NURS 130 Case Studies (answered) A 78-year-old patient is having an episode of congestive heart failure.; A 31-year-old patient is admitted for full thickness burns over 30% of their upper body; A 75-year-old is admitted to the hospital for a small bowe
Case Studies A 78-year-old patient is having an episode of congestive heart failure. They are admitted to your med/surg unit with a diagnosis of extracellular fluid volume excess. They are frightened, slightly confused, and dyspneic on exertion. 1. What does it mean to have extracellular volume excess, and how would this manifest in patient symptoms? 2. Your nursing care plan for this patient should include what interventions? (Include medical and nursing care) A 31-year-old patient is admitted for full thickness burns over 30% of their upper body. The diagnosis is consistent with extracellular fluid volume deficit. 1. What does it mean to have extracellular volume deficit, and how would this manifest in patient symptoms? 2. Your nursing care plan for this patient should include what interventions? (Include medical and nursing care) A 75-year-old is admitted to the hospital for a small bowel obstruction. Their medical history includes hypertension. The patient is NPO. They have a nasogastric (NG) tube to low continuous suction. They have 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, as needed for pain. The morning electrolytes reveal serum potassium of 3.2 mEq/L. 1. What are possible causes of a low potassium level? 2. What action should the nurse take in relation to the serum potassium level? 3. What clinical manifestations might the nurse assess in this patient?
Written for
- Institution
-
Southern Maine Community College
- Course
-
NURS 130 (NURS130)
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- Uploaded on
- October 14, 2021
- Number of pages
- 6
- Written in
- 2021/2022
- Type
- Case
- Professor(s)
- Pro
- Grade
- A
