Question

Need help with these 2.

NSG 115 Case Study Week 15 Review the Case Study in Chapter 39 about Mr. Abdul and answer the following questions. Kathy, Mr. Abdul's nurse, was caring for Mr. Abdul and saw that the lab tests ordered for him were drawn earlier today. She is viewing the results now. 1. What lab result would Kathy want to communicate to Mr. Abdul's primary care provider (PCP) immediately so orders can be obtained to correct the imbalance? A. His serum sodium level B. His serum potassium level C. His serum chloride level D. His serum bicarbonate level Kathy hears Mr. Abdul tell her about his congestive heart failure (CHF), his 56-pack year cigarette habit, his coronary artery disease, and his complaints of weight gain as well as feeling tired all the time and barely having enough energy to sit up sometimes. She notes fine crackles in his lung fields on exam with a moist nonproductive cough. She also notes 3+ pitting bilateral edema of his lower extremities and diminished pulses in both lower extremities she palpated. Mr. Abdul's medical diagnoses, smoking history, weight gain, weakness, shortness of breath on exertion, fine crackles in lung fields, moist cough, and 3+ bilateral pitting edema of his lower extremities all point to a significant problem in fluid balance. 2. What problem does Mr. Abdul have regarding his fluid status? Select all that apply. A. Excess fluid loss decreasing circulating blood volume and directly affecting cardiac output B. Increase of circulating blood volume of his body with fluid volume excess C. Edema due to fluid overload increasing the hydrostatic pressure D. Increased capillary permeability due to tissue damage creating edema E. Decreased serum albumin level resulting in fluid volume deficit

Answer 1

1. His serum sodium levels are told as the patient is having 3+ bilateral edema and Hyponatremia is the cause of edema

2. Edema due to fluid overload increasing hydrostatic pressure