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The Nurse Is Caring for a 70-Kg Patient in Hypovolemic

Question 31

Multiple Choice

The nurse is caring for a 70-kg patient in hypovolemic shock.Upon initial assessment,the nurse notes a blood pressure of 90/50 mm Hg,heart rate 125 beats/min,respirations 32 breaths/min,central venous pressure (CVP/RAP) of 3 mm Hg,and urine output of 5 mL during the past hour.Following physician rounds,the nurse reviews the orders and questions which order?


A) Administer acetaminophen 650-mg suppository prn every 6 hours for pain.
B) Titrate dopamine intravenously for blood pressure less than 90 mm Hg systolic.
C) Complete neurological assessment every 4 hours for the next 24 hours.
D) Administer furosemide 20 mg IV every 4 hours for a CVP greater than or equal to 20 mm Hg.

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