexity and potential complications associated with blood transfusions.

C. Initiate PCA pumps: The initiation of PCA pumps is generally a responsibility of the RN because it requires assessment and understanding of the medication dosage and patient pain management needs.

D. Perform daily surgical dressing change: This is an appropriate task for a PN as it involves wound care and monitoring for signs of infection, which are within the PN's capabilities.

E. Administer a dose of insulin per sliding scale: Administering medications, including insulin, is a task that can be delegated to a PN, provided they have the knowledge and skills to do so safely.

A. Reinforce the need for adequate hydration. B. Provide typed instructions for healthy diet selections. C. Explain a daily regimen. D. Demonstrate specific strengthening exercises.

Correct Answer is A

Explanation

A. Reinforce the need for adequate hydration: Adequate hydration is essential for liquefying secretions in the lungs, especially in clients with COPD who may have increased mucus production. Proper hydration also supports cardiovascular function, particularly in clients with peripheral vascular disease.

B. Provide typed instructions for healthy diet selections: While diet is important for overall health, hydration is the priority in this scenario due to the client's respiratory and vascular conditions.

C. Explain a daily regimen: While educating the client about a daily regimen is important, ensuring adequate hydration takes precedence in this situation.

D. Demonstrate specific strengthening exercises: While exercise is beneficial for clients with COPD and PVD, ensuring proper hydration is more critical for respiratory and cardiovascular function in this scenario.

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A client who is hypotensive is receiving dopamine, an adrenergic agonist, IV at the rate of 8 mcg/kg/min. Which intervention should the nurse implement while administering this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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