A patient is receiving dobutamine (Dobutrex) as a continuous infusion in the immediate postoperative period. The patient also is receiving a diuretic. What adverse drug reactions are possible in this patient? (Select all that apply.)
a. Angina
b. Dysrhythmias
c. Hypotension
d. Oliguria
e. Tachycardia
ANS: A, B, E
Angina, dysrhythmias, and tachycardia are the most common adverse effects of dopamine; general anesthetics can increase the likelihood of dysrhythmias. Dopamine elevates blood pressure by increasing cardiac output. Diuretics complement the beneficial effects of dopamine on the kidney, so urine output would be increased, not decreased.
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A student nurse puts on a pair of sterile gloves. He or she would need to obtain or use a different set of sterile gloves under which of the following circumstances? Select all that apply
1. A tear is noted on the left ring finger. 2. The gloves are a size 7, and the student wears a different size. 3. The packaging becomes wet from water on the patient's bedside table. 4. One of the gloves needs to be adjusted to fit well. 5. The expiration date on the package is next week.
The theory that says that people learn in part form role models and that confidence in one's ability to reach a goal is a key to motivation and the ability to sustain efforts to achieve goals is
a. Contingency theory b. Path-goal theory c. Social learning theory d. Transformational leadership
Nurse managers play an integral role in the adoption of the hospital's information system. There are three levels of competency in this leadership role. What functions can be observed in the modifier level nurse manager? (Select all that apply.)
a. Participate in changes processes b. Participate in evaluation of system c. Participate in design of certain tools d. Use the system to evaluate clinical per-formance e. Use the system to promote research