A client with long-standing hepatic cirrhosis might receive which ...

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A client with long-standing hepatic cirrhosis might receive which intravenous solution to correct hypoproteinemia?
 
  1. Dextrose 5
  2. Packed red cells
  3. Whole blood
  4. Albumin

Question 2

The nurse is caring for a client in the emergency department who has experienced a below-the-knee traumatic amputation.
 
  The nurse anticipates the use of a whole blood transfusion because the client has lost _____  of the total blood volume in the accident.
  Standard Text: Round answer to the nearest whole number.
 
  Fill in the blank with the appropriate word.

[lcapri7]

Answer to Question 1

Correct Answer: 4
Rationale 1: Dextrose 5 is a hypertonic solution that will not effectively treat hypoproteinemia.
Rationale 2: Packed red cells are indicated for clients with a deficiency of red cells.
Rationale 3: Whole blood is rarely used and is not the best choice for this client.
Rationale 4: Normal serum albumin is the treatment of choice for the treatment of hypoproteinemia in a client with hepatic cirrhosis.
Global Rationale: Normal serum albumin is the treatment of choice for the treatment of hypoproteinemia in a client with hepatic cirrhosis. Dextrose 5 is a hypertonic solution that will not effectively treat hypoproteinemia. Packed red cells are indicated for clients with a deficiency of red cells. Whole blood is rarely used and is not the best choice for this client.

Answer to Question 2

Correct Answer: 30
Rationale: Blood loss can be treated with a number of different intravenous fluids. The nurse knows that whole blood will be used when the client loses 30 or more of the total blood volume.
Global Rationale: Blood loss can be treated with a number of different intravenous fluids. The nurse knows that whole blood will be used when the client loses 30 or more of the total blood volume.

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