Author Question: The patient is receiving normal serum albumin (Albuminar). What will be a priority outcome with this ... (Read 31 times)

kshipps · **on:** Jul 23, 2018

The patient is receiving normal serum albumin (Albuminar). What will be a priority outcome with this patient?

1. The patient will be normotensive, not hypertensive.
2. The patient will be free of a rash.
3. The patient will experience adequate breathing patterns.
4. The patient will remain alert and oriented.

Question 2

The physician has prescribed phenylephrine (Neo-Synephrine) for an elderly patient. What is an important nursing assessment prior to administration of this drug?

1. A history of type 1 diabetes mellitus
2. A history of narrow angle glaucoma
3. A history of dizziness
4. A history of human immunodeficiency virus (HIV) infection

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

Answer to Question 1

Correct Answer: 3
Rationale: Albumin is a natural blood product and allergic reactions are possible. A serious symptom of an allergic reaction is dyspnea or difficulty breathing. Alertness and orientation are important, but are not priority outcomes. Hypotension, not hypertension, is a possible adverse outcome with normal serum albumin (Albuminar). A rash is a possible adverse outcome, but is not as much of a priority as dyspnea.

Answer to Question 2

Correct Answer: 2
Rationale: Vasoconstrictors may increase intraocular pressure, so the nurse should assess for narrow angle glaucoma. Dizziness is a general symptom and not specific to this drug. Type 1 diabetes mellitus is not adversely affected by administration of a vasoconstrictor drug. Human immunodeficiency virus (HIV) infection is not adversely affected by administration of a vasoconstrictor drug.