A 67 years old male patient is admitted to the hospital with…
A 67 years old male patient is admitted to the hospital with severe diarrhea and vomiting. Vital signs: BP 84/68. HR 96. RR 20. Temp 99.8. O2 Sat 96% on 1 L of Oxygen via nasal cannula. Lab results: Hgb 25 g/dL; Hct 67% ; Creat. 1.9; BUN 24; Na+: 140, K+: 4.4, Calcium 9.2, Mg+ 1.6. ECG: Normal sinus rhythm. ABG: pH 7.39; pCO2: 43; HCO3: 24 Medical History: obtained by the patient’s family: hypertension, asthma, and hyperlipidemia. There is no surgical history. Allergies: Penicillin and nuts. Nursing initial assessment: The patient is alert and oriented x 3, gets up with 1 assistant due to weakness and dizziness. Skin is clammy and cool to touch. The patient denies pain and shortness of breath. Standard range for labs per textbook and ATI Hct: 42-52% for M, 36-52 for F Hgb: 14 to 17.4 g/dL for M, 12 to 16 g/dL for F Creatinine serum: 0.6 to 1.3 mg/dL for M, 0.6 to 1.1 mg/dL for F BUN: Older adults (over age 60): 8 to 23 mg/dL Potassium serum: 3.5 to 5.2 mEq/L (ATI: 3.5-5) Sodium serum: Adults: 136 to 145 mEq/L Calcium: 8.8 to 10.4 mg/dL (ATI: 9.0-10.5) Magnesium: 1.8 to 2.6 mg/dL (ATI: 1.3-2.1) USE THE DROP DOWN MENU TO SELECT THE ANSWERS. a. What lab values require the nurse immediate attention? [A] and [B] and [C] b. What immediate treatment should the nurse anticipate to be ordered? [D] c. What should the nurse monitor closely? [E] and [F] and [G] d. Two days later, the nurse is preparing discharge teaching for the patient, which of the following should the nurse teach the patient and family? [H] and [I]
Read Details