The physician has ordered plasmapheresis for the client with ...

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The physician has ordered plasmapheresis for the client with glomerulonephritis. Prior to the procedure, the nurse should check for:
 
  1. a signed consent.
  2. a low white cell count.
  3. results of the blood culture.
  4. client's allergy to penicillin.

Question 2

The nurse is caring for a client who has returned for the operating room following a nephrectomy. When providing care, the nurse's priority would be to:
 
  1. ambulate the client as soon as the client recovers from anesthesia.
  2. assess urine output hourly.
  3. monitor the client for a low-grade fever.
  4. give the client a bath on return to the unit.

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Answer to Question 1

Answer: 1

1. The nurse would check the chart for the presence of a signed consent, which is required for the treatment.
2. This treatment is not associated with white cells, but filters the blood and adds albumin to the blood.
3. Results of a blood culture are irrelevant to this treatment.
4. The client is monitored for an allergy to the infused plasma, not to penicillin.

Answer to Question 2

Answer: 2

1. The client will most likely have tubes and drains. Ambulation will be started after a few days postoperative.
2. Since the client had a kidney removed, the priority is to assess the hourly urine output of the remaining kidney.
3. Most clients will respond to surgery with a low-grade fever.
4. The client may receive a bath the next day. Monitoring urine output is the priority.

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