A client with severe malnutrition is ordered intravenous (IV) albumin. Which is the primary assessment in providing nursing care for this client?
A) Monitor hematocrit and hemoglobin (H&H).
B) Monitor for fluid overload.
C) Assess for thrombocytopenia.
D) Assess for elevation of white blood cells (WBCs).
B
Feedback:
Albumin attracts fluid so care is taken to monitor clients for signs of fluid overload during and after albumin administration. Albumin is a plasma protein and should not affect H&H. Albumin does not lower thrombocytes or elevate WBCs.
You might also like to view...
A patient asks why systemic glucocorticoid medications are used as the last choice for the treatment of rheumatoid arthritis. What is the nurse's most informative reply?
a. "The other drugs are just as effective and work in similar ways." b. "They are used as a last choice or for short periods because they have many side ef-fects." c. "Those drugs are given three or four times daily, which is more difficult for patients to remember." d. "A higher incidence of vomiting occurs with prolonged use."
Which of the following is a role of the licensed practical nurse (LPN)/licensed vocational nurse (LVN)?
A) Evaluates effects of care given C) Establishes priorities B) Draws conclusions D) Makes diagnoses
The nurse caring for an adult patient on the medical unit who has a seizure will document: (Select all that apply.)
a. length of time of seizure. b. location of initiation of seizure. c. whether movements are unilateral or bila-teral. d. family's reaction during the seizure. e. presence of incontinence.
In the hospital, the nurse is caring for a client of Asian descent who was just started on warfarin (Coumadin). What would be the best plan of care for the client? (Select all that apply.)
a. Start warfarin at a high dose to decrease the chance for further clotting problems. b. Monitor international normalized ratio (INR) once a day in the hospital. c. Teach the client to frequently check for any bruising. d. Initiate fall precautions and strict activity limitations. e. Start warfarin at a lower-than-normal dose owing to slower metabolism of the drug.