The nurse is preparing an infusion of norepinephrine for a patient in severe septic shock. Why is this medication being used for the patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. It will increase the patient's MAP.
2. It reverses hypotension when fluid resuscitation was unsuccessful.
3. It increases stroke volume.
4. It increases heart rate.
5. Effects are seen in 5 minutes.
1,2
Rationale 1: Norepinephrine usually results in a significant increase in MAP with little change in heart rate or cardiac output.
Rationale 2: It seems to be more effective than dopamine at reversing hypotension in septic shock patients resistant to fluid resuscitation.
Rationale 3: Dopamine increases MAP primarily by increasing stroke volume.
Rationale 4: Dopamine increases MAP primarily by increasing heart rate.
Rationale 5: The effects of norepinephrine are seen in 1 to 2 minutes after administering.
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The Health Care Financing Administration (HCFA) has stated that a resident in a long-term care facility has the right to have the least restrictive treatment to promote health
Which of the following treatments would be questionable under these guidelines? a. Taping an arm board to a resident's wrist to promote the flow of an IV that stops when the resident bends his or her wrist b. Fastening a Velcro belt on a wheelchair-bound resident who is able to unfasten himself or herself c. Applying a soft waist restraint on a resident who repeatedly falls after climbing over the side rails of the bed to go to the bathroom d. Administering a sedative to a resident who has been complaining of insomnia
A nurse has begun to administer conscious sedation to a client who will undergo a bronchoscopy. Which of the following is an expected outcome after administering conscious sedation to a client?
A) Client can respond verbally despite being unable to move. B) Client can tolerate invasive surgical procedures. C) Client is relaxed, emotionally comfortable, and conscious. D) Client's consciousness level can be monitored by equipment.
A nursing student is assigned to care for a child with sickle cell disease (SCD). The nursing instructor asks the student to describe the causative factors related to this disease
Which of the following statements, if made by the student, indicates a need for further research? 1. SCD is an autosomal recessive disease. 2. If each parent carries the trait, the children will inherit the trait. 3. Children with the HbS (sickle cell hemoglobin) trait are not symptomatic. 4. If one parent has the HbS trait and the other parent is normal, there is a 50% chance that each offspring will inherit the trait.
The parents of a 2-year-old who has cerebral palsy are only now beginning to accept that their child will have a permanent disability. The nurse has been instructing the parents about the treatment for the spasticity their child is experiencing
Which statements by the parents indicate that the nurse should plan additional teaching sessions? 1. "At some point, our child may require surgery to correct this spasticity." 2. "As long as we continue our child's medications, the spasticity can be controlled." 3. "Our physical therapy sessions should focus on flexing our child's muscles." 4. "We should repeat the exercises several times with each muscle group." 5. "It is best to give our child a rest from physical therapy by skipping 1 week a month."