The nurse is monitoring a patient receiving a blood product and is concerned that the blood is going to deteriorate before it is complete infused. What is the maximum time that blood can hang during infusion before it begins to deteriorate?
a. 1 hour
b. 2 hours
c. 3 hours
d. 4 hours
ANS: D
Generally, 2 hours is a good time frame to transfuse each unit of packed cells. If it must transfuse more slowly because of the patient's condition, make sure that the unit does not hang longer than 4 hours. After that time, the blood is too warm and begins to deteriorate. A. C. Blood will not deteriorate if hanging for 1 or 3 hours.
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The nurse is caring for a patient who has developed kidney failure. Which test finding leads the nurse to contact the nephrologist and arrange for emergency hemodialysis?
a. Serum potassium level 7.4 mEq/L b. Serum creatinine level of 2.8 mg/dL c. Large amounts of protein in the urine d. 1500 mL of retained urine in the bladder
The staff on a care area expresses dissatisfaction with participating in data collection of quality indicators. What should the manager explain as reasons to measure quality? (Select all that apply.)
1. Pay for performance 2. Public accountability 3. Determine staffing needs 4. Drive quality improvement 5. Inform consumer decisions
Slow continuous ultrafiltration is also known as isolated ultrafiltration and is used to:
a. remove plasma water in cases of volume overload. b. remove fluids and solutes through the process of convection. c. remove plasma water and solutes by adding dialysate. d. combine ultrafiltration, convection and dialysis.
Which of the following is a possible complication of strangulated obstruction?
A. Pulmonary edema B. Bacterial peritonitis C. Deep vein thrombosis D. Acute tubular necrosis