The nurse is preparing to transfuse a third unit of red blood cells to a client. Which laboratory result is the nurse most concerned about?
a. Fibrinogen level less than 100 mg/dL
b. Hematocrit of 30%
c. Potassium level of 5.5 mg/dL
d. Serum ferritin level of 250 ng/mL
C
Electrolyte imbalance is possible as a result of transfusions, especially with red blood cells or whole blood. Potassium is the main electrolyte inside cells. During transfusion, some cells are damaged and release potassium. Low fibrinogen levels would require transfusion of cryoprecipi-tate. The client would be a candidate for red blood cell transfusion if his hematocrit level were low, so this would not be a concern for preparation of the red blood cells. The serum ferritin level is normal and is not a matter of concern.
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a. Cleanse the suture line and apply a sterile dressing. b. Culture the drainage and leave the incision open to air. c. Cover the incision with a transparent dressing. d. Notify the surgeon to assess the client.
The nurse is preparing an outline for a class on the physiology of the male sexual response. Which event would the nurse identify as occurring first?
A) Sperm emission B) Penile vasodilation C) Psychological release D) Ejaculation