You are caring for a client who was admitted 14 hours ago following a motorcycle accident. The client has received 20 units of blood due to massive hemorrhage. You understand that you need to assess this client for: Select all that apply

1. Elevated blood ammonia titers.
2. Coagulation imbalances.
3. Hypocalcemia.
4. Acid–base imbalance.
5. Hyperkalemia.


1. Elevated blood ammonia titers.
2. Coagulation imbalances.
3. Hypocalcemia.
4. Acid–base imbalance.
5. Hyperkalemia.

Rationale: Elevated blood ammonia titers. Clients who have repeated exposure to blood products and the preservatives used to store blood products have an increased risk of developing elevated blood ammonia titers. Coagulation imbalances. Clients who have repeated exposure to blood products and the preservatives used to store blood products have an increased risk of developing coagulation imbalances. Hypocalcemia. Clients who have repeated exposure to blood products and the preservatives used to store blood products have an increased risk of developing hypocalcemia. Acid–base imbalance. Clients who have repeated exposure to blood products and the preservatives used to store blood products have an increased risk of developing acid–base imbalance. Hyperkalemia. Clients who have repeated exposure to blood products and the preservatives used to store blood products have an increased risk of developing hyperkalemia.

Nursing

You might also like to view...

The nurse is providing care for a patient with expressive aphasia. Which of the following would the nurse expect to find in the patient's plan of care? (Select all that apply.)

a. Speak loudly. b. Gesture or pantomime the message. c. Speak slowly and clearly. d. Provide pencil and paper. e. Obtain an interpreter. f. Use a picture board.

Nursing

A client with diabetes and hypertension is placed on lisinopril for treatment of hypertension. Which laboratory results does the nurse recognize may result from the client's medications? Select all that apply.

A) K+ 2.8 mEq/L B) K+ 5.5 mEq/L C) Na+ 128 mEq/L D) Cl- 120 mEq/L E) Creatinine 2.2 mg/dL

Nursing

Which assistive devices would be appropriate for the nurse to use when assisting an unconscious client from the bed to the stretcher?

1. Transfer belt 2. Transfer board 3. Hydraulic lift 4. Low-friction sheet 5. Egg crate mattress

Nursing

Which of the following systems is predominantly stimulated by nicotine action on parasympathetic nerves?

A. The renal system B. The endocrine system C. The gastrointestinal system D. The cardiovascular system

Nursing