A client who is hypotensive is receiving dopamine, an adrenergic agonist, IV at the rate of 6 mcg/kg/min. Which intervention should the nurse implement while administering this medication?

Initiate seizure precautions.

Monitor serum potassium frequently.

Assess pupillary response to light hourly.

Measure urinary output every hour.

Answer and Explanation

The Correct Answer is D

A. Initiate seizure precautions: Dopamine administration does not typically require seizure
precautions. The focus should be on monitoring for adverse effects related to blood pressure and urinary output.
B. Monitor serum potassium frequently: While electrolyte imbalances can occur with dopamine administration, the priority is to monitor urinary output as dopamine affects renal perfusion and urine output.
C. Assess pupillary response to light hourly: Monitoring pupillary response is important in some situations, but it's not the primary concern with dopamine administration.
D. Measure urinary output every hour: Correct! Dopamine is administered to improve renal perfusion and increase urine output in hypotensive patients. Monitoring urinary output every
hour is essential to assess the effectiveness of dopamine therapy and detect any signs of renal dysfunction or worsening hypotension.

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Correct Answer is D

Explanation

- A: Nitroglycerin is contraindicated with tadalafil due to the risk of severe hypotension. Advising the client to take nitroglycerin could lead to a dangerous drop in blood pressure.
- B: While it is important to monitor for serious side effects, immediate emergency department care may not be necessary if the client is not experiencing chest pain or other severe symptoms.
- C: Increasing oral fluids does not address the underlying cause of the skin flushing and is not a recommended action for this symptom in relation to tadalafil use.
- D: Skin flushing is a common side effect of tadalafil and is usually self-limiting. Reassuring the client about the nature of this side effect is appropriate, as long as the client is not experiencing chest pain or other severe symptoms related to his history of stable angina.

A. Consume foods with saturated fats. B. Walk 30 minutes per day. C. Use a salt substitute. D. Keep a food diary. E. Eat more canned vegetables. F. Include oatmeal for breakfast.

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

Explanation

A. Consuming foods high in saturated fats can contribute to the progression of coronary artery

disease by increasing levels of LDL cholesterol, which can lead to plaque buildup in the arteries. Therefore, advising the client to consume foods with saturated fats would be counterproductive to slowing the progression of the disease.
B. Walking for 30 minutes per day is a beneficial lifestyle change that can help improve

cardiovascular health by promoting physical activity and increasing circulation. This statement does not require additional education.
C. Using a salt substitute may be advisable for individuals with coronary artery disease to reduce sodium intake and lower blood pressure. This statement does not require additional education.

D. Keeping a food diary is a helpful strategy for monitoring dietary habits and identifying areas for improvement. This statement does not require additional education.
E. Eating more canned vegetables may not be the healthiest choice as canned vegetables often contain added sodium, which can contribute to hypertension and cardiovascular disease.
Encouraging the consumption of fresh or frozen vegetables would be a better dietary recommendation.
F. Including oatmeal for breakfast is a nutritious choice that can help lower cholesterol levels and improve heart health. This statement does not require additional education.

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A client who is hypotensive is receiving dopamine, an adrenergic agonist, IV at the rate of 6 mcg/kg/min. Which intervention should the nurse implement while administering this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A male client reports to the on-call clinic nurse that he took tadalafil 10 mg by mouth two hours ago and his skin now feels flushed. He reports a history of stable angina but denies experiencing any current or recent chest pain. Which action should the nurse take?

Correct Answer is D

Explanation

The nurse is providing lifestyle change education for a client to slow the progression of coronary artery disease. Which statement(s) made by the client should the nurse recognize as needing additional education? (Select all that apply.)

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

Explanation

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