Question

In: Nursing

a nurse is monitoring a client who has dehydration and is receiving iv fluid replacementwhich of...

a nurse is monitoring a client who has dehydration and is receiving iv fluid replacementwhich of the following findings should the nurse identify as effectiveness of the treatment

Solutions

Expert Solution

dehydration is only loss of water along with higher sodium concentration. it should not be confused with fluid volume deficit. Fluid volume deficit may occur alone or along with other deficit. there are three types of dehydration:

according to severity of dehydration, the dehyrtaion can be classified into mild dehydration, moderate dehydration, severe dehydration. symptoms will vaary according to severity of dehydrtaion. this dehydration may occur in fluid volume deficit.

according to electrolyte and water , dehydration can be classified into

hypotonic dehydration (mostly loss of electrolyte than water)

isotonic dehydration( equal proportion of loss of water and electrolyte)

hypertonic dehydration ( loss of water exceeds than electrolytes)

there is a systemwise changes occur in a patient with types of dehydration. isotonic dehydration is common type of dehydration

cardiovascular:

a weak and rapid heart rate can be heard and dropping of blood pressure, dimishes pheripheral pulses

respirtory system

increased rate of respirtaion

neuromuscular system:

weakness, tiredness

renal system

decreased urine output and concentraion of urine

skin

dry, cool, clammy skin

gastrointestinal system:

nausea, increased thirst, dimished bowel sounds,constipation,weight loss

eyes

sunken eyes depending upon severity

tongue:

dry, additional longitudinal furrows

nurse can observe the following signs and symptoms of effectiveness of hydration while the patient who is receiving IV fluid for dehydration. they are

cardiovascular system

normal palpable pulse rate and normal blood pressure, normal palpable pheripheral pulse

neuromuscular system

weakness is reduced, felt stronger, communicate normally

Renal system

increased urine output and normal concentration of urine

skin

skin becomes normal, tone increased, easitcity becomes normal

gastrointestinal system

the motility becomes normal, normal sounds, weight increased

Respirtory system

normal breath rate

the nurse can asess effectiveness of hydration by assessing level of consciouness, checking vital signs, maintaining intake and out put chart, checking of weight of the patient, assessing breath sounds, measuring central pressure monitoring, assessing tone and elasiticity of the skin, eyes, tongue..

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

A nurse is assessing a client who is receiving heparin via continuous IV. The client has...

A nurse is assessing a client who is receiving heparin via continuous IV. The client has an aPTT of 90 seconds. The nurse should monitor the client for which of the following changes in their vital signs? -Decreased temperature -Decreased respiratory rate -Increased pulse rate -Increased blood pressure

a nurse is monitoring a client during IV urography procedure. Which of the following client reports...

a nurse is monitoring a client during IV urography procedure. Which of the following client reports is the priority findings? a. metallic taste in mouth b. abdominal fullness c. feeling flushed and warm d. swollen lips

The nurse is monitoring a client who is in the active stage of labor. The nurse...

The nurse is monitoring a client who is in the active stage of labor. The nurse documents that the client is experiencing labor dystocia. The nurse determines that which risk factors in the client's history placed her at risk for this complication? (Select all that apply) A. Age 44 years B. BMI 28 C. Previous difficulty with fertility D. Receiving oxytocin for induction E. Potassium level of 3.6

66. A nurse is monitoring an infant who is receiving opioids for pain. Which of the...

66. A nurse is monitoring an infant who is receiving opioids for pain. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect? a. Limb withdrawal b. Increased blood pressure c. Bradycardia d. Relaxed facial expression 67. A nurse is preparing to administer amoxicillin 80mg/kg/day divided into two doses daily to a 2-year-old client who weighs 10kg (22lb). Available is amoxicillin suspension 400mg/5mL. How many mL of amoxicillin should the nurse administer...

A nurse is caring for a client who is receiving an epidural block with an opioid...

A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication? A. Hypnosis B. Polyuria C. Bilateral crackles Hyperglycemia

A nurse is caring for a client who is receiving chemotherapy and reports a loss of...

A nurse is caring for a client who is receiving chemotherapy and reports a loss of appetite. Which of the following strategies should the nurse recommend to increase the client's protein intake? A. Use honey on toast B. Mix granola with fruits C. Grate cheese into soups D. Add mayonnaise to salads

nurse is monitoring a client who has a leaking cerebral aneurysm. Which of the following manifestations...

nurse is monitoring a client who has a leaking cerebral aneurysm. Which of the following manifestations should indicate to the nurse the client is experiencing an increase in intracranial pressure (ICP)? (Select all that apply.) Question 9 options: Headache Neck pain and stiffness Slurred speech Pupillary changes Disorientation

while caring for a 5 year old child who is receiving IV fluid therapy at a...

while caring for a 5 year old child who is receiving IV fluid therapy at a rate of 100 ml/hr the nurse notes that the infusion is running slowly. The insertion site appears slightly reddened and swelled what should the nurse do nest

The nurse is caring for a client who has been receiving supplemental oxygen for hypoxia secondary...

The nurse is caring for a client who has been receiving supplemental oxygen for hypoxia secondary to pneumonia. Which laboratory data suggests that the client's oxygen flow rate can be safely decreased? A. PaO2 108 mmHg B. pH 7.39 C. PaCO2 45 mmHg D. HCO3 24 mEq/liter

The nurse is caring for a client who is receiving heparin sodium intravenously as a continuous...

The nurse is caring for a client who is receiving heparin sodium intravenously as a continuous infusion. Which laboratory finding requires immediate nursing intervention? 1. Platelet count of 100,000 mm3 (100 × 109/L) 2. Red blood cell count of 4.2 cells (4.2 × 1012/L) 3. International normalized ratio (INR) of 1.2 (1.2) 4. Activated partial thromboplastin time (aPTT) of 60 seconds (60 seconds) Select the best answer.

Subjects