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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 ["7.5"]

Explanation

The correct answer is 7.5 ML

To answer this question, we need to use the formula:

mL to administer = (mEq ordered / mEq available) x mL available Plugging in the values from the question, we get:

mL to administer = (20 mEq/day / 6.7 mEq/5 mL) x 5 mL Simplifying, we get:

mL to administer = (2.99 mL/mEq) x 5 mL Multiplying, we get:

mL to administer = 14.95 mL/day

Since the order is to divide the dose equally every 12 hours, we need to divide the total daily dose by 2:

mL to administer per dose = 14.95 mL/day / 2 Dividing, we get:

mL to administer per dose = 7.475 mL

Rounding to the nearest tenth, we get:

mL to administer per dose = 7.5 mL

Therefore, the nurse should administer 7.5 mL of potassium chloride elixir per dose.

A. "I should take this medication with 8 ounces of milk." B. "I should notify my provider if my stools turn black." C. "I should take an antacid with this medication to prevent stomach upset." D. "I should stay upright for at least 15 minutes after taking this medication."

Correct Answer is D

Explanation

A. Taking ferrous gluconate with 8 ounces of milk is incorrect. Calcium in milk can interfere with the absorption of iron, reducing its effectiveness. The client should be instructed to avoid taking iron supplements with dairy products.

B. It is not necessary to notify the provider if stools turn black. Black stools are a common and harmless side effect of iron supplementation due to the unabsorbed iron in the gastrointestinal tract. The client should be informed of this expected side effect.

C. Taking an antacid with ferrous gluconate is incorrect. Antacids can reduce the absorption of iron by altering the stomach's pH. If the client experiences stomach upset, the medication can be taken with food, although this may slightly reduce absorption.

D. Staying upright for at least 15 minutes after taking ferrous gluconate is correct. This practice helps prevent esophageal irritation, which can occur if the medication remains in contact with the esophageal lining. This statement indicates an understanding of the teaching.

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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

A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide equally every 12 hr. Available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["7.5"]

Explanation

The correct answer is 7.5 ML

A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

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