The nurse is caring for a client who is found in cardiac arrest. Which medications would the nurse want to have available for their vasopressor effect? Select All That Apply
Amiodarone
Dopamine
Adenosine
Atropine
Norepinephrine
Epinephrine
Correct Answer : B,E,F
A. Amiodarone: This is an antiarrhythmic, not a vasopressor.
B. Dopamine: Dopamine has vasopressor effects, increasing blood pressure and cardiac output.
C. Adenosine: This is used to treat supraventricular tachycardia, not for vasopressor purposes.
D. Atropine: Atropine increases heart rate by inhibiting parasympathetic activity but is not a vasopressor.
E. Norepinephrine: Norepinephrine is a potent vasopressor that increases systemic vascular resistance and blood pressure.
F. Epinephrine: Epinephrine has vasopressor and inotropic effects, making it critical during cardiac arrest.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. 0.9% normal saline IV at 100 mL/hr continuous: This order requires clarification. In acute heart failure, fluid management is crucial. A continuous IV infusion of normal saline could exacerbate fluid overload and worsen heart failure. Typically, IV fluids are given cautiously or restricted in heart failure cases.
B. Bumetanide (Bumex) 1 mg IV bolus every 12 hr: This is a loop diuretic, which is appropriate for managing fluid overload in heart failure.
C. Laboratory testing of serum potassium upon admission: This is appropriate, as diuretics like Bumex can lower potassium levels, so it is important to monitor electrolyte levels.
D. Morphine sulfate 2 mg IV bolus every 2 hr PRN pain: This is appropriate for pain management and to help with anxiety and breathing difficulties in acute heart failure.
Correct Answer is ["B","E","F"]
Explanation
A. Amiodarone: This is an antiarrhythmic, not a vasopressor.
B. Dopamine: Dopamine has vasopressor effects, increasing blood pressure and cardiac output.
C. Adenosine: This is used to treat supraventricular tachycardia, not for vasopressor purposes.
D. Atropine: Atropine increases heart rate by inhibiting parasympathetic activity but is not a vasopressor.
E. Norepinephrine: Norepinephrine is a potent vasopressor that increases systemic vascular resistance and blood pressure.
F. Epinephrine: Epinephrine has vasopressor and inotropic effects, making it critical during cardiac arrest.
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