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NUR 233 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
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NUR 233 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE classification of albumin Therapeutic: volume expander Pharmacologic: blood product, colloid side effects of albumin Headache, fluid overload, hypertension, hypotension, tachycardia, increased salivation, rash, u...

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  • November 17, 2024
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NUR 233 EXAM QUESTIONS AND ANSWERS WITH

COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

classification of albumin


Therapeutic: volume expander

Pharmacologic: blood product, colloid


side effects of albumin


Headache, fluid overload, hypertension, hypotension, tachycardia, increased salivation, rash, urticaria,

back pain, chills, fever and flushing



Adverse Reaction: Pulmonary edema.


nursing implications for albumin


-Monitor vital signs, central venous pressure, intake and output before and frequently during therapy.

-Assess for signs of vascular overload before and after administration.

-Monitor serum sodium levels; may cause an increase in concentrations.

-Monitor hemoglobin and hematocrit levels; these values may decrease due to hemodilution.


client teaching for albumin


-Report signs and symptoms of hypersensitivity reaction.

-Report shortness of breath.


action of albumin

,Provides colloidal oncotic pressure, which serves to mobilize fluid from extravascular tissues back into

the vascular space


additional information for albumin


Use cautiously in patients with severe hepatic or renal disease


classification of allopurinol


Therapeutic: Anti-gout, Antihyperuricemic

Pharmacologic: Xanthine oxidase inhibitor


side effects of allopurinol


Hypotension, flushing, bradycardia, heart failure with IV use, nausea, vomiting, diarrhea, rash, renal

failure, and hypoglycemia.


nursing implications for allopurinol


-Assess for rash.

-Monitor I & O.

-Monitor serum & urine uric acid levels.

-Monitor glucose, Hgb, Hct, BUN, Creatinine, & liver function.


client teaching for allopurinol


-Encourage adequate fluid intake.

-Avoid alcohol.


action of allopurinol


Inhibits the production of uric acid to lower serum uric acid levels.

, additional information for allopurinol


Indications: Prevention of attacks of gout and nephropathy. Treats secondary hyperuricemia. Also given

to chemotherapy patients to remove excess uric acid.


classification of alteplase


Therapeutic: thrombolytic

Pharmacologic: plasminogen activator


side effects of alteplase


Epistaxis, gingival bleeding, bronchospasm, hemoptysis, hypotension, reperfusion arrhythmias,

ecchymosis, flushing, urticaria, hemorrhage at injection sites, phlebitis at IV site, musculoskeletal pain,

allergic reaction and fever.



Adverse Reactions: Intracranial hemorrhage, GI bleeding, retroperitoneal bleeding, GU tract bleeding,

hemorrhage and anaphylaxis.


nursing implications for alteplase


-Begin therapy as soon as possible after the onset of symptoms.

-Monitor vital signs continuously; report hypotension.

-Assess for bleeding every 15 minutes during the first hour of therapy and then every 15-30 minutes for

the next 8 hours.

-Assess neurological status throughout therapy.

-Ensure type and crossmatch obtained. Have blood available at all times.

-Monitor laboratory values: Hematocrit, hemoglobin, platelet count, prothrombin time, thrombin time

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