Author Question: A client is receiving intravenous nitroprusside (Nipride) for shock. Which adverse reactions will ... (Read 135 times)

imowrer · **on:** Jun 25, 2018

A client is receiving intravenous nitroprusside (Nipride) for shock. Which adverse reactions will the nurse assess this client for when administering the infusion?

Select all that apply.
A) Muscle spasms
B) Tachycardia
C) Confusion
D) Gastrointestinal bleeding
E) Disorientation

Question 2

The nurse explains the purpose of an infusion of albumin 5 to a client recovering from hypovolemic shock. Which statement indicates that the client understands the instructions?

A) It is a protein that causes my kidneys to conserve fluid.
B) It is a protein that pulls water into my blood vessels.
C) It is a liquid that has electrolytes in it to pull water into my blood vessels.
D) It is a super-concentrated salt solution that helps me conserve body fluid.

yasmin · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A, B, C, E

Nausea, muscle spasms, and disorientation are signs of thiocyanate poisoning, which can occur if the infusion is longer than 72 hours. Confusion, dizziness, and tachycardia are adverse reactions that the nurse should report immediately to the healthcare provider. Gastrointestinal bleeding is not an adverse effect of this medication.

Answer to Question 2

Answer: B

Colloids are proteins or other large molecules that stay suspended in the blood for long periods because they are too large to easily cross membranes. They draw water molecules from the cells and tissues into the blood vessels through their ability to increase plasma oncotic pressure. Crystalloids are intravenous (IV) solutions that contain electrolytes, not proteins, in concentrations resembling those of plasma. They are used to replace lost fluids and promote urine output. Albumin 5 does not act on the kidneys. Albumin 5 is not a concentrated saline solution.