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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

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale:

A sodium level of 137 mEq is within a normal range.

Choice B rationale:

A hemoglobin level of 15 g/dL is within a normal range.

Choice C rationale:

A hematocrit level of 43% is within a normal range.

Choice D rationale:

Creatinine 2.5 mg/dL is elevated, indicating possible kidney impairment. Tobramycin is known to be nephrotoxic, and administering it to a patient with impaired kidney function could exacerbate the condition. Therefore, this value should be reported to the provider before administering the medication.

A. Warmer skin B. Increase in pulse rate C. Increased sleeping D. Weight loss

Correct Answer is C

Explanation

- A: Warmer skin is not expected as methimazole is used to reduce thyroid hormone production, which would decrease metabolism and heat production.
- B: An increase in pulse rate is unlikely because methimazole decreases thyroid hormone levels, leading to a potential decrease in heart rate.
- C: Increased sleeping is expected as methimazole reduces hyperthyroid symptoms, including insomnia, thus normalizing sleep patterns.
- D: Weight loss is not expected; instead, weight stabilization or gain may occur as the metabolism normalizes with treatment.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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