A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion.
Which of the following findings indicates that the nurse should increase the rate of infusion?
Hypotension.
Extravasation.
Headache.
Chest pain.
The Correct Answer is A
Dopamine is a medication used to treat hypotension, low cardiac output, and poor perfusion of vital organs.
It is used to increase mean arterial pressure in septic shock patients who remain hypotensive after adequate volume expansion 1.
If the client is still experiencing hypotension while receiving dopamine by continuous IV infusion, the nurse should increase the rate of infusion to improve the client’s blood pressure.
Choice B is wrong because Extravasation, is not the correct answer because it refers to the leakage of IV fluid or medication into the surrounding tissue and is not an indication to increase the rate of dopamine infusion.
Choice C is wrong because Headache, is not the correct answer because it is not specifically related to dopamine therapy or an indication to increase the rate of infusion.
Choice D is wrong because Chest pain, is not the correct answer because it is not specifically related to dopamine therapy or an indication to increase the rate of infusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is because pioglitazone can cause fluid retention and edema.
Choice B is wrong because tinnitus (ringing in the ears) is not a common adverse effect of pioglitazone.
Choice C is wrong because insomnia (difficulty sleeping) is not a common adverse effect of pioglitazone.
Choice D is wrong because orthostatic hypotension (a drop in blood pressure when standing up) is not a common adverse effect of pioglitazone.
Correct Answer is B
Explanation
When administering heparin subcutaneously, the nurse should grasp the skin between the thumb and forefinger throughout the injection to minimize bleeding following the injection.
Choice A is wrong because Use the Z-track method to administer the medication, is not the correct answer because the Z-track method is a technique used for intramuscular injections, not subcutaneous injections.
Choice C is wrong because Aspirate the syringe prior to injecting the heparin, is not the correct answer because aspiration is not necessary when administering heparin subcutaneously.
Choice D is wrong because Gently massage the site following the injection, is not the correct answer because massaging the injection site can increase the risk of bruising and bleeding.
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