The patient is a gravida 6, para 1
She is admitted after a cesarean section after an amniotic embolus. Her heart rate (HR) is more than 150 beats/min with a systolic BP less than 80 mm Hg. Her temperature is 38 °C, and her condition has caused her to develop prerenal azotemia. The patient was fluid resuscitated through a double-lumen catheter, which was placed into her right femoral access, and started on vasopressors with a fair response (BP, 80/50 mm Hg; HR, 122 beats/min). Because of her diagnosis and a concern regarding fulminating sepsis, the patient was begun on CVVH. Identify three complications of CVVH therapy.
a. Fat emboli, increased ultrafiltration, and hypertension
b. Hyperthermia, overhydration, and power surge
c. Air embolism, decreased inflow pressure, and electrolyte imbalance
d. Blood loss, decreased outflow resistance, and acid-base imbalance
C
Air embolism, decreased inflow pressure, electrolyte imbalances, blood leaks, access failure, and clotted hemofilter are just a few complications that can occur with continuous venovenous hemodialysis.
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A client who is a victim of a penetrating trauma has bowel loops protruding through the abdominal wall. Which of these actions should the nurse take FIRST?
a. Administer narcotics if indicated by pain level expressed by the client. b. Cover the exposed intestine with saline-soaked gauze. c. Insert a large-bore intravenous (IV) access. d. Prepare the client for a peritoneal lavage procedure.
In providing nursing care to a client, which actions should the nurse take to reduce the risk of administering a precipitated intravenous (IV) solution? Select all that apply
A) Use in-line filters on peripheral and central line IV solutions. B) Avoid reconstituting powder drugs when preparing the solution. C) Inspect IV solutions prior to administration. D) Do not use any solution that is expired.
The client has just been diagnosed with binge eating disorder. Which statement by the client is most indicative of this diagnosis?
A) "I eat even when I am not hungry." B) "I always feel guilty after I overeat." C) "I have gained a lot of weight." D) "I eat slowly but consistently throughout the day."
The nurse thoroughly dries the infant immediately after birth primarily to
a. Stimulate crying and lung expansion. b. Remove maternal blood from the skin surface. c. Reduce heat loss from evaporation. d. Increase blood supply to the hands and feet.