List 20 nursing interventions with rationales for the nursing diagnosis Risk for imbalance nutrition related to nausea or vomiting evidence by renal insufficiency based on the scenario
List 20 nursing interventions with rationales for the nursing diagnosis Risk for imbalance nutrition related to nausea or vomiting evidence by renal insufficiency based on the scenario
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Question
List 20 nursing interventions with rationales for the nursing diagnosis Risk for imbalance nutrition related to nausea or vomiting evidence by renal insufficiency based on the scenario
Transcribed Image Text:Scenario
Mr. James a 69-year-old man was admitted to the San Fernando General Hospital in an
ambulance with an admittance diagnosis of digoxin toxicity, dehydration, renal insufficiency
and right heel ulcer.
During his admission he was weak and primarily bedridden so he had to use a bedpan for
toileting. As a result of the nurse's and physician negligence, the bedpan was life these for an
extended period of time. Cf which he developed a ring of large blister on both buttocks in the
shape of the bedpan.
When they realized the blister, the nurses were also negligent to care for it, when made it
even worst developing into large. elliptical- shaped, infected and fluid- filled on his sacral
and buttocks area.
With time the blister progressed to stage IV necrotic decubitus ulcer on the buttocks
extending into the bone. He underwent painful debridement of the necrotic wound, sepsis,
dehydration.
Vitals upon entry- 197/98
Sp02- 96
Pulse- 150
Expert Solution
Step 1
Renal insufficiency is the poor kidney functioning which may be due to blood flow reduction to the kidneys causing renal artery disease. There will be disruption in the kidney functions such as regulation of blood pressure and body fluids as well as regulation of blood chemistry and removing organic waste. In some patients, no symptoms will be experience or mild symptoms only will be experience.
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