Which of the following is NOT an appropriate indication for the use of dopamine in critical care?

Hypotension due to neurogenic shock

Hypotension due to septic shock

Hypotension due to hypovolemic shock

Hypotension due to cardiogenic shock

Answer and Explanation

The Correct Answer is C

C. its use in hypovolemic shock is generally not appropriate because the primary treatment for hypovolemic shock is fluid resuscitation to address the volume loss.

A. Dopamine is often used in neurogenic shock to increase systemic vascular resistance and improve blood pressure. Therefore, dopamine is an appropriate choice for the management of hypotension due to neurogenic shock.

B. Dopamine is commonly used in septic shock to improve cardiac output and systemic vascular resistance. It helps to support blood pressure and perfusion in septic shock patients.

D. It is indicated for cardiogenic shock as it increases cardiac contractility.

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Correct Answer is D

Explanation

D. Asystole represents the absence of electrical activity in the heart and is not amenable to defibrillation. Therefore, the RRT would continue cardiopulmonary resuscitation (CPR) with chest compressions and may administer medications or other interventions as indicated. This statement provides accurate information to the family about the patient's condition and the actions being taken by the RRT.

A. Defibrillation is not indicated for asystole. Asystole represents a flatline on the cardiac monitor, indicating the absence of electrical activity in the heart. Defibrillation is only effective for certain types of cardiac rhythms, such as ventricular fibrillation or pulseless ventricular tachycardia. Therefore, the RRT would not use defibrillation for a patient in asystole.

B. It does not provide the family with information about the patient's condition or the actions being taken by the RRT. Moreover, excluding the family from the patient's care may cause additional distress and prevent them from being present to support their loved one during a critical situation.

C. Cardiopulmonary resuscitation (CPR) is performed to maintain blood flow and oxygenation to vital organs during cardiac arrest. However, it does not restore normal blood flow or circulation. The goal of CPR is to provide temporary support until advanced interventions can be initiated or until return of spontaneous circulation (ROSC) is achieved.

A. Remove clothing for a thorough assessment. B. Determine effectiveness of ventilator efforts. C. Open the airway using a jaw-thrust maneuver. D. Establish IV access. E. Perform a Glasgow Coma Scale assessment.

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

Explanation

First, the nurse should open the airway using a jaw-thrust maneuver (C) to ensure it is not obstructed. Next, they should determine the effectiveness of ventilatory efforts (B), as breathing is critical and any compromise must be addressed immediately. Following this, establishing IV access (D) is important for fluid resuscitation and medication administration. The nurse should then perform a Glasgow Coma Scale assessment (E) to determine the level of consciousness and neurological function. Lastly, removing clothing for a thorough assessment (A) is essential, but only after the critical steps concerning airway, breathing, circulation, and disability have been addressed.

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Which of the following is NOT an appropriate indication for the use of dopamine in critical care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The rapid response team (RRT) is caring for a client with asystole. Which nursing statement made to the client's family about the actions of the RRT is appropriate?

Correct Answer is D

Explanation

A nurse is conducting a primary survey of a client who has sustained life-threatening injuries due to a motor-vehicle crash. Identify the sequence of actions the nurse should take. (Move the actions into the box on the right, placing them in the selected order of performance. Use all the steps.)

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

Explanation

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