50) A nurse is managing several IV medications to maintain the blood pressure of aclient in hypovolemic shock. Which medication places the client at risk for ahypertensive reaction, requiring the nurse to assess the blood pressure at least every15 minutes?(a) Norepinephrine (Levophed)(b) Sodium nitroprusside (Nipride)(c) Adenosine (Adenocard)(d) Amiodorone (Cordorone)
Question
- A nurse is managing several IV medications to maintain the blood pressure of aclient in hypovolemic shock. Which medication places the client at risk for ahypertensive reaction, requiring the nurse to assess the blood pressure at least every15 minutes?(a) Norepinephrine (Levophed)(b) Sodium nitroprusside (Nipride)(c) Adenosine (Adenocard)(d) Amiodorone (Cordorone)
Solution
(b) Sodium nitroprusside (Nipride)
Sodium nitroprusside (Nipride) is a powerful vasodilator that is used to lower blood pressure in hypertensive emergencies. However, it can cause a rapid drop in blood pressure, leading to a hypotensive reaction. Therefore, when a patient is on this medication, the nurse should monitor the blood pressure at least every 15 minutes to ensure it does not drop too low.
Norepinephrine (Levophed), Adenosine (Adenocard), and Amiodarone (Cordarone) are not typically associated with causing a hypotensive reaction. Norepinephrine is a vasopressor used to increase blood pressure, while Adenosine is used to treat certain types of irregular heartbeats, and Amiodarone is used to treat and prevent certain types of serious, life-threatening ventricular arrhythmias.
Similar Questions
32) A patient with shock of unknown etiology whose hemodynamic monitoring indicatesa BP 92/54, pulse 64, and an elevated pulmonary artery wedge pressure has thefollowing collaborative interventions prescribed. Which intervention will the nursequestion?(a) Infuse normal saline at 250ml/hr(b) Keep head of bed elevated to 30 degrees(c) Give nitroprusside unless systolic BP is less than 90 mmHg(d) Administer dobutamine to keep systolic BP greater than 90 mmHg
A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications?A. FurosemideB. DesmopressinC. EpinephrineD. Nitroprusside
74) A nurse is caring for a client who is in the non-progressive (compensatory) stage ofhypervolemic shock. Which finding should the nurse anticipate? ***(a) Multi-organ Dysfunction Syndrome and seizures(b) Increase thirst reflex and moderate vasoconstriction(c) pH 7.5 and potassium level of 3.0 mEq/L(d) Decrease in MAP by 20 points from baseline
30) A patient with septic shock has a urine output of 20 ml/hr for the past 3 hours. Thepulse rate is 120, and the central venous pressure and pulmonary artery wedgepressure are low. Which of these orders by the health care provider will the nursequestion?(a) Give furosemide(b) Increased normal saline infusion(c) Administer hydrocortisone(d) Prepare to give broad spectrum antibiotic
54) A nurse is educating a new nurse on the different types of shock. The new nurse isasked to identify which client is not experiencing distributive shock?(a) A client with septic-induced hypotension refractory to adequate fluid resuscitation(b) A client with extensive spinal cord injury at T4 and a heart rate of 40 beats per minute(c) A client with an extreme type of allergic reaction to penicillin and stridor(d) A client with a tension pneumothorax and cardiovascular compression.
Upgrade your grade with Knowee
Get personalized homework help. Review tough concepts in more detail, or go deeper into your topic by exploring other relevant questions.