While the patient is on plasmapheresis, the nurse should monitor for: (Select all that apply.)
a. an allergic reaction.
b. bleeding at the puncture site.
c. a bruit at the shunt site.
d. decreasing blood pressure.
e. signs of hyperkalemia.
B, C, D, E
Plasmapheresis is a therapy used in autoimmune disorders, such as acute glomerulonephritis or myasthenia gravis. It removes the autoantibodies causing the disease. This procedure can be done at the bedside by a trained technician with specialized equipment. The patient's blood is accessed through a shunt or a central intravenous catheter and the blood components are separated from the plasma by filtration or centrifuge. Then the cellular components are returned to the patient and the plasma is replaced with a fluid such as normal saline or albumin. Assessment for bruits, hypotension, and electrolyte imbalances is essential. Allergic reactions are not anticipated.
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A nursing assistant asks the nurse, "I keep hearing talk of transpersonal nursing care. What does that mean?" What is the best response to explain the concept?
1. Transpersonal nursing care is care that treats everyone the same. 2. Transpersonal nursing care is care that is based on self-respect. 3. Transpersonal nursing care is based on the belief that people can't live in a vacuum. 4. Transpersonal nursing care is care based on the belief that everyone is unique and deserves respect.
The nurse explains that the minimal acceptable hourly urine output for a shock patient who weighs 220 pounds is ____________________
Fill in the blank(s) with correct word
A home health care nurse is visiting a client who was dismissed after having an STEMI (ST-elevation myocardial infarction). The nurse is reinforcing teaching done while the client was hospitalized
When the nurse asks the client if he/she has any more questions, the client says no but appears anxious. The best action by the nurse would be to a. ask the client if he/she has questions about resuming sexual activity. b. find out if the client is worried about being at home instead of in the hospital. c. inquire about the feasibility of the client returning to his/her old job after recov-ery. d. speak with the spouse privately to see if she/he knows why the client is anxious.
What is the route for this medication?
A. PO B. IVSS C. Top D. Route not included