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  3. case study #1 mr. t, age 75, has been vomiting int

Case study #1 Mr. T, age 75, has been vomiting intermittently for the past 24 hours. His...

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Medical Sciences

Case study #1

Mr. T, age 75, has been vomiting intermittently for the past 24hours. His weight today is 165lbs compared to a baseline of 165lbs.Upon assessment, the nurse notes that his mucous membranes and skinare dry. His vital signs are: temp 99.4, pulse 120, respiration 32,and blood pressure 90/60. His urine output for the last eight hoursis 150ml. On review of the morning lab work the electrolytefindings are: K 3.5, Na 145, and the Hematocrit and BUN areelevated.

Question 1: Identify a problem the nurse would be concernedabout. Based on the findings above, what is a priority nursingdiagnosis?

Question 2: List appropriate nursing interventions and how thenurse would evaluate the effectiveness of each intervention relatedto the priority nursing diagnosis that you have identified.

Answer & Explanation Solved by verified expert
4.3 Ratings (832 Votes)
Question no 1 The nurse would be concerned about his elevation in temperature and dry skin and fluid loss due to vomiting NURSING DIAGNOSIS Fluid and electrolyte imbalance related to vomiting as evidenced by dry skin    See Answer
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