This topic contains a solution. Click here to go to the answer

Author Question: A client being treated for hypovolemic shock is prescribed a low dose of dopamine. Which outcome ... (Read 78 times)

oliviahorn72

  • Hero Member
  • *****
  • Posts: 579
A client being treated for hypovolemic shock is prescribed a low dose of dopamine. Which outcome does the nurse anticipate for this client?
 
  A) Stabilization of fluid loss
  B) Increased cardiac output
  C) Vasoconstriction and increased blood pressure
  D) Urinary output of at least 30 mL/hour

Question 2

An older adult client is experiencing hypovolemic shock. Which is the priority intervention for this client?
 
  A) Administering analgesics for control of pain
  B) Assessing the cause of bleeding
  C) Providing replacement of volume
  D) Establishing invasive cardiac monitoring



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

cupcake16

  • Sr. Member
  • ****
  • Posts: 309
Answer to Question 1

Answer: D

At low doses, dopamine stimulates dopaminergic receptors, especially in the kidneys, leading to vasodilation and an increased blood flow through the kidneys. Increased cardiac output occurs with high, not low, doses of dopamine when beta1-adrenergic receptors are stimulated. Vasoconstriction and increased blood pressure occur with high, not low, doses of dopamine when alpha-adrenergic receptors are stimulated. Dopamine does not prevent or stabilize fluid loss.

Answer to Question 2

Answer: D

With aging, there is a decrease in cardiac sympathetic activity. Older clients can have secondary volume depletion because of diuretics or malnutrition, and if prescribed a beta blocker, tachycardia may not occur as an early sign of hypovolemic shock. The older client will require early invasive monitoring in order to avoid excessive or inadequate volume restoration. This should be done early in the treatment phase. Replacement of volume would occur after invasive cardiac monitoring is established. Pain would be a consideration but would not be attended to as a first priority. Assessing the cause of bleeding would also occur after establishing invasive cardiac monitoring.




oliviahorn72

  • Member
  • Posts: 579
Reply 2 on: Jun 25, 2018
Gracias!


Hdosisshsbshs

  • Member
  • Posts: 315
Reply 3 on: Yesterday
Excellent

 

Did you know?

It is important to read food labels and choose foods with low cholesterol and saturated trans fat. You should limit saturated fat to no higher than 6% of daily calories.

Did you know?

The cure for trichomoniasis is easy as long as the patient does not drink alcoholic beverages for 24 hours. Just a single dose of medication is needed to rid the body of the disease. However, without proper precautions, an individual may contract the disease repeatedly. In fact, most people develop trichomoniasis again within three months of their last treatment.

Did you know?

The largest baby ever born weighed more than 23 pounds but died just 11 hours after his birth in 1879. The largest surviving baby was born in October 2009 in Sumatra, Indonesia, and weighed an astounding 19.2 pounds at birth.

Did you know?

Drug abusers experience the following scenario: The pleasure given by their drug (or drugs) of choice is so strong that it is difficult to eradicate even after years of staying away from the substances involved. Certain triggers may cause a drug abuser to relapse. Research shows that long-term drug abuse results in significant changes in brain function that persist long after an individual stops using drugs. It is most important to realize that the same is true of not just illegal substances but alcohol and tobacco as well.

Did you know?

Historic treatments for rheumatoid arthritis have included gold salts, acupuncture, a diet consisting of apples or rhubarb, nutmeg, nettles, bee venom, bracelets made of copper, prayer, rest, tooth extractions, fasting, honey, vitamins, insulin, snow collected on Christmas, magnets, and electric convulsion therapy.

For a complete list of videos, visit our video library