The nurse is caring for a patient who is undergoing plasmapheresis. The nurse should carefully monitor the patient for which potential complication(s)? (select all that apply.)
a. An allergic reaction
b. Bleeding at the puncture site
c. A bruit at the shunt site
d. Decreasing blood pressure
e. Signs of hyperkalemia
B, C, D, E
Plasmapheresis is a therapy used in autoimmune disorders, such as acute glomerulonephritis or myasthenia gravis. It removes the autoantibodies causing the disease. This procedure can be done at the bedside by a trained technician with specialized equipment. The patient's blood is accessed through a shunt or a central IV catheter and the blood components are separated from the plasma by filtration or centrifuge. Then, the cellular components are returned to the patient and the plasma is replaced with a fluid such as normal saline or albumin. Assessment for bleeding at puncture site, bruits, hypotension, and electrolyte imbalances is essential. Allergic reactions are not anticipated.
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Which finding in a menopausal woman would be most characteristic of osteoporosis?
a. Joint pain c. Change in posture b. Decrease in height d. Recent fracture due to trauma
The nurse prepares to perform a z-track injection to a client. Place the steps of the procedure in correct order. A) Maintain displacement and insert needle at a 90-degree angle.B) Inject medication slowly, keeping skin taut.C) Pull skin 2.5-3.8 cm (1-1. in.) laterally away from the injection site.D) Withdraw needle.E) Release retracted skin.
Fill in the blank(s) with the appropriate word(s).
The nurse is assessing the client's neck. Which should the nurse recognize is an abnormal finding?
A. The tracheal cartilage does not move when the client swallows. B. The thyroid has no palpable nodules. C. The client's carotid arteries are visibly pulsating. D. The neck is symmetrical.
The nurse and the patient are conversing face to face. What communication technique is being demonstrated?
a. Linguistic b. Paralinguistic c. Explicit d. Metacommunication