A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?

The correct answer is B: Hypotension. In septic shock, dopamine is used to increase blood pressure. Hypotension indicates that the current dosage is not effectively managing the client's blood pressure, necessitating an increase in the infusion rate to achieve the desired therapeutic effect. Headache (choice A) is a common side effect of dopamine but does not directly correlate with the need for a dosage increase. Chest pain (choice C) may indicate other issues but does not specifically warrant a change in dopamine infusion rate. Extravasation (choice D) refers to the leakage of IV fluid into the surrounding tissue and requires immediate attention but is not directly related to adjusting the infusion rate of dopamine.