A postoperative client received six units of packed red blood cells (PRBCs) for intraoperative blood loss. The nurse monitors the client for which acid-base imbalance?
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, it is 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 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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________________is the term that describes a condition of normal thyroid function
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A nurse is observing the housekeeping staff when they are cleaning the premises of a health care facility. Which of the following principles should the housekeeping staff follow for medical asepsis?
A) Wet-mop floors to avoid distributing microorganisms. B) Clean grossly dirty areas before less-soiled areas. C) Dust the furniture with a dry cloth to avoid spreading microorganisms. D) Place clean items carefully on the floor.
A 16-year-old patient with acute glomerulonephritis complains of boredom with bed rest and asks when he can become more active. He asks, "What has to happen for me to get off of bed rest?" What is the most accurate statement by the nurse?
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A parent has called the school nursing office to inquire about which vaccinations are recommended by the school for her preteen daughter. The nurse responds with
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