A nurse is caring for a client who is in shock and is receiving an infusion of albumin. Which of the following findings should the nurse expect?
PaCO2 30 mm Hg
Oxygen saturation 96
Decrease in protein
Increase in BP
The Correct Answer is D
Choice A rationale:
PaCO2 levels are not typically affected by albumin infusions.
Choice B rationale:
Oxygen saturation of 96 is a normal finding and is not directly related to an albumin infusion.
Choice C rationale:
Albumin infusion would not typically cause a decrease in protein levels. A decrease in protein is not expected after albumin infusion, as albumin is a protein itself.
Choice D rationale:
Albumin is a plasma expander that increases the blood volume and the blood pressure in a client who is in shock.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
While diphenhydramine is used to manage allergic reactions, epinephrine is the first-line treatment for severe anaphylactic reactions.
Choice B rationale:
In cases of anaphylactic reactions, epinephrine is the first-line treatment to reverse the severe allergic response. It helps to relieve bronchoconstriction, improve blood pressure, and counteract the symptoms of anaphylaxis.
Choice C rationale:
Elevating the client's legs and feet is not the appropriate intervention for anaphylactic reactions.
Choice D rationale:
Replacing the infusion with 0.9% sodium chloride is not the priority action in managing anaphylactic reactions. Administering epinephrine and managing the client's airway and circulation are more important.
Correct Answer is B
Explanation
Choice A rationale:
Red man syndrome is typically associated with the rapid infusion of vancomycin, not phenytoin.
Choice B rationale:
Hypotension can be an adverse effect of phenytoin administration, especially if the medication is administered rapidly.
Choice C rationale:
Hypoglycemia is not commonly associated with phenytoin use.
Choice D rationale:
Bradycardia is not commonly associated with phenytoin use.
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