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Question Answered step-by-step logical framework approach enables project managers to check the… logical framework approach enables project managers to check the bottom line of development work Business Management Project Management ECD 303 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Nursing Diagnosis: Excess fluid volume related to compromised regulatory mechanisms secondary to acute renal failure as evidence by 2+ bipedal and facial edemaWhat are the nursing intervention and rationale for this patient according to the nursing diagnosis? Patient Dela Cruz is a 59-year-old, male, newly promoted as the Chief Operations Officer of a company he  has  worked  for  many  years.  Three  days  prior,  he  experienced  nausea,  vomiting,  loss  of  appetite, fatigue, dizziness, and bipedal edema that made him sought consult with his private physician.    In history taking, the patient revealed that he is a smoker (calculated: 10 pack years), a social drinker, and  with  a  family  history  of  hypertension.  He  was  referred  to  a  nephrologist  and  a thoraco-vascular surgeon.  Several diagnostic and laboratory tests were ordered, and the results are as follows:  ECG: peaked T-wave with narrow base, shortened QT interval and ST-segment depression CXR: cardiomegaly, atheromatous aorta 2D Echo: EF=45% Ultrasound of KUB showed reduced renal length, reduced cortical thickness and papillary calcifications. Blood Tests: Potassium = 6.3 mEq/L Sodium = 158 mEq/L Phosphorus = 5.2 mg/dL Calcium = 7.5 mg/dL Creatinine = 5.5 mg/dL BUN = 38 mg/dL RBC = 4.1 million cells/mcL Hgb = 9.2 g/dL Hct = 40% WBC = 13.5 /mm3Nursing Assessment: BP = 160/90HR = 99 bpm RR  = 25 cpm T = 37.8 2+ bipedal and facial edema With crackles on both basal lung fields  Health Science Science Nursing NCMA 312 Share QuestionEmailCopy link Comments (0)
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