Author Question: The patient receives normal serum albumin. What are the priority assessments by the nurse? 1. ... (Read 45 times)

c0205847 · **on:** Jul 23, 2018

The patient receives normal serum albumin. What are the priority assessments by the nurse?

1. Blood pressure and urinary output
2. Urinary output and pupil response
3. Blood pressure and level of pain
4. Urinary output and nausea or vomiting

Question 2

The patient has overdosed on aspirin. In the emergency department, the physician orders sodium bicarbonate. A family member says to the nurse, I thought that was for stomach ulcers. What is the best response by the nurse?

1. It will prevent excessive bleeding from the stomach.
2. It will change the pH of the blood to neutralize the aspirin.
3. It will change the urine so the kidneys can get rid of the aspirin quickly.
4. It will help the liver break down the aspirin more quickly.

smrtceo · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale: During fluid replacement therapy, the nurse must assess for fluid volume deficit and fluid volume excess. This is commonly done by assessment of blood pressure and urinary output. Level of pain is not a priority assessment. Pupil response is not a priority assessment. Nausea or vomiting is not the priority assessment.

Answer to Question 2

Correct Answer: 3
Rationale: Sodium bicarbonate makes the urine more basic, which aids in the renal excretion of acidic drugs such as aspirin. Sodium bicarbonate is not given to prevent bleeding when a patient has overdosed on aspirin. Sodium bicarbonate is not given to neutralize blood pH when a patient has overdosed on aspirin. Sodium bicarbonate is not given to enhance liver enzymes when a patient has overdosed on aspirin.