the nurse is monitoring a client on dobutamine what adverse effect should the nurse watch for
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Cardiovascular System Exam Questions And Answers

1. The nurse is monitoring a client on dobutamine. What adverse effect should the nurse watch for?

Correct answer: A

Rationale: The correct answer is A: Tachycardia. Dobutamine is a medication that stimulates beta-1 adrenergic receptors in the heart, leading to increased heart rate. Therefore, tachycardia is a common adverse effect that the nurse should monitor for. Choices B, C, and D are incorrect because dobutamine typically does not cause bradycardia, hypertension, or respiratory distress as its primary adverse effects.

2. What test measures the electrical activity of the heart and can detect heart rhythm problems?

Correct answer: A

Rationale: The correct answer is Electrocardiogram (ECG or EKG). An electrocardiogram is a test that measures the electrical activity of the heart and can detect irregularities in heart rhythm. Choices B, C, and D are incorrect because a chest X-ray, MRI, and CT scan do not specifically measure the electrical activity of the heart or detect heart rhythm problems.

3. The nurse is caring for a client on heparin. What is the most important lab value to monitor?

Correct answer: A

Rationale: The correct answer is A: aPTT. When a client is on heparin therapy, monitoring the aPTT is crucial. The aPTT helps assess the effectiveness of heparin in preventing blood clots and guides dose adjustments as needed. INR (Choice B) is more commonly used to monitor warfarin therapy. Platelet count (Choice C) is important to assess for potential bleeding disorders or thrombocytopenia but is not the primary lab value to monitor for heparin therapy. Hemoglobin (Choice D) is essential for assessing oxygen-carrying capacity but is not the most important lab value to monitor when a client is on heparin.

4. What is a condition where the heart beats too slowly, reducing the amount of blood pumped to the body?

Correct answer: A

Rationale: Bradycardia is the correct answer. It is a condition characterized by a slow heart rate, which reduces the amount of blood pumped to the body. This can lead to symptoms like fatigue and dizziness. Choice B, Tachycardia, is the opposite condition where the heart beats too fast. Choices C and D, Atrial fibrillation and Ventricular fibrillation, refer to irregular and potentially life-threatening rapid heart rhythms involving the atria and ventricles respectively, not a slow heart rate.

5. Which term refers to high blood pressure, a condition where the force of the blood against the artery walls is too high?

Correct answer: A

Rationale: The correct answer is A, Hypertension. Hypertension is a condition characterized by persistently high blood pressure, which increases the risk of heart disease and stroke. Choice B, Hypotension, refers to low blood pressure. Choice C, Hyperlipidemia, is the term for high levels of fats in the blood. Choice D, Diabetes, is a condition characterized by high blood sugar levels.

Similar Questions

The client on spironolactone (Aldactone) has a potassium level of 5.8 mEq/L. What is the nurse’s priority action?
The client on warfarin has an INR of 4.5. What is the most appropriate action by the nurse?
Which of the following is a chronic condition where the heart muscle is weakened and unable to pump blood effectively, often leading to heart failure?
The nurse is giving nitroglycerin sublingually for chest pain. What is the most important instruction to give to the client?
The client on furosemide (Lasix) is complaining of muscle cramps. What electrolyte imbalance should the nurse suspect?

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