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1. Mrs. Dean is a 75-year-old woman admitted to the hospital for a small bowel obstruction. Her medical history includes hypertension. Mrs. Dean is NPO. She has a nasogastric (NG) tube in place to low continuous suction. She has an IV of 0.9% NS at 83 mL/hr. Current medications include furosemide 20 mg daily and hydromorphone 0.2 mg every 4 hours prn for pain. The morning electrolytes reveal serum potassium of 3.2 mEq/L. a. Based on this patient data, what are some possible causes of the low potassium level? b. What action should the nurse take in relation to the serum potassium level? c. What clinical manifestations might the nurse assess in Mrs. Dean? 2. Conrad Jackson is a 28-year-old man who presents to the emergency department with severe fatigue and dehydration secondary to a 4-day history of vomiting. During the interview, he describes attending a family reunion and states that perhaps he “ate something bad.” Upoo admission his vital signs are a temperature of 102.7°F, heart rate of 116 bpm, respiratory rate of 18 breaths/min, and blood pressure of 86/54 mm Hg. a. Do you suspect that this patient has fluid volume deficit or fluid volume overload? Write out the patient symptoms that support your answer. b. What other clinical manifestations would we want to monitor this patient for? c. Based on this patient’s dehydration status, would we expect the serum sodium level to come back elevated or decreased for this patient? d. What are some nursing interventions we would want to implement for this patient based on the dehydration & sodium imbalance? e. If the physician were to order IV fluids on this patient, which type of IV fluids would likely be prescribed & why? Paragraph Styles 2. Conrad Jackson is a 28-year-old man who presents to the emergency department with severe fatigue and dehydration secondary to a 4-day history of vomiting. During the interview, he describes attending a family reunion and states that perhaps he ate something bad.” Upon admission his vital signs are a temperature of 102.7°F, heart rate of 116 bpm, respiratory rate of 18 breaths/min, and blood pressure of 86/54 mm Hg. a. Do you suspect that this patient has fluid volume deficit or fluid volume overload? Write out the patient symptoms that support your answer. O b. What other clinical manifestations would we want to monitor this patient for? c. Based on this patient’s dehydration status, would we expect the serum sodium level to come back elevated or decreased for this patient? d. What are some mursing interventions we would want to implement for this patient based on the dehydration & sodium imbalance? e. If the physician were to order IV fluids on this patient, which type of IV fluids would likely be prescribed & why? R hp 16 Ty tvo 199 DII DDU A & * 2. Conrad Jackson is a 28-year-old man who presents to the emergency department with severe fatigue and dehydration secondary to a 4-day history of vomiting. During the interview, he describes attending a family reunion and states that perhaps he “ate something bad.” Upon admission his vital signs are a temperature of 102.7°F, heart rate of 116 bpm, respiratory rate of 18 breaths/min, and blood pressure of 86/54 mm Hg. a. Do you suspect that this patient has fluid volume deficit or fluid volume overload? Write out the patient symptoms that support your answer. b. What other clinical manifestations would we want to monitor this patient for? c. Based on this patient’s dehydration status, would we expect the serum sodium level to come back elevated or decreased for this patient? d. What are some nursing interventions we would want to implement for this patient based on the dehydration & sodium imbalance? e. If the physician were to order IV fluids on this patient, which type of IV fluids would likely be prescribed & why? stations might the nurse assess in Mrs. Dean? 2. Conrad Jackson is a 28-year-old man who presents to the emergency department with severe fatigue and dehydration secondary to a 4-day history of vomiting. During the interview, he describes attending a family reunion and states that perhaps he “ate something bad.” Upon admission his vital signs are a temperature of 102.7°F, heart rate of 116 bpm, respiratory rate of 18 breaths/min, and blood pressure of 86/54 mm Hg. a. Do you suspect that this patient has fluid volume deficit or fluid volume overload? Write out the patient symptoms that support your answer. b. What other clinical manifestations would we want to monitor this patient for? c. Based on this patient’s dehydration status, would we expect the serum sodium level to come back elevated or decreased for this patient? d. What are some nursing interventions we would want to implement for this patient based on the dehydration & sodium imbalance? e. If the physician were to order IV fluids on this patient, which type of IV fluids would likely be prescribed & why?
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