NRS-460 Case Study: John Doe – Emergency Department Directions: Read

receiving the client. Health History Nurses’ Notes Physician’s Orders Lab Tests 2130: 20-year-old client admitted to urgent care for report of abdominal discomfort and bloating since yesterday morning; no BM x 5 days. States does not eat much and exercises every day for at least two hours. Abdominal imaging showed constipation with no intestinal obstruction. Large amount of stool expelled after enemas. Being transferred to local hospital for probable history of anorexia nervosa (BMI 15.4) and significant hyponatremia and hypokalemia with symptoms, including bradycardia (HR 50 BPM), fatigue and weakness. Taking furosemide daily to help lose weight. What discharge teaching would the nurse provide for the client and family in preparation for transfer to the local hospital? Select all that apply. “You will have your electrolytes replaced in the hospital to help prevent any other medical complications.” “The hospital health care team will work with you to plan ongoing management of your eating disorder.” “You are at risk for additional episodes of constipation, so you need to eat more each day and exercise less.” “Your heart function can be continuously monitored at the hospital to detect any additional problems.” “A licensed mental health professional will be part of your health care treatment team at the hospital.” You will not be given furosemide in the hospital because this type of drug decreases your sodium and potassium.” Select your answer from the following choices: A: “You will have your electrolytes replaced in the hospital to help prevent any other medical complications.” “The hospital health care team will work with you to plan O ongoing management of your eating disorder.” “A licensed mental health professional will be part of your health care treatment team at the hospital.” “You will not be given furosemide in the hospital, because this type of drug decreases your sodium and potassium.” B: “You will have your electrolytes replaced in the hospital to help prevent any other medical complications.” “The hospital health care team will work with you to plan ongoing management of your eating disorder.” “You are at risk for additional O episodes of constipation, so you need to eat more each day and exercise less.” “Your heart function can be continuously monitored at the hospital to detect any additional problems.” “A licensed mental health professional will be part of your health care treatment team at the hospital.” C: “You will have your electrolytes replaced in the hospital to help prevent any other medical complications.” “The hospital health care team will work with you to plan ongoing management of your eating disorder.” “You are at risk for additional O episodes of constipation, so you need to eat more each day and exercise less.” “Your heart function can be continuously monitored at the hospital to detect any additional problems.” “A licensed mental health professional will be part of your health care treatment team at the hospital.” “You will not be given furosemide in the hospital, because this type of drug decreases your sodium and potassium.” D: “The hospital health care team will work with you to plan ongoing management of your eating disorder.” “You are at risk for additional episodes of constipation, so you O need to eat more each day and exercise less.” “Your heart function can be continuously monitored at the hospital to detect any additional problems.” “A licensed mental health professional will be part of your health care treatment team at the hospital.” E: “You will have your electrolytes replaced in the hospital to help prevent any other medical complications.” “The hospital health care team will work with you to plan ongoing management of your eating disorder.” “Your heart function can be O continuously monitored at the hospital to detect any additional problems.” “A licensed mental health professional will be part of your health care treatment team

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