Ch 40 Prep U pt 2
The student nurse asks, " what is interstitial fluid?" What is the appropriate nursing response?
"Fluid in the tissues space between and around the cells."
The nurse is caring for a client will be undergoing surgery in several weeks. Client states, "I would like to get my own blood to be used in case I need it during surgery. "What is the appropriate nursing response?
"Let me refer you to the blood bank so they can provide you with information."
A healthcare provider orders a bolus infusion of 250 mL of normal Celine to run over one hour. The set delivers 20 GTT/ML. What is the flow rate in GTT/MIN?
83 gtt/min
The nurse is providing care for several clients on a busy floor. The nurse receives a prescription to administer and trans fusion of packed red blood cells for a client with decreased hemoglobin. Which action should the nurse take before entering the clients room to begin the transfusion?
Arrange for another nurse to monitor the nurses are there assigned clients.
A client who is NPO prior to surgery reports feeling thirsty. What is the physiologic process that drives the thirst factor?
Decreased blood volume in intracellular dehydration
A client has been diagnosed with a gastrointestinal bleed in the healthcare provider has ordered a transfusion. At what rate should the nurse administer the clients packed red blood cells?
One unit over 2 to 3 hours, no longer than four hours
Upon assessment of a clients peripheral intravenous site, the nurse notices the area is red and warm. The client complains of pain when the nurse gently palpate the area. These signs and symptoms are indicative of:
Phlebitis
The client is diagnosed with hypo bulimia after significant blood loss. Which action with the nurse take?
Start an IV of normal saline as prescribed.
The nurse is caring for a client with metabolic alkalosis who is breathing rate is eight breaths per minute. Which arterial blood gas data does the nurse anticipate finding?
pH: 7.60; PaCO2: 64 mm Hg; HCO3: 42 mEq/L
A nurse is caring for a client requires intravenous therapy. The nurse understands that which actions are the nurses responsibilities related to this therapy? Select all that apply.
• deciding the location of the IV catheter. • deciding the size of the IV catheter. •Administering the IV solution.