Author Question: A patient in shock is receiving an infusion of dopamine when it is discovered that an extravasation ... (Read 35 times)

kaid0807 · **on:** Jul 23, 2018

A patient in shock is receiving an infusion of dopamine when it is discovered that an extravasation has occurred. What drug should be on standby for this occurrence?

A) Phenylephrine
B) Propranolol
C) Phenylalanine
D) Phentolamine

Question 2

The nurse is caring for a woman who went through menopause 5 years earlier. The nursing plan of care for this patient includes teaching related to the importance of what dietary change?

A) Increased intake of fatty foods to maintain lipid levels
B) Reduced caloric intake because of lower activity levels
C) Increased calcium intake to reduce calcium loss in bones
D) Increased fluid intake to prevent dehydration from increased urination

Jody Vaughn · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
Maintain phentolamine on standby in case extravasation occurs; infiltration of the site with 10 mL of saline containing 5 to 10 mg of phentolamine is usually effective in saving the area. Phenylephrine, propranolol, and phenylalanine are not indicated for use when extravasation occurs.

Answer to Question 2

C
Feedback:
Estrogen and progesterone levels are reduced in menopause resulting in loss of protective mechanisms provided by these hormones. The patient requires extra calcium intake to prevent osteoporosis caused by loss of calcium in the bones. Serum lipid levels rise after menopause, thus putting the woman at increased risk of heart disease so the patient should be taught to limit fat intake. Post-menopausal women's activity levels do not need to decline and they may be as active as they wish to be. No need exists for increased fluid intake secondary to menopause.