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Author Question: The patient has received blood within the past 6 hours. The patient begins to feel short of breath ... (Read 106 times)

cookcarl

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on: Jun 25, 2018
The patient has received blood within the past 6 hours. The patient begins to feel short of breath and calls for the nurse. The nurse finds that the patient is dusky in color with crackles throughout his lungs and is coughing up pink frothy sputum.
 
  The nurse calls the physician immediately, knowing that the patient is showing signs of _________________.
 
  Fill in the blanks with correct word

Question 2

The nurse is caring for a patient who is receiving PN. As part of therapy, the patient undergoes routine bedside glucose monitoring that reveals which expected outcome?
 
  a. Lower than normal blood glucose to determine adequate tolerance for PN
  b. Slightly higher than normal blood glucose to meet increased cellular needs
  c. Slightly higher than normal blood glucose to prevent infection or systemic sepsis
  d. Normal blood glucose to prevent associated complications


akemokai

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Reply #1 on: Jun 25, 2018
Answer to Question 1

transfusion-related acute lung injury (TRALI)
Possible adverse outcomes that result from transfusion therapy include transmission of diseases, circulatory overload, and TRALI characterized by noncardiogenic pulmonary edema with onset within 6 hours of transfusion.

Answer to Question 2

D
For PN to be used safely, its administration must be closely monitored. Special care is necessary to maintain blood glucose levels in the normal range. Higher glucose levels are often associated with cardiovascular events, general infection, systemic sepsis, acute renal failure, and death.


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