The client has sustained multiple injuries and hemorrhage from a motor vehicle crash and has received six units of packed red blood cells in the past 6 hours
To what acid-base imbalance should the nurse be alert for as a possible complication of this therapy? A. Metabolic alkalosis
B. Metabolic acidosis
C. Respiratory alkalosis
D. Respiratory acidosis
A
Citrate is a substance used as a preservative in blood products. It is not only a base, but also a precursor for bicarbonate (bicarbonate can be formed from citrate). Rapid administration of blood products can cause metabolic alkalosis by infusing large amounts of citrate intravenously. Although this problem is more likely to occur with the administration of whole blood or blood plasma, multiple transfusions with packed red cells can also result in excessive amounts of citrate being received by the client.
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A group of graduates were just notified that they had successfully passed the licensure examination
During the orientation process at the hospital, one asks, "I am looking at my license, but I don't really know the duties performed by the board of nursing." The staff development nurse explains that the board of nursing: (Select all that apply.) a. grants nursing licensure. b. constructs the licensure examination. c. assigns disciplinary action when the nurse acts in a manner that results in harm to a patient. d. members are appointed. e. conducts certification examinations for advanced practice nurses.
Which of the following functions are carried out by the renal system in order to maintain a state of homeostasis within the body?
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