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Review the facts of the case and consider the various steps of the nursing process in order to address the critical thinking questions. C.S., age 34, has been vomiting for 48 hours. In the last 12 hours, C.S. has had diarrhea. He has been unable to eat or drink without vomiting for the past 4 hours. His urine is dark yellow and odorous. The physician has ordered Ondansetron 4mg IV once now for nausea/emesis, D5LR 1L over two hours, laboratory tests: BMP, hemoglobin/hematocrit, and urinalysis. Using the data above, answer the following questions: What assessments should be performed? Why were the laboratory tests ordered? What electrolyte imbalances occur as a result of vomiting and diarrhea? What nursing interventions should be implemented related to fluid and electrolyte replacement? How would we treat his diarrhea? Why was C.S. given the medication IV compared to alternative routes? How is Ondansetron safely administered, what are its side effects, and possible adverse effects?
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