Describe how you will titrate the dopamine infusion
What will be an ideal response?
You would start the infusion at 4 mcg/kg/min as ordered, then increase by 1 mcg/kg/min every
5 to 10 minutes until the desired effect or clinical response is obtained or the maximum dose is
reached. Each time the dose is adjusted, R.J.'s vital signs would be assessed and documented. Dosage
calculation on high-alert medications, such as IV dopamine, would be verified by a second source,
such as a second RN or a hospital-approved chart.
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A husband calls the perinatal clinic because he is worried about his wife's emotional state after giving birth 2 weeks ago. Which question by the nurse would be most helpful?
A. "Can you explain specifically what you are worried about?" B. "How is your wife's appetite? Is she eating enough?" C. "Is your wife still able to care for herself and the baby?" D. "When did all the symptoms start, before or after the birth?"
How may a nurse caring for a pediatric patient best be perceived as nonthreatening?
a. Tightly crossing her arms b. Maintaining an open posture c. Maintaining a tense posture d. Standing at the bedside
Using the tenets of secondary prevention, the committee seeks to establish an HIV/AIDS clinic. The nurse states that it is important for the location of the clinic to be associated with the local hospital
The committee states that the cost of the clinic associated with the hospital is higher than one that is free standing. Which presents the best rationale for the nurse's suggestion? A) Third-party insurance will reimburse the clinic visits only if the clinic is attached to the hospital. B) The hospital can more easily implement programs of care for the clients. C) The hospital will cover the clients only if the clinic is approved by the hospital governance board. D) The hospital will have a vested interest in the success of the clinic.
What tests and referrals would you recommend for Mrs Smith?
Mrs Smith presents for a nurse-led pre-admission assessment. She is an insulin-dependent diabetic with a BMI >45. What will be an ideal response?