During an infusion of albumin, the nurse monitors the patient closely for the development of which adverse effect?

Correct Answer: C

Rationale: When administering an infusion of albumin (a colloid solution), the nurse must closely monitor the patient for signs and symptoms of fluid volume overload. This is because albumin infusion can lead to an excessive accumulation of fluid in the intravascular compartment, potentially causing volume overload. Symptoms of fluid volume overload may include dyspnea, crackles in the lungs, peripheral edema, increased blood pressure, and increased heart rate. Prompt recognition and intervention are essential to prevent complications such as pulmonary edema and heart failure. Monitoring for signs of fluid volume overload enables the nurse to adjust the infusion rate or take other appropriate actions to ensure the patient's safety.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: C

Rationale: ACE inhibitors decrease the renin angiotensin aldosterone system by blocking the angiotensin-converting enzyme (ACE), which converts angiotensin I to angiotensin II. By inhibiting this enzyme, ACE inhibitors reduce the production of angiotensin II, a potent vasoconstrictor, and lower aldosterone secretion. This leads to vasodilation, decreased blood pressure, and reduced retention of sodium and water. Consequently, ACE inhibitors are commonly used in the management of hypertension, heart failure, and chronic kidney disease.

Correct Answer: A

Rationale: Protamine sulfate is the antidote for Heparin. Heparin is an anticoagulant medication that works by inhibiting clotting factors in the blood. In cases of Heparin overdose or when a patient needs to quickly reverse the effects of Heparin, Protamine sulfate is administered as an antidote. Protamine sulfate works by binding to Heparin and neutralizing its anticoagulant effects, thus helping to restore normal clotting function. It is important to use Protamine sulfate cautiously as it can cause severe reactions in some individuals, especially those with allergies to fish, as Protamine is derived from fish sperm.

Correct Answer: B

Rationale: Spironolactone is a potassium-sparing diuretic, which means that it helps lessen the loss of potassium from the body while still acting as a diuretic. This medication works by blocking the actions of aldosterone, a hormone that promotes the retention of sodium and water in the body, which can lead to potassium loss. Spironolactone helps to increase potassium levels in the body, making it a suitable choice for patients who are at risk of or experiencing low potassium levels while needing diuretic therapy. Options A, C, and D are not potassium-sparing diuretics, and they do not specifically help in lessening the loss of potassium from the body.