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Question asked by: Nurseit24 - 6 months ago

Explain to me the following topic in detail: Patient: S.S. is a 63-year-old white woman with acute lymphocytic leukemia, who has been receiving chemotherapy on an outpatient basis. She completed her third treatment 5 days ago and has been experiencing nausea and vomiting for 2 days despite using ondansetron (Zofran). S.S.s daughter brings her to the hospital, where she is admitted to the medical unit.
Subjective Data: Complaints of lethargy, weakness, dizziness, and dry mouth. States she has been too nauseated to eat or drink anything for 2 days.
Objective Data: Heart rate 110 beats/min with a thread pulse, BP 100/65. 5lb weight loss since her chemotherapy treatment 5 days ago. Dry oral mucous membranes.
1. Based on the clinical findings, what fluid imbalance does S.S. have?
2. What additional assessment data should you obtain?
3. You draw a serum chemistry. What electrolyte imbalances are likely and why?
4. S.S. is at risk for which acid-base imbalance? How would the body compensate?
5. The physician orders 0.45% saline to infuse at 100 mL/hr. What type of solution
is this, and how will it help S.S.s fluid imbalance?
6. What are the priority nursing interventions for S.S.?
1. A client has the following electrolyte results: Na 133 mEq/L, K 3.4 mEq/L. Which of the following treatments likely resulted in these results?
a. Three tap water enemas
b. Normal saline 50 mL/hr
c. Dextrose 5% in Water (D5W) with K 20 mEq 80 mL/hr
d. Administration of glucocorticoids
2. A potassium level of 5.4 mEq/L should alert the nurse to assess the client for:
a. ECG changes
b. Constipation
c. Polyuria
d. Hypertension
3. The nurse should closely monitor a client who has a nasogastric tube for suctioning for which of the following electrolyte imbalances?
a. Hypokalemia
b. Hypocalcemia
c. Hyperkalemia
d. Hypernatremia
4. List what the LPN should observe for when checking a peripheral IV site every 1-2 hours:
5. For each of the following client findings, note which electrolyte imbalance(s) is/are supported by the finding.
Client Finding Hyponatremia Hypernatremia Hypokalemia Hyperkalemia
Serum Sodium 125 mEq/L
Serum Sodium 150 mEq/L
Serum Potassium 5.4 mEq/L
The explanation should be written at the level of the University.

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