Fluids and Electrolytes Assignment Read the scenario

Fluids and Electrolytes Assignment Read the scenario below and then answer questions thoroughly. Assignment is worth 15 points. Mrs. Malone, age 83 years, lives in an apartment with her cat. She has hypertension, hyperlipidemia, and chronic heart failure, which are managed with diuretic furosemide, KCl, several other medications, and dietary Na+ restriction. Mrs. Malone volunteers at a nearby elementary school, where earlier in the week several students were sent home sick after vomiting. Mrs. Malone developed vomiting and diarrhea. Although the vomiting stopped, the diarrhea persisted. She drank more water than usual, ate rice and dry toast, and stopped taking her KCl to avoid upsetting her stomach. After 2 days of diarrhea, Mrs. Malone became lightheaded when she got out of bed and had difficulty standing up after using the toilet because her legs were so weak. She telephoned her nurse practitioner (NP), who advised her to drink some broth with salt in it as well as some orange juice. Mrs. Malone needed considerable teaching regarding the importance of Na+ intake to replace her increased Na+ output in diarrhea, but eventually she did agree to try the rehydration schedule her NP advised. After checking back by telephone later in the day and learning that Mrs. Malone was no longer lightheaded but still had “weak legs,” the NP advised Mrs. Malone to restart her KCl, continue drinking orange juice, and make an appointment to have her plasma K+ concentration checked. 1. Review figure 8.1 in the Giddens textbook. Based on the information presented above, where do you suspect Mrs. Malone falls on the ECV and potassium continuums? Provide rationale for each. (2 points) 2. What risk factors for F&E imbalance does Mrs. Malone have? (1 point) 3. Why did the NP instruct Mrs. Malone to drink orange juice? (1 point) 4. Why is important that Mrs. Malone drink orange juice and resume taking her oral KCl right away? (1 point) Name___________________________ Date_______________ 5. Assess a family member or friend. What evidence do you have that he or she has optimal fluid and electrolyte balance? Make a list of findings that support your assessment and provide rationale for each finding. Hint: for someone who HAS optimal fluid and electrolyte balance there would be at least 8 findings that would serve as evidence (4 points). 6. Next, list some examination techniques you would perform to validate optimal fluid and electrolyte balance. Hint: there are at least 6 exam techniques. Refer back to the Head to Toe content/techniques you learned about in RNSG 1216 to help answer this question (6 points) 7. Using your Nursing Diagnosis Handbook (in book bundle), try to identify an appropriate ACTUAL (3- part) nursing diagnosis based on the data (cues) you were provided in the scenario. Remember, this would be a 3-part statement: the problem, the ‘related to’, and the ‘as evidenced by’ data. (refer back to the nursing process PPT if needed). This question is not worth any points, but rather, intended to get you practicing nursing diagnosis. (Problem)_________________________________________ related to (cause)___________________________________________________________

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