The nurse is preparing to administer popamine (Dopastat) for a client who is experiencing cardiogenic and hypovolemic shock. Which effects does the nurse anticipate will occur? (Select all that apply.)

Question

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Effects depend on the dose.
2. An increase of renal blood flow
3. An increase of cardiac output
4. Hypotension
5. Decreased urine output

Answer 1

Correct Answer: 1, 2, 3

Rationale 1: In low doses, dopamine stimulates increased blood flow to the kidneys, and at higher doses, dopamine increases the cardiac output and causes vasoconstriction—all of which make this a valuable drug when treating cardiogenic or hypovolemic shock.
Rationale 2: In low doses, dopamine stimulates increased blood flow to the kidneys, and at higher doses, dopamine increases the cardiac output and causes vasoconstriction—all of which make this a valuable drug when treating cardiogenic or hypovolemic shock.
Rationale 3: In low doses, dopamine stimulates increased blood flow to the kidneys, and at higher doses, dopamine increases the cardiac output and causes vasoconstriction—all of which make this a valuable drug when treating cardiogenic or hypovolemic shock.
Rationale 4: Hypotension is incorrect because dopamine raises blood pressure.
Rationale 5: Decreased urine output is incorrect because dopamine stimulates the kidneys.

Global Rationale: In low doses, dopamine stimulates increased blood flow to the kidneys, and at higher doses, dopamine increases the cardiac output and causes vasoconstriction–all of which make this a valuable drug when treating cardiogenic or hypovolemic shock. Hypotension is incorrect because dopamine raises blood pressure. Increased urine output is incorrect because dopamine stimulate the kidney.