A client with hemorrhagic shock is receiving norepinephrine (Levophed) by continuous infusion. Which of the following outcomes is anticipated?
1. Blood pressure of 100/54
2. Reduction in bleeding
3. Reduced apical heart rate
4. Decline in cardiac enzymes
Blood pressure of 100/54
Rationale: Norpinephrine (Levophed) is a catecholamine used in shock to raise blood pressure. Reduction in bleeding is not the intended effect; bleeding may actually increase as blood pressure is restored. The apical pulse would increase related to the catecholamine effects; therefore reduced heart rate is not the intended outcome. A decline in cardiac enzymes is not anticipated, as norepinephrine increases afterload and cardiac workload; this is not the intended effect.
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