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 81 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!


aruss1303

  • Member
  • Posts: 314
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

Did you know?

Thyroid conditions may make getting pregnant impossible.

Did you know?

In 2006, a generic antinausea drug named ondansetron was approved. It is used to stop nausea and vomiting associated with surgery, chemotherapy, and radiation therapy.

Did you know?

Malaria mortality rates are falling. Increased malaria prevention and control measures have greatly improved these rates. Since 2000, malaria mortality rates have fallen globally by 60% among all age groups, and by 65% among children under age 5.

Did you know?

On average, the stomach produces 2 L of hydrochloric acid per day.

Did you know?

In 1844, Charles Goodyear obtained the first patent for a rubber condom.

For a complete list of videos, visit our video library