A Patient Is on a Low-Dose Dobutamine Drip for Heart

question 5

Multiple Choice

A patient is on a low-dose dobutamine drip for heart failure.She had been feeling better but now has a sense of tightness in her chest,palpitations,and a bit of anxiety.Her heart rate is up to 110 per minute,and her blood pressure is 150/98 mm Hg (increased from previous readings of 86 per minute and 120/80 mm Hg) .What is the nurse's immediate concern for this patient?

• A) She is experiencing normal adverse effects of dobutamine therapy.
• B) She may be experiencing an allergic reaction to the dobutamine.
• C) The medication may be causing a worsening of a pre-existing cardiac disorder.
• D) The dosage of the dobutamine needs to be increased to control the symptoms better.

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Definitions:

Sensory Restriction

a condition in which one or more senses are deliberately reduced or removed for a period of time, impacting perception and potentially leading to various cognitive and psychological effects.

Convulsive Behaviors

Involuntary, rapid movements or convulsions, often associated with neurological disorders or seizure activity.

Brain Functioning

The activities and processes that occur in the brain, enabling thought, memory, emotion, movement, and other aspects of cognition and behavior.

Hyperexcitability

An increased sensitivity or responsiveness to stimuli, which can manifest in nervous or muscular systems.