During an Emergent Total Open Splenectomy on a Patient with Blunt

question 8

Multiple Choice

During an emergent total open splenectomy on a patient with blunt force trauma to the abdomen,the circulating nurse and anesthesia provider noticed rust-colored urine in the urinary collection container.They had just hung the third unit of whole blood.What nursing action is the first priority?

• A) Send a sterile urine sample for stat cytologic studies.
• B) Notify the scrubbed team of the urine color change and check the bladder for trauma.
• C) Stop the blood transfusion.
• D) Check the blood unit for patient-specific identification and expiration date.

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Definitions:

Natural Monopolies

Market conditions where a single firm can supply a good or service more efficiently than any competitor due to economies of scale, hence dominating the market.

Positive Feedback

Put simply, success breeds success, failure breeds failure; the effect is seen with goods that are subject to network externalities.

Marginal Social Benefits

The additional benefits to society as a whole from producing one more unit of a good or service.

Socially Optimal Level

The level of output or activity where the benefits to society are maximized, taking into account both private and external costs and benefits.