NUR 321 VCE #5 Fluid and Electrolyte Balance

Reading Assignment: • Oxygenation (Chapter 40) • Fluid, Electrolyte, and Acid-Base Balance (Chapter 41) • Care of Surgical Patients (Chapter 50) Patients: • Piya Jordan, Medical-Surgical Floor, Room 403 • Patricia Newman, Medical-Surgical Floor, Room 406 Objectives: • Identify disturbances in fluid and electrolyte balances in two patients. • Describe variables that affect fluid and electrolyte balance. • Describe the factors to include in the assessment of a peripheral intravenous (PIV) site. • Calculate an intravenous (IV) flow rate. Exercise 1 Writing This exercise will take approximately 15 minutes to complete. 1. Identify the three processes at play in fluid homeostasis. 2. A nurse is reviewing the results of a patient's electrolyte panel. The documentation indicates the patient's potassium level is 5.2 mEq/L, a level that is indicativ A. Indicate whether the following statement is true or false. 3. When the nurse is providing fluid maintenance to an adult, the use of a peripheral 18-gauge cannula is appropriate. 4. Which of the following patient populations are at an increased risk for developing fluid, electrolyte, and acid-base imbalances? Select all that apply. Exercise 2 Online This exercise will take approximately 30 minutes to complete. Sign in to work at Pacific View Regional Hospital on the Medical-Surgical Floor for Period of Care 1. (Note: If you are already in the virtual hospital from a previous exercise, click on Leave the Floor and then on Restart the Program to get to the sign- in window.) From the Patient List, select Piya Jordan (Room 403). Click on Get Report; read the report and then click on Go to Nurses' Station. Click on Chart and then on 403. Click on and then review the Nursing Admission. 5. Identify three factors in Piya Jordan's Nursing Admission data that indicate a risk for fluid and electrolyte imbalances even before surgery. 6. Consider the data you received from the change-of-shift report. From the following list, identify the risks Piya Jordan has for fluid and electrolyte imbalance during the postoperative period. Select all that apply. Click on Laboratory Reports and review findings. 7. Using the chart below, record Piya Jordan's chemistry results. In the last column, indicate whether values demonstrate an abnormal or normal trend. .............................................continued.....................................................