A patient is receiving dobutamine [Dobutrex] as a continuous infusion in the immediate postoperative period. The patient also is receiving a diuretic. What adverse drug reactions are possible in this patient? (Select all that apply.)

a. Angina
b. Dysrhythmias
c. Hypotension
d. Oliguria
e. Tachycardia


A, B, E
Angina, dysrhythmias, and tachycardia are the most common adverse effects of dopamine; gen-eral anesthetics can increase the likelihood of dysrhythmias. Dopamine elevates blood pressure by increasing cardiac output. Diuretics complement the beneficial effects of dopamine on the kidney, so urine output would be increased, not decreased.

Nursing

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All members of the nurse manager's staff have attended classes that emphasized appropriate system access, input device use, potential harmful effects associated with incorrect data, data verification techniques, and error correction

They received a certificate indicating proficiency in the use of the input device and computer systems. These staff members will not require additional training unless the technology changes significantly. Which of the following suggests that this statement is false? 1. Continuing education is only necessary with significant changes. 2. Continuing education should be consistent. 3. Continuing education should be performed when time permits. 4. Continuing education is essential for point-of-care staff only.

Nursing

The perinatal nurse understands that certain actions help to decrease the risk of hyperbilirubinemia in the newborn. These actions include:

A) conducting frequent visual assessments. B) accurately documenting the intake and output. C) discontinuing breastfeeding for 24 hours during the first 3 days of life. D) limiting breastfeeding to 10 minutes per breast at each feeding.

Nursing

In 2000, which of the following states had the largest percentage of persons living in poverty?

a. Connecticut b. New Mexico c. Iowa d. Minnesota

Nursing

Identify the physiologic action that results from the administration of venodilators such as nitroglycerin and isosorbide dinitrate.

A. Venodilators increase cardiac output. B. Venodilators decrease the rate of contraction of the heart. C. Venodilators reduce venous return to the heart. D. All of the above are correct.

Nursing