The client is recovering from hypovolemic shock. The nurse hangs ...

[ENagel]

The client is recovering from hypovolemic shock. The nurse hangs a bag of normal human serum albumin and educates the client about this fluid. The nurse evaluates that learning has occurred when the client makes which statement?
 
  1. It is a liquid that has electrolytes in it to pull water into my blood vessels..
   2. It is a protein that pulls water into my blood vessels..
   3. It is a protein that causes my kidneys to conserve fluid..
   4. It is a super-concentrated salt solution that helps me conserve body fluid..

Question 2

The nurse is planning care for a client in shock who is prescribed human serum albumin. Which of the following should the nurse include in this client's plan of care?
 
  1. Auscultate for an absence of breath sounds in the lower lobes
   2. Auscultate breath sounds for hyper-resonance
   3. Auscultate breath sounds for crackles
   4. Auscultate breath sounds for inspiratory stridor

[samiel-sayed]

Answer to Question 1

2. It is a protein that pulls water into my blood vessels..

Rationale:
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. Normal human serum albumin does not act on the kidneys. Normal human serum albumin is not a concentrated saline solution.

Answer to Question 2

3. Auscultate breath sounds for crackles

Rationale:
Because human serum albumin pulls fluid into the vascular space, circulatory overload is a serious complication. The nurse must monitor breath sounds; crackles will be heard with pulmonary congestion. An absence of breath sounds is heard with a pneumothorax, not with pulmonary edema. Hyper-resonance is assessed by percussion, not auscultation. Stridor is auscultated with airway obstruction, not pulmonary edema.

[ENagel]

Both answers were spot on, thank you once again

[samiel-sayed]

Great! Please up vote