A patient in heart failure is to be started on an infusion of dobutamine (Dobutrex). What is most important for the nurse to assess before starting the infusion? The patient's:
1. Breath sounds
2. Blood pressure
3. Level of consciousness
4. Urine output
2
Rationale 1: Breath sounds are not the most important for the nurse to assess before starting this infusion.
Rationale 2: Prior to initiation, before each titration, and at the peak action of dobutamine, the nurse must assess blood pressure, heart rate, respiratory rate, and oxygen saturation. Frequent assessment of these parameters should continue throughout the infusion period.
Rationale 3: Level of consciousness is not the most important for the nurse to assess before starting this infusion.
Rationale 4: Urine output is not the most important for the nurse to assess before starting this infusion.
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