The client with Class II heart failure as a result of an acute myocardial infarction is prescribed to receive dobutamine. What specific response(s) should the nurse expect to see if this therapy is successful?

A. Decreased heart rate, increased pulse quality
B. Decreased heart rate, decreased pulse quality
C. Increased heart rate, increased pulse quality
D. Increased heart rate, decreased pulse quality


C
Dobutamine is a positive inotropic agent that works by stimulating beta-adrenergic receptor sites. The result of this stimulation is an increase in the rate and force of the myocardial contraction.

Nursing

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A client has undergone a vaginal hysterectomy with a bilateral salpingo-oophorectomy. She is concerned about a loss of libido. What intervention by the nurse would be best?

a. Suggest increasing vitamins and supplements daily. b. Discuss the value of a balanced diet and exercise. c. Reinforce that weight gain may be inevitable. d. Teach that estrogen cream inserted vaginally may help.

Nursing

What behavior should the nurse demonstrate when caring for victims of abuse?

1. Distant 2. Authoritarian 3. Nonjudgmental 4. Judgmental

Nursing

A client is experiencing an overdosage of heparin. The nurse would expect to administer which of the following?

A) Vitamin K1 B) Protamine C) Ticlopidine D) Tenecteplase

Nursing

The community leaders in a lesser-developed country decide not to tell the citizens of a small village about a chemical spill at a major industrial facility that could produce harmful effects. Which of the following principles are they violating?

1. Policy 2. Advocacy 3. Caring 4. Virtue

Nursing