the client is on dobutamine adverse effects of dobutrex dobutamine include the following select all that apply
Logo

Nursing Elites

ATI RN

Cardiovascular System Exam Questions

1. The client is on dobutamine. Adverse effects of Dobutrex (dobutamine) include the following: Select all that apply.

Correct answer: C

Rationale: The correct answer is C: Tachycardia. Dobutamine is a medication that primarily increases heart rate (tachycardia) and blood pressure. Therefore, the adverse effects of dobutamine include tachycardia. Choices A, B, and D are incorrect. Heart failure is not an adverse effect of dobutamine; in fact, it is used to treat heart failure by increasing heart contractility. Bradycardia (slow heart rate) is not an expected adverse effect of dobutamine, as it usually increases heart rate. Respiratory distress is not a common adverse effect of dobutamine.

2. The client on warfarin has an INR of 4.5. What is the most appropriate action by the nurse?

Correct answer: A

Rationale: An INR of 4.5 is elevated, indicating an increased risk of bleeding due to excessive anticoagulation. The most appropriate action for the nurse in this scenario is to administer vitamin K. Vitamin K helps reverse the anticoagulant effects of warfarin, thus lowering the INR and reducing the risk of bleeding. Holding the next dose of warfarin (choice B) is not sufficient to address the immediate high INR level. Increasing the dose of warfarin (choice C) would further elevate the INR, worsening the risk of bleeding. While monitoring the client's INR closely (choice D) is important, immediate action is required to address the critically high INR level, making the administration of vitamin K the priority intervention.

3. What is a condition where the blood pressure in the arteries is consistently too high, increasing the risk of heart disease and stroke?

Correct answer: A

Rationale: Hypertension, also known as high blood pressure, is a condition where the force of the blood against the artery walls is consistently too high. This increased pressure can lead to serious health issues such as heart disease and stroke. Hypotension (choice B) refers to low blood pressure, which is not the correct term in this context. Diabetes (choice C) and hyperlipidemia (choice D) are also serious conditions but are not specifically characterized by consistently high blood pressure.

4. What is a condition where the airways become inflamed and narrow, making breathing difficult?

Correct answer: A

Rationale: Asthma is the correct answer. It is a condition characterized by inflammation, narrowing, and swelling of the airways, leading to symptoms like wheezing, shortness of breath, and coughing. Bronchitis is the inflammation of the bronchial tubes; Pleurisy is inflammation of the tissues that line the lungs and chest cavity; Tuberculosis is a bacterial infection that mainly affects the lungs.

5. For what reason might the nurse be given an order to administer milrinone (Primacor)?

Correct answer: A

Rationale: Milrinone is commonly prescribed for congestive heart failure to help improve cardiac function and alleviate symptoms. Choices B, C, and D are incorrect as milrinone is not typically used for hypertension, cardiac arrhythmias, or bradycardia. It is specifically indicated for congestive heart failure for short-term management.

Similar Questions

What is a condition where the alveoli are gradually destroyed, leading to shortness of breath and reduced oxygen exchange?
Which condition refers to the heart being unable to pump sufficient blood to meet the body's needs?
The nurse is giving the client digoxin for heart failure and recognizes that the drug has what type of effect on the heart?
Which of the following is a chronic lung disease that results in the gradual destruction of the alveoli, causing difficulty breathing and reduced oxygen exchange?
What is a surgical procedure to redirect blood flow around a blocked or narrowed artery, often involving the use of a graft from another part of the body?

Access More Features

ATI RN Basic
$69.99/ 30 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

ATI RN Premium
$149.99/ 90 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

Other Courses