Nokea
Before administering dobutamine to a client, the nurse should assess which of the following?
- A. Blood pressure
- B. Blood glucose
- C. Respiratory rate
- D. Pulse
- E. Level of consciousness
Correct Answer: A,C,D,E
Rationale: Dobutamine administration requires monitoring of blood pressure, respiratory rate, pulse, and level of consciousness to assess cardiovascular and neurological status.
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Which of the following is a condition that may result in distributive shock?
- A. Central line infection
- B. Acute myocardial infarction
- C. Congestive heart failure
- D. Spinal cord injury
- E. Allergic drug reaction
Correct Answer: A,D,E
Rationale: Central line infection, spinal cord injury, and allergic drug reactions can lead to distributive shock by causing vasodilation or maldistribution of blood flow.
A client is to receive midodrine. Which of the following would the nurse include in the plan of care to ensure that the client doesn't develop supine hypertension?
- A. Administer midodrine during the day.
- B. Ensure that the client is lying in a supine position.
- C. Instruct the client to regularly shift positions.
- D. Assist the client when moving out of bed.
Correct Answer: A
Rationale: Administering midodrine during the day reduces the risk of supine hypertension, which is more likely when the client is lying down for extended periods.
A nurse is preparing to administer a prescribed adrenergic agent to a client who is in shock. Before administering the drug, the nurse would assess for and document which of the following as a sign of shock?
- A. Increased temperature
- B. Reddish/pinkish skin
- C. Dry, dehydrated skin
- D. Changes in consciousness
Correct Answer: D
Rationale: Changes in consciousness are a key sign of shock, indicating inadequate cerebral perfusion, and should be documented before administering adrenergic drugs.
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.
After teaching a group of nursing students about adrenergic drugs and their effects, the instructor determines that the teaching was successful when the students identify which of the following as an effect of these drugs?
- A. Decreased myocardial contractility
- B. Vasodilation
- C. Increased cardiac output
- D. Improved airway clearance
Correct Answer: C
Rationale: Adrenergic drugs increase myocardial contractility and heart rate, leading to increased cardiac output.