Answer to Question 1
ANS: C
Chest heaviness or pain indicates myocardial ischemia, a possible adverse effect of dopamine. While taking dopamine, the oxygen requirements of the heart are increased due to increased myocardial workload, and may cause ischemia. Without knowing the client's previous blood pressure or pedal pulses, there is not enough information to determine if these are an improvement or not. A urine output of 32 mL/hr is acceptable.
Answer to Question 2
ANS: B
All these statements indicate a potential for leading to infection once the client gets back home. A large party might include individuals who are themselves ill and contagious. Having litter boxes in the home can expose the client to microbes that can lead to infection. Small children often have upper respiratory infections and poor hand hygiene that spread germs. However, the most worrisome statement is the lack of running water for handwashing and general hygiene and cleaning purposes.
The nurse is using Standard Precautions to draw blood.
dopamine necklace
Patient teaching: heart assessment
Nursing history for male genetalia assessment
Measuring the client’s blood pressure
Testing the client’s ability to feel vibrations, the toe