This topic contains a solution. Click here to go to the answer

Author Question: A patient weighing 176 lbs. is recovering from mild dehydration. The patient is awake, alert, and ... (Read 102 times)

tsand2

  • Hero Member
  • *****
  • Posts: 520
A patient weighing 176 lbs. is recovering from mild dehydration. The patient is awake, alert, and can safely take oral fluids. How many mL of fluid should the nurse instruct the patient to consume every day?
 
  What will be an ideal response?

Question 2

A patient with chronic renal failure has an occluded arteriovenous fistula, and routine hemodialysis is delayed. However, the patient's serum potassium level is 6.0 mEq/L. What should the nurse expect to be prescribed for this patient?
 
  Select all that apply.
  1. insulin
  2. dextrose 10
  3. furosemide (Lasix)
  4. sodium bicarbonate
  5. sodium polystyrene sulfonate (Kayexalate)



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

bfulkerson77

  • Sr. Member
  • ****
  • Posts: 331
Answer to Question 1

Correct Answer: 2400 mL

Adults require approximately 30 mL per kilogram of body weight per day for body maintenance. First convert the patient's weight in lbs. to kg by dividing 176/2.2 = 80 kg. Next multiply the amount of fluid per kg by the kg or 30 mL/kg  80 kg = 2400 mL. The nurse should instruct the patient to ingest 2400 mL of fluid per day.

Answer to Question 2

Correct Answer: 1, 2, 4

Insulin, hypertonic dextrose (10 to 50), and possibly sodium bicarbonate are used in the emergency treatment of moderate to severe hyperkalemia (serum potassium > 6.0 to 6.5 mEq/L). Insulin promotes the movement of potassium into the cell, and glucose prevents hypoglycemia. Sodium bicarbonate elevates the serum pH; potassium is moved into the cell in exchange for hydrogen ion. Sodium polystyrene sulfonate (Kayexalate) is used to treat moderate or severe hyperkalemia. Furosemide (Lasix) is a potassium-wasting diuretic used to enhance renal excretion of potassium. The patient is in chronic renal failure and most likely does not have a urine output.




tsand2

  • Member
  • Posts: 520
Reply 2 on: Jun 25, 2018
Thanks for the timely response, appreciate it


Dinolord

  • Member
  • Posts: 313
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

Though Candida and Aspergillus species are the most common fungal pathogens causing invasive fungal disease in the immunocompromised, infections due to previously uncommon hyaline and dematiaceous filamentous fungi are occurring more often today. Rare fungal infections, once accurately diagnosed, may require surgical debridement, immunotherapy, and newer antifungals used singly or in combination with older antifungals, on a case-by-case basis.

Did you know?

Aspirin is the most widely used drug in the world. It has even been recognized as such by the Guinness Book of World Records.

Did you know?

GI conditions that will keep you out of the U.S. armed services include ulcers, varices, fistulas, esophagitis, gastritis, congenital abnormalities, inflammatory bowel disease, enteritis, colitis, proctitis, duodenal diverticula, malabsorption syndromes, hepatitis, cirrhosis, cysts, abscesses, pancreatitis, polyps, certain hemorrhoids, splenomegaly, hernias, recent abdominal surgery, GI bypass or stomach stapling, and artificial GI openings.

Did you know?

The Babylonians wrote numbers in a system that used 60 as the base value rather than the number 10. They did not have a symbol for "zero."

Did you know?

In most cases, kidneys can recover from almost complete loss of function, such as in acute kidney (renal) failure.

For a complete list of videos, visit our video library