The nurse is managing a donor patient six hours prior to the scheduled harvesting of the patient's organs. Which assessment finding requires immediate action by the nurse?
a. Morning serum blood glucose of 128 mg/dL
b. pH 7.30; PaCO2 38 mm Hg; HCO3 16 mEq/L
c. Pulmonary artery temperature of 97.8° F
d. Central venous pressure of 8 mm Hg
B
Donor management, focuses on maintaining hemodynamic stability and normal
laboratory parameters. Care of the patient is under the direction of the OPO coordinator working collaboratively with the physician and critical care nurses. Standardized order sets are usually used, and they focus on preserving organ function and viability.Immediate action is required for an arterial blood gas value of pH 7.30; PaCO2 38 mmHg; HCO3 16 mEq/L which indicates metabolic acidosis. All other values are within normal limits.
You might also like to view...
You are caring for an elderly patient with Alzheimer's disease. The patient has just returned to the unit to begin supplemental tube feedings through a gastrostomy tube. What should you be most concerned with the potential for?
A) Hypoglycemia B) Fluid volume excess C) Aspiration D) Constipation
One of the symptoms seen in patients who have Alzheimer's disease is confabulation. Confabulation is best described as:
A) Forgetfulness B) Low self-esteem C) Making up a story to fill gaps in memory D) Teasing behavior
The nurse is preparing a surgical client for a physical examination. The nurse has several questions to ask the client
The nurse uses the COLDSPA mnemonic to remember to include all the essential information during the nursing data gathering and assessment. What information is the nurse seeking when asking the client: "How bad is it?" and "Can you rate it on a scale of 1 to 10?"? A) Onset B) Location C) Duration D) Severity
Which classification of drugs should the nurse anticipate to be administered for a client requiring an eye exam?
A. Mydriatics B. Vasoconstrictors C. Prostaglandins D. Beta-adrenergic blockers