Answered: 56-year-old African American woman, was…

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Nursing

56-year-old African American woman, was seen at the clinic with multiple urinary system complaints. She reports that h

Case Studies In Health Information Management

3rd Edition

ISBN:9781337676908

Author:SCHNERING

Publisher:SCHNERING

Chapter7: Healthcare Statistics And Research Methods

Section: Chapter Questions

Problem 7.20.1C

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An 80-year old woman was admitted for nausea, headache, and psychosis for 2 days: Past medical history includes hypertension, and her physician increased hydrochlorothiazide (HCTZ), from 12.5 to 25 mg daily. The patient was drinking water more than usual. Her BP was 120/70 mmHg and pulse rate of 80 beats/min. There were no orthostatic BP and pulse changes. Serum chemistry: Na* 112 mEq/L, K* 3.2 mEq/L, CI- 90 mEq/L, and glucose 90 mg/dL. The urine osmolality is 220 mOsm/kg H,O. She weighs 70 kg. Which one of the following statements regarding her hyponatremia is CORRECT? A. Furosemide rather than HCTZ is a frequent cause of hyponatremia. B. HCTZ impairs urine concentrating capacity C. Electrolyte-free H,O clearance decreases with HCTZ D. Electrolyte-free H,O clearance increases with HCTZ E. None of the above
RECORD THE HOURLY INTAKE AND OUTPUT USING THE TABLE PROVIDED. SHOW YOUR COMPUTATION IN THE TABLE- LABEL/ NAME ALL THE INATAKE PER You admitted a patient with hypotensive crisis; with the following data and doctor’s order Patient Juan Dela Cruz, 45 y/o, the patient NGT for gavage feeding every 4 hours. With Indwelling Foley Catheter for urine output monitoring 6:30am Clients VS BP=70/40 RR=15 PR=59 O2 Sat=98% monitor I &O every hour Doctor’s Order: Fluid Regimen: (R hand) Start IVF of D5LRS 1L to run for 8 hours using macroset with Side drip of Levophed: 2 ampules + 96 cc of PNSS x 15 ugtts/min stock dose of levophed (2ndline) L start IVF PNSS 1L x 10 gtts/min; To Start Blood transfusion of 2-unit PRBC once available properly typed and crossmatched You received the patient at exactly 7:00 AM and started the fluid regimen 8:00 AM – started gavage feeding of 1 glass osteorized feeding with 1/2 glass of plain water to dilute the feeding. 8: 30 AM -packed RBC…
RECORD THE HOURLY INTAKE AND OUTPUT USING THE TABLE PROVIDED. SHOW YOUR COMPUTATION IN THE TABLE- LABEL/ NAME ALL THE INATAKE PER You admitted a patient with hypotensive crisis; with the following data and doctor’s order Patient Juan Dela Cruz, 45 y/o, the patient NGT for gavage feeding every 4 hours. With Indwelling Foley Catheter for urine output monitoring 6:30am Clients VS BP=70/40 RR=15 PR=59 O2 Sat=98% monitor I &O every hour Doctor’s Order: Fluid Regimen: (R hand) Start IVF of D5LRS 1L to run for 8 hours using macroset with Side drip of Levophed: 2 ampules + 96 cc of PNSS x 15 ugtts/min stock dose of levophed (2ndline) L start IVF PNSS 1L x 10 gtts/min; To Start Blood transfusion of 2-unit PRBC once available properly typed and crossmatched You received the patient at exactly 7:00 AM and started the fluid regimen 8:00 AM – started gavage feeding of 1 glass osteorized feeding with 1/2 glass of plain water to dilute the feeding. 8: 30 AM -packed RBC…
RECORD THE HOURLY INTAKE AND OUTPUT USING THE TABLE PROVIDED. SHOW COMPLETE COMPUTATION IN THE TABLE- LABEL/ NAME ALL THE INATAKE PER You admitted a patient with hypotensive crisis; with the following data and doctor’s order Patient Juan Dela Cruz, 45 y/o, the patient NGT for gavage feeding every 4 hours. With Indwelling Foley Catheter for urine output monitoring 6:30am Clients VS BP=70/40 RR=15 PR=59 O2 Sat=98% monitor I &O every hour Doctor’s Order: Fluid Regimen: (R hand) Start IVF of D5LRS 1L to run for 8 hours using macroset with Side drip of Levophed: 2 ampules + 96 cc of PNSS x 15 ugtts/min stock dose of levophed (2ndline) L start IVF PNSS 1L x 10 gtts/min; To Start Blood transfusion of 2-unit PRBC once available properly typed and crossmatched You received the patient at exactly 7:00 AM and started the fluid regimen 8:00 AM – started gavage feeding of 1 glass osteorized feeding with 1/2 glass of plain water to dilute the feeding. 8: 30 AM -packed…
Mrs. Sammie Long, a 92-year-old African American female, is admitted to the medical unit for a nursing diagnosis of alteration in elimination: urinary retention. She has a healthcare provider’s order for a Foley catheter to be inserted. (Learning Objectives 1, 2, 3, 4, 5, 6, 7, 8) 1. Describe the steps you would take to insert the Foley catheter. 2. What part of the process is clean? What part of the process is sterile?
PatientAge: 72 Gender: Male Height: 172 cm Weight: 78 kgThe doctor's order is Potassium Chloride 40meq in 1L to run for 8 hours for the patient. Based on the Renal Drug Handbook 3rd Edition, the right rate of administration of potassium chloride is the following. ● Infusion up to 20mmol potassium per hour except in an extreme hypokalaemic emergency where some units give up to 40mmol/hour with cardiac monitoring● Give IV solution well diluted (not exceeding 40mmol/500mL) for peripheral administration.● Mix IV solutions thoroughly to avoid the layering effect● Some units give more concentrated solution centrally: 100–200mmol/100mL sodium chloride 0.9% or glucose 5%, but at a rate not more than 20mmol/hour Does the doctor's order comply with the renal drug handbook?
A 49-year-old male was brought to the Emergency Department for evaluation of nausea, fatigue, and weakness for 24 h. His wife says that he had been having binge drinking without any food intake. He is not taking any medications. On physical examination, he was euvolemic. His weight is 70 kg. BP is 100/60 mmHg with a pulse rate of 82 beats/min. Serum [Na] is 120 mEq/L; [K] 3.8 mEq/L; BUN 8 mg/dL; creatinine 0.6 mg/dL; and osmolality 230 mOsm/kg H,O. Urine studies are: Osmolality 75 mOsm/kg H,O; Na* 10 mEq/L; and K* 20 mEq/L. The diagnosis of beer potomania was made. Assuming no urine output in 2-3 h, which one of the following is the MOST appropriate therapy for this patient? A. D5W B. 0.9 % NaCI C. 3% NaCl D. 0.45 % NaCl E. Fluid restriction and NaCl tablets
pathophysiology Lisa Smith (LS) is brought to the emergency department [ER] for management of accidental acute poisoning. She is nonresponsive and admitted to the critical care unit [CCU] to be closely monitored. LS has no urinary output, and her laboratory values are serum K+ = 6.7 mEq/L; serum Na+ = 177 mEq/L; arterial blood gases [ABGs]: pH = 7.13, PaCO2 = 35 mmHg, HCO3- = 16 mEq/L, PaO2 = 89 mmHg, and oxygen saturation = 94%. Identify LS’s current acid-base disorder. What is the most likely underlying cause of the acid-base disorder LS is experiencing?
ASSESSMENT EXERCISES: IDENTIFYING OBJECTIVE AND SUBJECTIVE DATA Scenario: Cherisha Martin, a 56-year-old African American woman, was seen at the clinic with multiple urinary system complaints. She reports that her urine is cloudy, is amber-colored, and has a pungent odor. She has an urge to urinate more frequently; however, she voids small amounts. Two days ago, she saw blood in her urine. Her vital signs are blood pressure, 142/92 mm Hg; pulse rate, 78 beats/min and regular; respirations, 20 breathes/min; temperature, 100.4°F. List abnormal subjective data from the case scenario above. List abnormal objective data from the case scenario above.
Patient Scenario Harry Miller, 66 years old, went to his primary health care provider for his annual health assessment. He had gained 15 pounds in the past year. When the office nurse took his blood pressure, it was 166/92 mm Hg. The nurse took Mr. Miller's blood pressure again and then repeated it later after his health assessment was completed. Although the reading varied by a few points, it remained consistently high. Mr. Miller was obviously surprised at having hyperten- sion, because he said, "It has never been this high before. There must be something wrong with your machine." His health care provider tried to discuss the need for changes in his lifestyle as well as the need to take the medication prescribed for his blood pressure, but Mr. Miller said he had no questions and rushed out of the examining room. to control his high blood pressure to prevent serious risks, such as heart attack and stroke. Urge Mr. Miller and his wife to talk to a dietitian about a nutritious diet that…
The oral pediatric maintenance solution PEDIALYTE liquid has the following electrolyte content per liter: sodium, 45 mEq; potassium, 20 mEq; chloride, 35 mEq; and citrate, 30 mEq. Calculate the equivalent quantities of each in terms of milligrams.
" Risk of fluid volume depreciation as evidenced by nausea, vomiting and decreased fluid ingestion. " question: What could be the possible nursing interventions and rationale that could be done? (4 rationale and 4 nursing interventions) Objectives: 1. The patient will relieve pain 2. The patient will be able to maintain fluid volume 3. The patient will have normal stool in 1-3 days 4. The patient will be able to regain and additionally work on his nourishment with assistance of appropriate comprehension of the food options to help his digestion.