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Discussion Topies, Chapter 76, Disorders in Fluid and Electrolytc islance Discussion Yopics Learning Objectivels) A 55-year-old client comes to the outpatient clinic complaining of faiuec and muscle weakness. His deep tendon reflexes are slightly diminished. The clients history reveals use of diuretics to trcat his heurt disease. When monitoring this client, to what alterations should the nurse be alert? 2. A 35-year-old client is admitted to a henlthcare facihty with complaints of vomiting and diarrhea during the past 3 days. Examination reveals that the client has a dry mouth, dry skin, poor skin turgor, and hypotension dekydioction What would be this clients priority nursing diagnosis? Care for this client would focus on which nursing s. b. 3. A nurse is caring for a client with a kidney disorder. The healtheare provider has instructed the nurse to monitor the clients fluid intake and output carefully. During assessment, the nurse observes considerable swelling in the clients legs. On applying pressure to the skin of the leg, an indentation is observed. The dent remains for 2 seconds after applying pressure with a finger. a. What is this condition known as? Putbiig edla ma h How should the nuse document th bevations?

Case Study, Chapter 76, Disorders in Fluid and Electrolyte Balance A 62-year-old male, James Howard, is hospitalized with dyspnea and orthopnca, His medical diagnoses include Ehronic renal failure, poorly controlled type 2 diabetes mellitus and hypertensionl He reports a recent weight gain of approximately 10 lb an ces -crackles in the lungs bilaterally and4 piting cdema distal to the knees bilaterall profound swelling of his lower legs bilaterally. When the nursc examines him, he notes James lab work indicates a sium level O abnormally low pH and HCO, readings and a normal CO2 (Learning Objectives 3.4,6, 7) 1. Describe the type of fluid imbalance this client is experiencing. What signs and 2 symptoms are consistent with this imbalance? Pl esenve 2. Describe the type of electrolyie imbalance nhs Crent is experiencing. What are common causes for this imbalance and what nursing interventions are necessary? common causes for this imbalance and what signs and symptoms are consistent with this imbalance? 3. Describe the type of acid.-base imbalance this client is experiencing. What are NI

Laing objeeives the two najor types of uid imbalac Fluid volume excess-VSdn Fluid volume deficit -cuL﹁d︿h» 2 Prepare an information sheet that describes the laboralory tests required for evaluating the following Fluid and electrolyte balance Acid-base balance State the nursing considerations rclated to each type of test Group Assignment Learning Objective 1. Divide into four groups. Each group should choose one of the Types of electrolyte imbalances Cause of each electrolyte imbalance ymptoms associated with each type of electrolyte imbalance . e . Nursing considerations related to electrolyte imbalances Within each group, prepare an oral presentation for discussion in class

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Answer #1

1. Hypotension, dehydration, hypovolemic shock

2. The priority is Risk for hypovolemic shock related to loss of fluids(dehydration) .

The care on this client should focus on the fluid and electrolyte balance.

3. Pitting edema

She can document as fluid retention, fluid volume excess.

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