Nokea
A nurse is assigned to care for a client who has received albumin intravenously. The nurse understands that which of the following reasons has prompted the administration of plasma protein fractions to the client?
- A. The client must have lost a lot of blood volume due to severe hemorrhage.
- B. The client must have poor wound-healing abilities with a high risk of infection.
- C. The client must be experiencing a condition in which plasma alone is lost.
- D. The client must be experiencing hypovolemic shock due to trauma.
Correct Answer: D
Rationale: Plasma protein fractions are used in clients to treat hypovolemic shock that occurs as a result of burns, trauma, surgery, and infections or in conditions where shock is not currently present but likely to occur. It is also used in the case of hypoproteinemia, as might be seen in clients with nephrotic syndrome and hepatic cirrhosis, as well as other diseases or disorders.
You may also like to solve these questions
A nurse is caring for a client who has been prescribed potassium. From the client's health history, the nurse understands that the client has also been taking salt substitutes. Which of the following conditions should the nurse monitor for in this client, occurring due to the interaction of the salt substitutes with potassium?
- A. Severe hemolytic reactions
- B. Elevated serum potassium levels
- C. Acute dehydration
- D. Severe hyperkalemia
Correct Answer: D
Rationale: The nurse should monitor the client's condition for signs and symptoms of severe hyperkalemia, which occurs due to the interaction of potassium with salt substitutes.
A nurse administering potassium to a client should monitor the client closely for signs of hyperkalemia if the client is concomitantly taking which of the following medications? Select all that apply.
- A. Lisinopril (Prinivil)
- B. Metoprolol (Lopressor)
- C. Spironolactone (Aldactone)
- D. Furosemide (Lasix)
- E. Hydrochlorothiazide
Correct Answer: A,C
Rationale: A nurse administering potassium to a client should monitor the client closely for signs of hyperkalemia if the client is concomitantly taking the following medications: ACE inhibitors (lisinopril) and potassium-sparing diuretics, such as spironolactone.
A nurse is teaching a client about his prescribed potassium replacement therapy. The client is to continue taking the drug orally at home. After teaching the client about this therapy, the nurse determines that additional teaching is needed when the client states which of the following?
- A. I'll take the drug immediately after a meal.
- B. I need to drink a full glass of water when I take the drug.
- C. If I have trouble swallowing the drug, I can crush it.
- D. If the pharmacy gives me a liquid form, I can mix it in cold water or juice.
Correct Answer: C
Rationale: When given orally, potassium may cause GI distress. Therefore, it is given immediately after meals or with food and a full glass of water. Oral potassium must not be crushed or chewed.
A client is prescribed total parenteral nutrition due to weight loss secondary to cancer treatment. The nurse would most likely identify which nursing diagnosis as the priority?
- A. Risk for Injury
- B. Imbalanced Nutrition: Less Than Body Requirements
- C. Deficient Fluid Volume
- D. Risk for Decreased Cardiac Output
Correct Answer: B
Rationale: The need for total parenteral nutrition would support the nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements to help promote weight gain and nutritional stability.
A nurse is caring for a client who is receiving electrolyte replacement therapy IV. When assessing the client's condition, the nurse observes signs of extravasation at the needle site. Which of the following would the nurse do next?
- A. Stop the current infusion and restart the infusion in another vein.
- B. Monitor the client's condition for signs of dizziness.
- C. Stop the IV infusion temporarily.
- D. Monitor the client's vital signs every 5 minutes.
Correct Answer: A
Rationale: On observing extravasation at the needle site, the nurse should restart the IV infusion in another vein. The nurse need not monitor the client's condition for any signs of dizziness since dizziness is not known to occur in the client due to extravasation at the needle site.