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Author Question: The nurse assesses a patient's weight loss as being 22 lbs. How many liters of fluid did this ... (Read 33 times)

nautica902

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on: Jun 25, 2018
The nurse assesses a patient's weight loss as being 22 lbs. How many liters of fluid did this patient lose?
 
  What will be an ideal response?

Question 2

An elderly patient does not complain of thirst. What should the nurse do to assess that this patient is not dehydrated?
 
  1. Ask the physician for an order to begin intravenous fluid replacement.
  2. Ask the physician to order a chest x-ray.
  3. Monitor serum osmolality level.
  4. Ask the physician for an order for a brain scan.


jointhecircus

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Reply #1 on: Jun 25, 2018
Answer to Question 1

Correct Answer: 10

Answer to Question 2

Correct Answer: 3

The thirst mechanism declines with aging, which makes older adults more vulnerable to dehydration and hyperosmolality. The nurse should monitor the patient's serum osmolality level as a first step in determining hydration status before other detailed and invasive testing is done. It is inappropriate to seek an IV at this stage. There is no indication the patient is experiencing pulmonary complications, thus a chest x-ray is not indicated. There is no data to support the need for a brain scan.


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