Question

days and not breastfeeding well. See PowerPoint for report.

Providers Orders:

• Maintain a strict I and O
• D5 NaCl 0.45% IV at 7.8mL/hour
• Breastfeed ad lib
• Complete vital signs every 2 hours
• Tylenol 80mg PO PRN for temperature greater than 38.0 degrees Celsius.
• Daily weight

1. What are the top 3 nursing priorities for a patient that is dehydrated from gastroenteritis?

1. ____________________________________________

2. ____________________________________________

3. ____________________________________________

2. Labs are back.

Basic Metabolic Panel	Result	Reference Range
Sodium	120	135-145 mmol/L
Potassium	3	3.5-5 mmol/L
Carbon dioxide	38	35-45 mm hg
Calcium	2.3	2-2.6 mmol/L
Chloride	103	95-105 mEq/L
Glucose	70	65-110 mg/dL
BUN	14	7-20mg/dL
Creatinine	1.2	0.8-1.3 mg/dL
Urinalysis	Result	Reference Range
Color	Clear yellow	Yellow- dark yellow
Appearance	Amber	Clear
Specific gravity	1.040	1.016-1.022
pH	6.0	5-6
Blood	Neg	Neg
WBC	Neg	Neg
Leukocyte esterase	Pos	Pos
Nitrites	Neg	Neg

What results are abnormal?

Why are these labs abnormal?

3. List abnormal assessment finding. What could be a possible cause of these abnormalities? (hint: there are 7 abnormal assessment findings)

4. Based on your assessment findings, what are 3 top nursing interventions?

1. ____________________________________________

2. ____________________________________________

3. ____________________________________________

5. Complete an SBAR to the provider

S

B

A

R

Answer 1