A client is receiving a blood product. What should the nurse monitor for while the client is receiving this treatment? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected
1. Proteinuria
2. Hematuria
3. Dyspnea
4. Pruritus
5. Hyperglycemia
Correct Answer: 2, 3, 4
Rationale 1: Proteinuria is not an adverse reaction caused by blood products.
Rationale 2: Adverse reaction to blood could cause hematuria.
Rationale 3: Administration of blood and blood products could cause allergic reactions. The client should report itching, rash, chills, and difficulty breathing.
Rationale 4: Administration of blood and blood products could cause allergic reactions. The client should report itching, rash, chills, and difficulty breathing.
Rationale 5: Hyperglycemia is not an adverse reaction caused by blood products.
Global Rationale: Administration of blood and blood products could cause allergic reactions. The client report itching, rash, chills, and difficulty breathing. Adverse reaction to blood could cause hematuria. Proteinuria and hyperglycemia are not adverse reactions caused by blood products.
You might also like to view...
An involuntarily committed client when offered a dinner tray pushes it off the bedside table onto the floor. Which nursing intervention should a nurse implement to address this behavior?
1. Initiate forced medication protocol. 2. Help the client to explore the source of anger. 3. Ignore the act to avoid reinforcing the behavior. 4. With staff support and a show of solidarity, set firm limits on the behavior.
Which of the following components of a peritoneal dialysis solution used to create an osmotic gradient can lead to potential complications in a patient receiving dialysis?
A) Dextrose B) Potassium C) Sodium D) Calcium
A woman who is 32 weeks pregnant telephones the nurse at her obstetrician's office and complains of constant backache. She asks what pain reliever is safe for her to take. The best nursing response is:
a. "Back pain is common at this time during pregnancy because you tend to stand with a sway back." b. "Acetaminophen is acceptable during pregnancy. You should not take aspirin, however." c. "You should come into the office and let the doctor check you." d. "Avoid medication because you are pregnant. Try soaking in a warm bath or using a heating pad on low before taking any medication."
The nurse is reviewing the laboratory results for a group of patients. Which set of results should the nurse identify as being consistent with primary hypothyroidism?
1. elevated TSH, depressed T3 and T4 2. elevated TSH, elevated T3 and T4 3. depressed TSH, elevated T3 and T4 4. depressed TSH, depressed T3 and T4