The nurse is preparing to administer IV fluids to her client. The client has been ordered a colloid fluid. Which fluid order should the nurse question?
1. Plasma protein fraction (Plasmanate)
2. Dextran 40 (Gentran 40)
3. Platelets
4. Albumin (Albuminar)
3
Rationale 1: Plasma protein fraction (Plasmanate) would not be questioned because it is a colloid.
Rationale 2: Dextran 40 (Gentran 40) would not be questioned because it is a colloid.
Rationale 3:Platelets would be questioned because they are a blood product.
Rationale 4: Albumin (Albuminar) would not be questioned because it is a colloid.
Global Rationale: Platelets would be questioned because they are a blood product. Plasma protein fraction (Plasmanate) would not be questioned because it is a colloid. Dextran 40 (Gentran 40) would not be questioned because it is a colloid. Albumin (Albuminar) would not be questioned because it is a colloid.
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An organization has encountered a serious patient safety event that was reported to the state, The Joint Commission, and the Centers for Medicare & Medicaid Services (CMS)
An extensive plan of correction was received, and the organization had to make some immediate changes in practice. Additionally the organization anticipates a costly lawsuit. What is the best method of educating staff about the practice changes that were issued? a. "These changes need to be made because the state and CMS require it." b. "We understand this is a knee-jerk reac-tion, but please change the practice while the surveyors are in the building." c. "We need to make this change because it will help our lawsuit." d. "This change is being made so that there is no further harm to another patient."
The nurse is caring for a client with cirrhosis of the liver. What symptoms exhibited by the client would indicate to the nurse that he is experiencing central nervous system effects of the disease? Select all that apply
A) Asterixis B) Joint stiffness C) Positive Babinski reflex D) Cough E) Fetor hepaticus
For which patient with an infection of the urinary tract would the nurse question a prescription for nitrofurantoin?
a. A patient with normal creatinine clearance who has cystitis b. An 82-year-old female nursing home resident with high creatinine clearance c. A 19-year-old college woman who is taking oral contraceptives d. A 28-year-old woman with acute pyelonephritis
After describing continuous electronic fetal monitoring to a laboring woman and her partner, which of the following would indicate the need for additional teaching?
A) "This type of monitoring is the most accurate method for our baby." B) "Unfortunately, I'm going to have to stay quite still in bed while it is in place." C) "This type of monitoring can only be used after my membranes rupture." D) "You'll be inserting a special electrode into my baby's scalp."