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 ["20"]

Explanation

Step 1: Convert Weight to Kilograms

1 lb = 0.4536 kg
132 lb × 0.4536 kg/lb = 59.87 kg

Step 2: Calculate Total Dose of Acyclovir

Prescribed dose = 10 mg/kg
Total dose = 59.87 kg × 10 mg/kg = 598.75 mg

Step 3: Determine the Volume of Injectable Solution

Acyclovir IV concentration = 30 mg/mL
Volume = 598.75 mg ÷ 30 mg/mL = 19.96 mL

The nurse should administer 20 mL (rounded to the nearest whole number) of acyclovir IV injectable solution.

A. Urine specific gravity 1.020 B. BUN 28 mg/dl C. Serum hematocrit 55% D. Serum osmolarity 310 mOsm

Correct Answer is D

Explanation

A. Urine specific gravity 1.020: While this value indicates concentrated urine and can be useful in assessing dehydration, it doesn’t specifically confirm effective treatment. High urine specific gravity suggests dehydration because the kidneys are conserving water, but it doesn’t directly confirm the effectiveness of treatment.
B. BUN 28 mg/dl (Blood Urea Nitrogen): Elevated BUN levels can be seen in dehydration, but it's not a direct marker of effective treatment. It indicates dehydration due to increased urea concentration in the blood but doesn’t confirm if the treatment has been effective or not.
C. Serum hematocrit 55%: In dehydration, the blood becomes more concentrated due to water loss, causing an increase in hematocrit levels. However, while this value might indicate dehydration initially, it may not specifically confirm the effectiveness of treatment once initiated.
D. Serum osmolarity 310 mOsm: Serum osmolarity measures the concentration of particles in the blood. In dehydration, the blood becomes more concentrated, leading to increased serum osmolarity. When treatment is effective, rehydration occurs, diluting the blood and bringing serum osmolarity back toward normal levels. Therefore, a decrease in serum osmolarity towards the normal range (280-300 mOsm) would indicate effective treatment of dehydration

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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

A nurse is preparing to administer acyclovir 10 mg/kg IV to a client who weighs 132 lbs. Available is acyclovir IV injectable solution 30 ing/ind Hone many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["20"]

Explanation

A nurse is teaching a class about administering IV fluids to treat dehydration. The nurse should include in the teaching that which of the following laboratory values indicates effective treatment of dehydration?

Correct Answer is D

Explanation

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