Practice Question
A client who is hypotensive is receiving dopamine, an adrenergic agonist, IV at the rate of 8 mcg/kg/min. Which intervention should the nurse implement while administering this medication?
Answer Choices:
Correct Answer:
Measure urinary output every hour
Rationale:
🔷 Dopamine, at moderate doses (5–10 mcg/kg/min), primarily stimulates dopaminergic and beta-1 adrenergic receptors, improving renal perfusion and cardiac output.
🔷 Hourly urinary output monitoring is essential to assess renal function and perfusion effectiveness, especially in hypotensive patients.
🔷 Adequate urine output (≥0.5 mL/kg/hr) indicates that dopamine is successfully increasing renal blood flow.
🔷 A drop in urinary output may signal renal hypoperfusion or worsening hypotension, requiring immediate evaluation.
🔷 Monitoring also helps guide fluid resuscitation and titration of dopamine to achieve hemodynamic targets.
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This question is from RN HESI Exit~2024 Exam 3 which contains 113 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI-Exit Exam(s)
- Domain: HESI Exit Exam(s)~2024
- Answer Choices: 4