please answer both questions.  A patient is admitted with left sided heart failure and secondary dehydration related to diarrhea. The intervention from the emergency room reveals the patient has been on fluid replacement with normal saline at 100mL/hr and strict I/O monitoring, which are to be continued according to the admission orders. Which symptoms is most important for the nurse to report to the next shift? Answers: A.  The IV is sub q and needs to be changed B.  Number of episodes of diarrhea, and volume of stool output C.  intake and output values for the last 24 hours D.  patient reporting being thirsty to the nurse

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
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please answer both questions. 

A patient is admitted with left sided heart failure and secondary dehydration related to diarrhea. The intervention from the emergency room reveals the patient has been on fluid replacement with normal saline at 100mL/hr and strict I/O monitoring, which are to be continued according to the admission orders. Which symptoms is most important for the nurse to report to the next shift?


Answers:

A. 

The IV is sub q and needs to be changed

B. 

Number of episodes of diarrhea, and volume of stool output

C. 

intake and output values for the last 24 hours

D. 

patient reporting being thirsty to the nurse

### Patient Information

**Vitals:**
- Temperature: 99.6°F oral
- Pulse: 55 beats per minute
- Respiratory Rate: 18 breaths per minute
- Blood Pressure: 177/95 mmHg
- Oxygen Saturation: 98%

**Assessments:**
- Lungs diminished
- Telemetry shows sinus bradycardia
- Complaints of nausea
- Alert and oriented x4

**Medical History:**
- Heart Failure
- COPD (Chronic Obstructive Pulmonary Disease)
- High Cholesterol
- Hypothyroid
- Obesity

**Laboratory Results:**
- Sodium (Na): 138 mmol/L
- Potassium (K): 3.1 mmol/L
- Blood Urea Nitrogen (Bun): 18 mg/dL
- Hemoglobin (Hgb): 11.6 g/dL
- Hematocrit (Hct): 35.1%
- White Blood Cell Count (Wbc): 14 x 10^9/L

### Instructions

The following medications are available and can be administered as per protocol. Safely select the items to treat the documented issues. Select all that apply:

**Options:**
- A. Lisinopril 10mg PO
- B. Ondansetron 4mg PO
- C. Acetaminophen 650mg PO
- D. Furosemide 20mg PO
- E. Metoprolol 25mg PO
- F. Amlodipine 10mg PO

### Answers
- **A.** Lisinopril 10mg PO
- **B.** Ondansetron 4mg PO (highlighted)
Transcribed Image Text:### Patient Information **Vitals:** - Temperature: 99.6°F oral - Pulse: 55 beats per minute - Respiratory Rate: 18 breaths per minute - Blood Pressure: 177/95 mmHg - Oxygen Saturation: 98% **Assessments:** - Lungs diminished - Telemetry shows sinus bradycardia - Complaints of nausea - Alert and oriented x4 **Medical History:** - Heart Failure - COPD (Chronic Obstructive Pulmonary Disease) - High Cholesterol - Hypothyroid - Obesity **Laboratory Results:** - Sodium (Na): 138 mmol/L - Potassium (K): 3.1 mmol/L - Blood Urea Nitrogen (Bun): 18 mg/dL - Hemoglobin (Hgb): 11.6 g/dL - Hematocrit (Hct): 35.1% - White Blood Cell Count (Wbc): 14 x 10^9/L ### Instructions The following medications are available and can be administered as per protocol. Safely select the items to treat the documented issues. Select all that apply: **Options:** - A. Lisinopril 10mg PO - B. Ondansetron 4mg PO - C. Acetaminophen 650mg PO - D. Furosemide 20mg PO - E. Metoprolol 25mg PO - F. Amlodipine 10mg PO ### Answers - **A.** Lisinopril 10mg PO - **B.** Ondansetron 4mg PO (highlighted)
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