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?

Decrease in protein

Oxygen saturation 96%

PaCO2 30 mm Hg

Increase in BP

Answer and Explanation

The Correct Answer is D

A. Decrease in protein:
This choice is incorrect. Albumin is a protein found in the blood, and when a client is receiving an infusion of albumin, it is likely to increase, not decrease, the overall protein level in the bloodstream. Albumin infusions are often given to help increase plasma oncotic pressure and improve fluid retention in conditions like shock.
B. Oxygen saturation 96%:
This choice is incorrect. Oxygen saturation of 96% is within the normal range and reflects adequate oxygenation. It doesn't directly relate to the administration of albumin in shock.
C. PaCO2 30 mm Hg:
This choice is incorrect. The partial pressure of carbon dioxide (PaCO2) of 30 mm Hg reflects a respiratory value and doesn't directly relate to the administration of albumin or the management of shock. It's important for assessing acid-base balance, but it's not a specific finding related to the albumin infusion.
D. Increase in BP:
This is the correct choice. Albumin is a colloid solution that helps increase the oncotic pressure within blood vessels, which can contribute to an increase in blood volume. When blood volume increases, it can lead to an increase in blood pressure, which is a desired effect in the management of shock. Increasing blood pressure helps improve perfusion to vital organs and tissues, which is essential in shock situations.

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Correct Answer is A

Explanation

A. Bruxism:
Correct Answer: This adverse effect is a priority to report to the provider.
Explanation: Bruxism refers to teeth grinding or clenching, often unconsciously during sleep. It can be a potential side effect of citalopram and other selective serotonin reuptake inhibitors (SSRIs). Bruxism can lead to dental problems, jaw pain, and other discomforts. If this side effect occurs, it should be reported to the provider as it can impact the client's oral health and overall well-being.
B. Confusion:
Incorrect Explanation: While confusion is a concerning adverse effect, it's not typically associated with citalopram use.
Explanation: Confusion is more commonly associated with other medications or medical conditions. If a client experiences confusion, a thorough assessment is warranted, but it may not be directly attributed to citalopram.
C. Weight loss:
Incorrect Explanation: Weight loss can be a side effect of citalopram, but it's not the highest priority in this scenario.
Explanation: Weight loss is a possible side effect of many antidepressants, including citalopram. However, it is generally not as immediately concerning as other adverse effects that can impact a client's health and well-being.
D. Insomnia:
Incorrect Explanation: Insomnia is a common side effect of citalopram and other antidepressants, but it's not the highest priority in this context.
Explanation: Insomnia can be a transient side effect when starting an antidepressant-like citalopram. While it can affect the client's quality of life, it is not as urgent as potential dental issues caused by bruxism.

A. Orthostatic hypotension B. Tinnitus C. Insomnia D. Fluid retention

Correct Answer is D

Explanation

A. Orthostatic hypotension: Orthostatic hypotension refers to a drop in blood pressure when changing from a lying to a standing position. This is not a common adverse effect of pioglitazone.
B. Tinnitus: Tinnitus is the perception of ringing or noise in the ears. There is no established link between pioglitazone and tinnitus.
C. Insomnia: Insomnia refers to difficulty falling asleep or staying asleep. Pioglitazone is not typically associated with causing insomnia as an adverse effect.
D. Fluid retention
Pioglitazone is a medication used to treat type 2 diabetes mellitus by improving insulin sensitivity and reducing insulin resistance. One of the potential adverse effects of pioglitazone is fluid retention, which can lead to edema (swelling) in the body. This is because pioglitazone has an impact on sodium and water balance in the body, which can cause fluid accumulation in tissues.
Therefore, the most appropriate adverse effect to monitor for in a client taking pioglitazone is fluid retention.

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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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