The nurse is starting a high-dose dopamine infusion for a client diagnosed with shock. The nurse should monitor the client for which side effect of this drug?
1. Angina
2. Ventricular tachycardia
3. Bronchospasm
4. Urinary retention
Correct Answer: 2
Rationale 1: Dopamine causes angina pain at low doses.
Rationale 2: High doses of dopamine stimulate beta-1 receptors, causing the heart to beat more rapidly, hence causing ventricular tachycardia.
Rationale 3: Dopamine has no effect on beta receptors in the lungs.
Rationale 4: Dopamine does not have an effect on the urinary bladder.
Global Rationale: High doses of dopamine stimulate beta-1 receptors, causing the heart to beat more rapidly, hence causing ventricular tachycardia. Dopamine causes angina pain at low doses. Dopamine has no effect on beta receptors in the lungs or the urinary bladder.
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