The client is prescribed an IV infusion of milrinone (Primacor) for the treatment acute heart failure. What is the priority plan of the nurse?
1. Monitor the ECG continuously.
2. Monitor for hypertension.
3. Take vital signs every 15 minutes.
4. Monitor for atrial fibrillation.
Correct Answer: 1
Rationale 1: The client's ECG is usually monitored continuously during the infusion of milrinone (Primacor).
Rationale 2: Hypotension, not hypertension, is an adverse effect of milrinone (Primacor).
Rationale 3: Vital signs should be assessed continuously, not every 15 minutes, while the client receives milrinone (Primacor).
Rationale 4: Ventricular dysrhythmias, not atrial fibrillation, are an adverse effect of milrinone (Primacor).
Global Rationale: The client's ECG is usually monitored continuously during the infusion of milrinone (Primacor). Hypotension, not hypertension, is an adverse effect of milrinone (Primacor). Vital signs should be assessed continuously, not every 15 minutes, while the client receives milrinone (Primacor). Ventricular dysrhythmias, not atrial fibrillation, are an adverse effect of milrinone (Primacor).
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