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Author Question: A nurse is administering intravenous dopamine Intropin to a patient in the intensive care unit. ... (Read 74 times)

Starlight

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A nurse is administering intravenous dopamine Intropin to a patient in the intensive care unit. Which assessment finding would cause the most concern?
 
  a. Blood pressure of 100/70 mm Hg
  b. Increased urine output
  c. Edema at the IV insertion site
  d. Headache

Question 2

A nurse is teaching a drug prevention class to a group of parents of adolescents. Which statement by a parent indicates understanding of the teaching?
 
  a. Compared with alcohol, marijuana has little or no long-term adverse effects.
  b. Ecstasy causes reversible damage to se-rotonergic neurons.
  c. LSD does not cause an abstinence syn-drome when it is withdrawn.
  d. Most individuals who abuse opioids be-gan using them therapeutically.



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mcomstock09

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Answer to Question 1

C
The nurse would be concerned if the patient's peripheral IV were edematous, because this could signal infiltration of the solution into the tissues. Dopamine can cause necrosis if it extravasates. Dopamine is indicated to increase the patient's blood pressure; this blood pressure reading is ac-ceptable. When dopamine is effective at increasing cardiac output, it also causes an increase in urine output. Headache is not a contraindication to the use of dopamine.

Answer to Question 2

C
Although tolerance to LSD develops rapidly, there is no abstinence syndrome with abrupt with-drawal of the drug, and tolerance fades rapidly. Many adverse behavioral, subjective, and long-term effects are associated with chronic use of marijuana. MDMA Ecstasy can cause ir-reversible damage to serotonergic neurons. Most people who go on to abuse opioids begin their drug use illicitly; only an exceedingly small percentage of those exposed to opioids therapeuti-cally go on to abuse these drugs.





 

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Though methadone is often used to treat dependency on other opioids, the drug itself can be abused. Crushing or snorting methadone can achieve the opiate "rush" desired by addicts. Improper use such as these can lead to a dangerous dependency on methadone. This drug now accounts for nearly one-third of opioid-related deaths.

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