Nokea
A nurse is monitoring a client who is receiving dopamine. The nurse should be alert for which of the following adverse reactions?
- A. Headache
- B. Hypotension
- C. Cardiac arrhythmias
- D. Nausea
- E. Diarrhea
Correct Answer: A,C,D
Rationale: Dopamine, an adrenergic drug, can cause adverse reactions such as headache, cardiac arrhythmias, nausea, and hypertension, not hypotension or diarrhea.
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A nurse is caring for a client who has recently suffered an acute myocardial infarction. The nurse would closely monitor this client for which of the following that would suggest that the client is developing shock?
- A. Increased blood pressure
- B. Decreased urinary output
- C. Hypoxia
- D. Tachypnea
- E. Bradycardia
Correct Answer: B,C,D
Rationale: Signs of shock include decreased urinary output, hypoxia, and tachypnea due to inadequate tissue perfusion. Increased blood pressure and bradycardia are not typical signs of shock.
The nurse administers isoproterenol (Isuprel) to a client. Which of the following would most likely occur?
- A. Decreased heart rate
- B. Increased use of glucose
- C. Decreased gastric motility
- D. Constriction of coronary blood vessels
- E. Wakefulness
Correct Answer: B,C,E
Rationale: Isoproterenol stimulates beta receptors, leading to increased heart rate, increased glucose metabolism, decreased gastric motility, dilation of coronary blood vessels, and wakefulness.
A client is prescribed dopamine. Which of the following would the nurse include in the client's plan of care?
- A. Administering dopamine only via IV route
- B. Maintaining a fixed rate of administration
- C. Monitoring blood pressure every half hour
- D. Diluting dopamine with sodium bicarbonate
Correct Answer: A
Rationale: Dopamine must be administered intravenously to ensure rapid and controlled delivery, with blood pressure monitored frequently to titrate the dose.
A nurse is teaching a client how to use an auto-injector as treatment for an allergic reaction. Which statement by the client indicates the need for additional teaching?
- A. I should not touch the orange or black tip on the small end.
- B. I should administer the dose and then call 9-1-1 if I'm alone.
- C. I should inject the black tip into my outer thigh.
- D. I need to massage the site after removing the device.
Correct Answer: B
Rationale: In an emergency, the client should call 9-1-1 before administering the auto-injector to ensure prompt medical assistance.
A nurse is monitoring the vital signs of a client who has received epinephrine. The nurse would report which of the following assessment findings?
- A. Systolic blood pressure below 100 mm Hg
- B. Temperature reading of 97.6°F
- C. Pulse rate of 60 beats/min
- D. A diastolic blood pressure of 75 mm Hg
Correct Answer: A
Rationale: A systolic blood pressure below 100 mm Hg indicates that epinephrine, which should raise blood pressure, is not effective and requires immediate reporting.