Pharmacology Vasopressors #4

Question

What adverse effect would the nurse monitor in the client having norepinephrine infused for cardiogenic shock?

Answers

  1. Hypotension
    • Rationale:

      This answer is not correct because hypotension is a symptom of cardiogenic shock. This is what the client is being treated for, not adverse effects of norepinephrine.

  2. Weak pulse
    • Rationale:

      This answer is not correct because weak pulse is a symptom of cardiogenic shock. This is what the client is being treated for, not adverse effects of norepinephrine.

  3. Dysrhythmia
    • Rationale:

      This answer is correct because dysrhythmia is an important adverse effect for the nurse to monitor a client for being administered norepinephrine. The client should be placed on constant ECG monitoring to assess for this.

  4. Severe shortness of breath
    • Rationale:

      This answer is not correct because severe shortness of breath is a symptom of cardiogenic shock. This is what the client is being treated for, not adverse effects of norepinephrine.

Overview

Norepinephrine, an adrenergic agonist, is commonly used in cardiogenic shock for its vasopressor qualities. The nurse should carefully monitor the ECG for the adverse effect of dysthymia.

Explanation

Learning Outcomes

Norepinephrine stimulates the heart during cardiac arrest and vasoconstricts to increase the blood pressure in extremely hypotensive clients. It is commonly utilized in clients with cardiogenic shock. Side effects of norepinephrine include dysrhythmias, increased heart rate, angina, and restlessness. Symptoms of cardiogenic shock include hypotension, weak pulse, and severe shortness of breath.

Test Taking Tip

When the test taker is reviewing test answers and an adverse effect should be the correct answer, be sure to not get distracted by the normal clinical manifestation of the condition being addressed. Answer what the question is asking.

Video Rationale