Custom Writing Help For You!

Special Discounts Offers! 20-30% Off!

Posted: January 31st, 2023

A 70-year-old female


Fundamentals Case Study
Review the case study and complete the questions to increase your knowledge of Fundamentals content. Copy and paste the questions into a document to type your answers. Copy and paste the questions and answers back into messaging to your coach. You coach will provide you with feedback on your answers.
A 70-year-old female has been admitted to the hospital. The client has had nausea and vomiting for the past three days. Upon admission the client is slightly confused and weak. Her vital signs are: 99 F (37.2 C), respirations 20 breaths/minute, pulse 102 beats/minute, BP 96/66 mm Hg, and her pain level is an “8”on a scale of 0-10. Breath sounds are clear bilaterally upon auscultation. Pulse oximetry is 95% on room air. Bowel sounds are absent in the right and left lower quadrants and in the left upper quadrant. Abdomen is hard and distended. When questioned as to her last bowel movement, the client responds, “I have not moved my bowels in over one week.” Mucous membranes dry; skin turgor poor. The abdomen is hard and swollen. When asked when she had her last bowel movement, the client says, “I haven’t moved my bowels in over a week.” Mucous membranes are dry, and skin turgor is low.
The health care provider (HCP) orders the following:
IV of Lactated Ringers (LR). Infuse 1 Liter of LR over 6 hours by infusion pump now. When completed infuse LR at 100 mL/h
Insert indwelling urinary catheter to straight drainage
Obtain urine analysis (UA) and urine culture and sensitivity (C& S)
Insert nasogastric (NG) tube to intermittent suction
Diet: NPO
Vitals signs every 4 hours
Labs: CBC and electrolytes stat
Monitor I & O every shift
The HCP ordered 1 Liter of LR to infuse over 6 hours. Calculate the flow rate you will program the infusion pump. _____________________mL/h (round to the nearest whole number).
The client states she has pain to her left forearm four (4) hours after the start of the infusion. Upon inspection and palpation of her forearm, the nurse notes redness and swelling at the IV site and the forearm is warm to touch. What is the initial action the nurse should take?
What are the recommended nursing interventions when an IV becomes infiltrated? What are the recommended nursing interventions when phlebitis is noted?
A urine culture C& S is ordered. How would the nurse obtain a urine C& S from a indwelling urinary catheter?
To whom can the nurse delegate the task of taking the urine sample to the labatory? How should the specimen be transported?
After an X-ray has confirmed placement of the NG tube, how would the nurse check for placement prior to the administration of medication(s) and/or feeding(s) through the NG tube?
The nurse is checking placement of the NG tube, what would a gastric pH of 4 or lower indicate? What would a pH of 6 or higher indicate?
Name two complications that can occur with an NG tube? List nursing actions to prevent these complications.
The client asks the nurse if she could have a glass of water because she is extremely thirsty. What is the best response for the nurse to make?
The client’s lab results have returned. What findings (urine and serum) would indicate dehydration?
What would be a priority nursing diagnosis for this client? List one short-term goal. List three interventions for your priority nursing diagnosis.

Tags: , , , , , , , , ,

Order for this Paper or similar Answer/Assignment Writing Service

Place your order by filling a guided instructions form in 3 easy steps.

Why choose our Study Bay Services?

Like every student, Focusing on achieving the best grades is our main goal

Top Essay Writers

We have carefully cultivated a team of exceptional academic writers, each with specialized expertise in particular subject areas and a proven track record of research writing excellence. Our writers undergo rigorous screening and evaluation to ensure they hold relevant advanced degrees and demonstrate mastery of English grammar, citation style, and research methodology. Recent projects completed by our writers include research papers on topics such as sustainable energy policy, cognitive behavioral therapy, and molecular genetics.

Student-Based Prices

We prioritize attracting highly skilled writers through competitive pay and strive to offer the most cost-effective services for students. References from recent years include surveys of customer satisfaction with online writing services conducted by the American Customer Satisfaction Index between 2018 to 2022, demonstrating our commitment to balancing affordable costs with high standards of work through positive reviews and retention of expert writers.

100% Plagiarism-Free

We guarantee 100% original and plagiarism-free final work through a thorough scanning of every draft copy using advanced plagiarism detection software before release, ensuring authentic and high-quality content for our valued customers. To note, we also do not generate assignment content with AI tool, thus you a guaranteed 0% similarity index for your final research paper.

How it works

When you decide to place an order with Study Pro Essay, here is what happens:

Complete the Order Form

You will complete our order form, filling in all of the fields and giving us as much detail as possible.

Assignment of Writer

We analyze your order and match it with a writer who has the unique qualifications to complete it, and he begins from scratch.

Order in Production and Delivered

You and,the support and your writer communicate directly during the process, and, once you receive the final draft, you either approve it or ask for revisions.

Giving us Feedback (and other options)

We want to know how your experience went. You can read other clients’ testimonials too. And among many options, you can choose a favorite writer.