Question

The nurse administers intravenous dobutamine (Dobutrex) to a client who has heart failure. Which clinical manifestations indicate that the client's status is improving? (Select all that apply.)

a. Decreased heart rate
b. Increased heart rate
c. Increased contractility
d. Decreased contractility
e. Increased respiratory rate

Answer 1

Clinical manifestations that indicate improvement after administering dobutamine for heart failure include decreased heart rate and increased contractility.

Step-by-step explanation:

The clinical manifestations that indicate an improvement in a client's status after receiving intravenous dobutamine (Dobutrex) for heart failure include:

• Decreased heart rate: When the heart rate decreases, it indicates that the heart is becoming more efficient and does not need to work as hard to pump blood.
• Increased contractility: Increased contractility means that the heart muscle is becoming stronger and able to pump more efficiently.

Increased heart rate and increased respiratory rate are not clinical manifestations that indicate improvement; they may suggest worsening or increased stress on the heart.