Reference no: EM133565177

Fluids & Electrolytes

Mrs. Jones is a 79-year-old female admitted to the unit with lethargy, confusion, and hypotension. Her caregiver said that she has been nauseous lately and not eating or drinking much in the last 24 hours. She has a history of osteoarthritis, hyperlipidemia and hypertension. You take her vital signs and get the following information: temp 97.9, HR 110, RR 20 and BP 98/60. She is oriented to person, but does not know the time or where she is.

a. What symptoms in the above scenario are significant findings for suspected dehydration?

b. What other signs and symptoms of dehydration are not mentioned that you assess for?

c. What interventions would be implemented in the care of this patient with dehydration?

Mr. Cane has been admitted with Congestive Heart Failure. He is 68 years old and his wife is with him. He has 2+edema in his legs. His heart rate is 88, his respirations are 22, and his blood pressure is 188/90. His radial pulse is bounding and you can see pulsations of his veins in his neck. Upon listening to his lungs, you hear adventitious sounds.
a. What symptoms in the above scenario are significant findings for suspected fluid volume excess?

b. What other signs and symptoms might you see or ask about related to excessive fluid volume?

c. The nurse hears "adventitious lung sounds -What type of lung sounds would you expect to hear?

d. What is the medical word for the distended veins the nurse sees in his neck?

e. What nursing interventions would help Mr Cane's condition of fluid volume excess?

f. What is third spacing?