A patient with cardiac decompensation is started on dobutamine at 1 mcg/kg/min with an order to titrate to effect. After receiving this dose for several minutes, the patient develops tachycardia and occasional premature ventricular contractions. What nursing intervention is indicated?
1. Increase the dose to 1.5 mcg/kg/min.
2. Discontinue the infusion.
3. Decrease the infusion to 0.5 mcg/kg/min.
4. Contact the prescriber immediately.
Answer: 3
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The nurse is interviewing an older adult female client. Which statement made by the client would warrant intervention by the nurse?
1. "I use a lubricant for sex to help with dryness." 2. "I take hormone pills to help with my hot flashes." 3. "My periods stopped for 5 years, but recently restarted." 4. "I don't have a desire for sex very often, but neither does my husband."
Which laboratory value is always checked before giving a dose of furosemide (Lasix)?
a. Calcium b. Magnesium c. Creatinine d. Potassium
In providing nutritional counseling for a pregnant woman experiencing cholecystitis, the nurse would:
1. assess the woman's dietary history for adequate calories and proteins. 2. instruct the woman that the bulk of calories should come from proteins. 3. instruct the woman to eat a low-fat diet and avoid fried foods. 4. instruct the woman to eat a low-cholesterol, low-salt diet.
Which aspect of a biological agent is probably the most frightening to those exposed?
a. Infectivity b. Invasiveness c. Pathogenicity d. Virulence