A dopamine infusion is being administered to a patient with shock. For what should the nurse be alert?
a. Sharp spike in blood pressure
b. Tremor of the hands
c. Increasing urinary output
d. Hyperirritability of the patient
A
Dopamine has a direct effect by elevating the blood pressure. The criterion is to titrate to the tar-get blood pressure. Urinary output should also be monitored for a decreased amount because a heightened blood pressure may slow urine filtration and reduce urine output.
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The nurse is preparing to examine a patient's posterior thorax. What will be included in this examination?
A) Auscultation of lung sounds B) Position of trachea C) Subclavicular lymph nodes D) Sternomastoid muscle strength
Three gravely ill patients are candidates for the only available bed in the ICU. As the supervisor, you assign the bed to the patient with the best chance of recovery. This decision reflects which of the following ethical principles?
a. Beneficence b. Autonomy c. Veracity d. Nonmaleficence
The clinic administrator has asked each nurse to classify the nursing activities as a beginning step of clinic reorganization. Which of these strategies can be identified as health promotion and health maintenance?
1. Administration of the flu vaccine for infants from 6 months to 23 months old. 2. Daily feeding schedules for infants. 3. Instruction to adolescents on how to use dental floss. 4. Treatment for a child with a diagnosis of acute otitis media.
Two family members are diagnosed with the same genetic disorder but have distinctly different manifestations. What should the nurse consider as being the reason for this occurrence?
1. Imprinting 2. Penetrance 3. New mutation 4. Variable expression