The patient has received a total of 7 units of blood over the past 8 hours. The nurse assesses the patient's laboratory test results. Which of the following would be an expected complication?
a. Hypokalemia
b. Hyperkalemia
c. Hypercalcemia
d. Iron deficiency
B
When blood is stored, there is continual destruction of RBCs, which releases potassium from the cells into the plasma. If blood is transfused rapidly, transient hyperkalemia may occur before the potassium is reabsorbed. Blood that is preserved with citrate phosphate dextrose (CPD) contains a high concentration of citrate ions. The excess citrate may combine with the ionized calcium in the recipient's blood, resulting in transient low ionized calcium levels. Patients receiving multiple transfusions should be assessed for iron overload.
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A) Person's behavior B) Entire group's behavior C) Entire group's knowledge D) Person's attitudes
A critical care nurse is caring for a client with an endotracheal tube who is on a ventilator. The nurse knows that meticulous airway management of this patient is necessary. What is the rationale for this?
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A major outcome of managed care is that managed care organizations such as hospitals
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