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.

Increase in BP.

Oxygen saturation 96%.

PaCO2, 30 mm Hg.

Answer and Explanation

The Correct Answer is B

Albumin is a protein that helps maintain fluid balance in the body by drawing water into the blood vessels. Albumin infusion can increase the blood volume and blood pressure in patients who are in shock due to fluid loss or sepsis.

Choice A is wrong because albumin infusion does not decrease protein levels in the body.

Albumin is a protein itself and adding it to the blood increases the protein concentration.

Choice C is wrong because oxygen saturation of 96% is normal and does not indicate any improvement or deterioration in the patient’s condition.

Choice D is wrong because PaCO2 of 30 mm Hg is low and indicates respiratory alkalosis, which can be caused by hyperventilation, fever, or anxiety. Albumin infusion does not affect PaCO2 levels directly.

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Free Nursing Study Resources

Correct Answer is ["0.4"]

Explanation

To calculate the amount of heparin to administer, use the formula:

mL of heparin=units available units ordered×1mL available

Substituting the values given in the question, we get:

mL of heparin=100004000×11=0.4

Therefore, the nurse should administer 0.4 mL of heparin.

Normal ranges for heparin therapy vary depending on the condition being treated and the laboratory method used to measure APTT.

A general range is 60 to 80 seconds or 1.5 to 2.5 times the control value.

A. Gastric bleeding. B. Pruritus. C. Cough. D. Tachypnea.

Correct Answer is B

Explanation

Pruritus is a common adverse effect of morphine administered via continuous epidural infusion. It is caused by the release of histamine from mast cells in the skin. Pruritus can be treated with antihistamines or opioid antagonists. Choice A is wrong because gastric bleeding is not a common adverse effect of morphine administered via continuous epidural infusion.

Gastric bleeding can occur due to peptic ulcer disease, nonsteroidal anti inflammatory drugs (NSAIDs), or anticoagulants.

Choice C is wrong because cough is not a common adverse effect of morphine administered via continuous epidural infusion.

Cough can be caused by respiratory infections, asthma, or chronic obstructive pulmonary disease (COPD).

Choice D is wrong because tachypnea is not a common adverse effect of morphine administered via continuous epidural infusion.

Tachypnea can be caused by hypoxia, anxiety, pain, or fever. Morphine can cause respiratory depression, which is characterized by bradypnea, not tachypnea.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["0.4"]

Explanation

A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following adverse effects?

Correct Answer is B

Explanation

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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?