Question

A nurse is caring for a client who is receiving plasmapheresis through a venous access site. Which of the following actions should the nurse take?

A) Administer pain medication.
B) Encourage ambulation.
C) Monitor for signs of hypovolemia.
D) Apply a warm compress to the access site.

Answer 1

When caring for a client receiving plasmapheresis, the nurse should monitor for signs of hypovolemia, administer pain medication as needed, and apply a warm compress to the access site.

Step-by-step explanation:

When caring for a client receiving plasmapheresis through a venous access site, the nurse should take the following actions:

1. Monitor for signs of hypovolemia: Plasmapheresis involves removing plasma and replacing it with a fluid such as saline, which can lead to hypovolemia or low blood volume. The nurse should closely monitor the client's vital signs, including blood pressure, heart rate, and urine output, and assess for symptoms such as dizziness, weakness, and thirst.
2. Administer pain medication: Plasmapheresis can cause discomfort or pain at the access site. The nurse should assess the client's pain level and administer appropriate pain medication as ordered to promote the client's comfort.
3. Apply a warm compress to the access site: Applying a warm compress to the access site can help promote blood flow and prevent complications such as thrombosis. The nurse should follow facility protocols and guidelines for applying a warm compress safely and effectively.