QuestionAugust 15, 2025

Two days after surgical repair of an aortic abdominal aneurysm, the cardiac monitor is displaying sinus bradycardia and blood pressure of 82/40 mmHg.Nitroprusside is infusing at 10mcg/kg/min and 0.9% sodium chloride at 100mL/hr Which intervention should the nurse implement first? Place the client's head flat and elevate the feet. Stop the nitroprusside infusion. Rapidly administer 1 liter of intravenous fluids. Increase the 0.9% sodium chloride to 150mL/hr

Two days after surgical repair of an aortic abdominal aneurysm, the cardiac monitor is displaying sinus bradycardia and blood pressure of 82/40 mmHg.Nitroprusside is infusing at 10mcg/kg/min and 0.9% sodium chloride at 100mL/hr Which intervention should the nurse implement first? Place the client's head flat and elevate the feet. Stop the nitroprusside infusion. Rapidly administer 1 liter of intravenous fluids. Increase the 0.9% sodium chloride to 150mL/hr
Two days after surgical repair of an aortic abdominal
aneurysm, the cardiac monitor is displaying sinus bradycardia
and blood pressure of 82/40 mmHg.Nitroprusside is infusing
at 10mcg/kg/min and 0.9%  sodium chloride at 100mL/hr
Which intervention should the nurse implement first?
Place the client's head flat and elevate the feet.
Stop the nitroprusside infusion.
Rapidly administer 1 liter of intravenous fluids.
Increase the 0.9%  sodium chloride to 150mL/hr

Solution
4.5(237 votes)

Answer

Stop the nitroprusside infusion. Explanation 1. Identify the critical issue The patient has hypotension (low blood pressure) and bradycardia, which can be exacerbated by nitroprusside, a vasodilator. 2. Determine immediate intervention Stopping the nitroprusside infusion is crucial to prevent further lowering of blood pressure.

Explanation

1. Identify the critical issue<br /> The patient has hypotension (low blood pressure) and bradycardia, which can be exacerbated by nitroprusside, a vasodilator.<br /><br />2. Determine immediate intervention<br /> Stopping the nitroprusside infusion is crucial to prevent further lowering of blood pressure.
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