CRITICAL THINKING CHALLENGE 1 The client is a 75-year-old woman who…

Question Answered step-by-step CRITICAL THINKING CHALLENGE 1 The client is a 75-year-old woman who…  CRITICAL THINKING CHALLENGE 1The client is a 75-year-old woman who fell when she attempted to get up during intermission while attending a concert with a friend. When you ask her if she takes any drugs, she tells you that she has been taking Diuril for 20 years to manage her high blood pressure. The only other drugs she takes are an aspirin each day and a multivitamin. She is alert and just a little anxious. Her vital signs are as follows: T 98.4; P 102, thready, slightly irregular; R 30 and shallow; BP 98/50; O2 saturation 95%.1. What other assessment data should you obtain?2. What question should you ask about her drug regimen?3. Should you apply oxygen? Why or why not?4. Should she be monitored by electrocardiography? Why or why not? CRITICAL THINKING CHALLENGE 2The 75-year-old client with hypokalemia tells you that she took two doses of Diuril today because she and her friend were going to a Chinese restaurant after the concert, and she was afraid the salty food would make her hypertension worse. She has not eaten in the last 7 hours and has only had one cup of coffee in the past 4 hours. She says she last saw her doctor 6 months ago and that the blood work done at that time was “okay.”1. Is she at risk for any other fluid or electrolyte imbalance?2. If so, what specific imbalance is she at risk for and why? CRITICAL THINKING CHALLENGE 3Your client’s serum potassium level is 2.4 mEq/L and her serum sodium is 142 mEq/L. In addition, her hematocrit is 47%. She is prescribed to receive 1 L of normal saline (0.9% sodium chloride) with 40 mEq of potassium added. The rate of administration prescribed is 200 mL/hr.1. What vein should you choose to start this IV? Why?2. How many mEq of potassium will she be receiving per hour at this infusion rate?3. What safety precautions should you take with this prescription and why?4. Should the care of this client be assigned to an RN, LPN/LVN, or assistive personnel? (Explain your rationale for the caregiver assignment.)5. What assessment data would you need to determine if the interventions are effective?CRITICAL THINKING CHALLENGE 4After the restoration of fluid volume and serum potassium levels, your client with hypokalemia is discharged to home and advised to make an appointment with her usual health care provider. She tells you that years ago she tried taking potassium supplements but found the taste too unpleasant to continue.1. What should you teach this client to prevent a recurrence of the imbalance?2. What should you teach this client to reduce her risk of falling?3. How could this client increase her intake of potassium without using potassium supplements?CRITICAL THINKING CHALLENGE 5The client is a 65-year-old woman with type 1 diabetes mellitus and pneumonia. Her vital signs on admission are as follows: T 103.4 F; P 122, thready; R 34, shallow.Her urine is positive for ketones. Her arterial blood gases (ABGs) are as follows: pH 7.21; HCO3- 22 mEq/L; PaCO2 50 mm Hg; PaO2 78 mm Hg.1. What type of acid-base imbalance is present?2 Is the origin of the imbalance metabolic or respiratory?   Explain your answer.3. Is compensation present or not present? Explain your answer. CRITICAL THINKING CHALLENGE 6The diabetic client with ketoacidosis and respiratory acidosis caused by pneumonia is started on insulin therapy and antibiotic therapy.1.        Should this client receive oxygen therapy? Why or why not?2.        Should this client receive intravenous bicarbonate? Why or why not?3.        What electrolyte imbalance should you be alert for with this client?  Health Science Science Nursing NURSING NUR2392LL Share QuestionEmailCopy link Comments (0)