A patient with glomerulonephritis has an order to undergo plasmapheresis. Which statement indicates that the patient accurately understands teaching about the procedure?
a. "This procedure removes my affected plasma and gives me a clean replacement."
b. "This procedure will use the IV in my hand."
c. "I will need to lie very still while the pic-tures are taken."
d. "I should drink this contrast with a straw to keep it from staining my teeth."
A
Plasmapheresis is a blood cleansing procedure used in autoimmune disorders, such as acute glo-merulonephritis or myasthenia gravis (see Chapter 24). Much like hemodialysis, plasmapheresis uses a special filter to remove plasma and "wash" it to eliminate antibodies. If treatment is not successful, the disease will rapidly progress to kidney failure and death. The patient's blood is accessed through a shunt or a CVC, not a peripheral intravenous (IV) line. This procedure does not involve imaging or contrast.
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Assessment of a newborn's head circumference reveals that it is 34 cm. The nurse would suspect that this newborn's chest circumference would be:
A) 30 cm B) 32 cm C) 34 cm D) 36 cm
The nurse is implementing a bowel training program for a patient. What should be included in this patient's plan of care?
1. Assess the patient to determine the best time of day to use the commode for defecation. 2. Keep the bedpan near the patient at all times. 3. Instruct the patient not to attempt to use the bathroom unattended. 4. Stay with the patient while defecating.
After K.B. has been on the unit for 6 hours, you identify the following changes in her assessment data:
K.B. is difficult to arouse. but when awake she is able to identify who and where she is; PeRRLA 1+ with slower reaction time than earlier; color pale, pink; skin cool and clammy; heart rate 126 beats/min, respi- ratory rate 28 breaths/min, temperature (oral) 99 ° F (37.2 ° C); spo2 90%. The findings of the neurovascular checks of the affected extremities are unchanged. What will your immediate nursing interventions include?