A patient is receiving several units of packed red blood cells over several days to replace the blood lost during an active gastrointestinal bleed
The nurse realizes that this patient is prone to developing which of the following disorders? 1. hypercalcemia
2. hyponatremia
3. hypernatremia
4. hypocalcemia
4
Rationale: Hypocalcemia can be induced by the administration of large amounts of stored blood because stored blood is preserved with citrate. Citrate is added to stored blood as a preservative. When blood is administered, the citrate binds with calcium, which lowers ionized calcium. The administration of blood does not cause hypercalcemia, hyponatremia, or hypernatremia.
You might also like to view...
A nurse evaluates the following laboratory results for a client who has hypoparathyroidism:
Calcium 7.2 mg/dL Sodium 144 mEq/L Magnesium 1.2 mEq/L Potassium 5.7 mEq/L Based on these results, which medications should the nurse anticipate administering? (Select all that apply.) a. Oral potassium chloride b. Intravenous calcium chloride c. 3% normal saline IV solution d. 50% magnesium sulfate e. Oral calcitriol (Rocaltrol)
An appropriate outcome for a psychoeducation group composed of clients with chronic
schizophrenia would be that group members would a. uncover dynamic material related to their illnesses. b. adopt roles used in their families to reduce anxiety. c. develop plans for relapse prevention. d. increase feelings of social isolation.
You recently acquired a position as a unit manager
During your time on the unit, you have formed a strong social network among your staff, have promoted the development of relationships between your staff and workers in other areas of the organization, and have formed relationships that generate ideas from patient organizations and the local nursing education program. According to complexity theory, you are engaging which principle? a. Empowerment b. Systematic thinking c. Development of networks d. Bottom-up interactions
There are trends and challenges of healthcare in the 21st century. A nursing student has been asked to list some of the healthcare trends. What trends should the nursing student include in the list?
1 . Changing demographics 2 . Decreasing diversity 3 . Globalization 4 . Interdisciplinary education for collaborative practice A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4