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

Oxygen saturation 96%

PaCO2 30 mm Hg

Decrease in protein

Increase in BP

Answer and Explanation

The Correct Answer is D

A. Oxygen saturation 96%:
Oxygen saturation at 96% is within the normal range and may not be directly influenced by the infusion of albumin. Albumin administration is more related to improving intravascular volume and blood pressure.
B. PaCO2 30 mm Hg:
The partial pressure of carbon dioxide (PaCO2) is a measure of respiratory status. Albumin infusion is not directly associated with changes in PaCO2.
C. Decrease in protein:
Albumin is a protein, and its infusion would not lead to a decrease in protein levels. In fact, albumin administration increases the oncotic pressure in the intravascular space, helping to retain fluid and improve blood volume.
D. Increase in BP:
This is the correct answer. Albumin is a colloid solution that increases oncotic pressure in the bloodstream. By increasing oncotic pressure, albumin helps to draw fluid from the interstitial space into the vascular space, thereby increasing blood volume. This can contribute to an increase in blood pressure, which is a desired effect in the management of shock.

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Correct Answer is A

Explanation

A. Rotate the application site every week (Correct Answer): This is the correct advice. Rotating the application site helps prevent skin irritation and enhances absorption. It's common practice to apply the patch to a different, clean, and hairless area of the skin each time it is changed.
B. The transdermal patch releases nicotine rapidly into the bloodstream: This statement is incorrect. The transdermal nicotine patch is designed to release nicotine gradually over an extended period. It provides a steady, controlled release of nicotine to help manage withdrawal symptoms and cravings.
C. Leave the patch in place for 8 hr each day: The specific duration for wearing a nicotine patch can vary depending on the product. However, it's generally recommended to wear the patch for 16 to 24 hours, depending on the product's instructions. Leaving it on for 8 hours only may not provide adequate coverage for the entire day.
D. The transdermal patch can cause insomnia: While insomnia is a potential side effect of nicotine replacement therapy, including the patch, it is not a universal experience for everyone. Insomnia is more likely to occur if the patch is worn continuously, including during the night. Following proper usage guidelines, such as removing the patch before bedtime, can help minimize this side effect.

A. Increased blood pressure B. Decreased temperature C. Decreased respiratory rate D. Increased pulse rate

Correct Answer is D

Explanation

A. Increased blood pressure: Heparin does not typically directly affect blood pressure. However, if there are other underlying conditions or complications related to the reason for heparin use, it might indirectly influence blood pressure. But a high aPTT level itself wouldn't directly cause an increase in blood pressure.
B. Decreased temperature: Heparin does not usually affect body temperature. Changes in temperature might occur due to other factors, but they are not directly related to heparin administration or its effects on aPTT.
C. Decreased respiratory rate: Heparin does not typically affect the respiratory rate directly. Changes in respiratory rate might occur due to other causes but are not directly correlated with heparin administration or its effects on aPTT.
D. Increased pulse rate: Heparin, especially when aPTT is elevated, might indicate that the blood is less likely to clot. An increased pulse rate could be indicative of compensatory mechanisms due to potential bleeding or changes in clotting factors influenced by heparin. It's essential to monitor for an increased pulse rate as a potential sign of bleeding complications associated with anticoagulant therapy.

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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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