The patient has experienced hypovolemic shock as a result of severe burns. The physician orders a low dose of dopamine (Inotropin). What is the best evaluation by the nurse?
1. Vasoconstriction and increased blood pressure
2. Stabilization of fluid loss
3. Urinary output of at least 50 mL/hour
4. Increased cardiac output
Correct Answer: 3
Rationale: At low doses, dopamine (Inotropin) stimulates dopaminergic receptors, especially in the kidneys, leading to vasodilation and an increased blood flow through the kidneys. Increased cardiac output occurs with high, not low, doses of dopamine (Inotropin) when beta1-adrenergic receptors are stimulated. Vasoconstriction and increased blood pressure occurs with high, not low, doses of dopamine (Inotropin) when alpha-adrenergic receptors are stimulated. Dopamine (Inotropin) does not prevent or stabilize fluid loss.
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Which of the following statements best reflects an understanding of the most effective means of showing nursing accountability for client care?
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The physician orders tramadol 25 mg oral three times a day. Tramadol is available in 50-mg tablets. How many tablets would the nurse administer with each dose? ___________
Fill in the blank(s) with correct word
The nurse is concerned about a patient's ability to make decisions about a proposed treatment plan. Which patient characteristic is causing the nurse to have this concern?
a. Lower socioeconomic status b. Authoritarian family relationship c. Past experience with hospitalization d. Lack of information about treatment