The patient is a 45-year-old man who had GI surgery 4 days ago. Heis NPO, has a nasogastric tube, an
The patient is a 45-year-old man who had GI surgery 4 days ago. Heis NPO, has a nasogastric tube, and IV fluids of D51/2 normal saline at 100 mL/hr. The nursing physical assessment includes the following: alert and oriented; fine crackles; capillary refill within normal limits (WNL); moving all extremities; complaining of abdominal pain, muscle aches, and “cottony” mouth; dry mucous membranes; bowel sounds hypoactive, last BM was 4 days ago; skin turgor is poor; 200 mL of dark green substance has drained from NG tube in last 3 hours. Voiding dark amber urine without difficulty. Intake for last 24 hours is 2500 mL. Output is 2000 mL including urine and NG drainage. Febrile and diaphoretic; BP 130/80 mm Hg; pulse 88 bpm; urine specific gravity 1.035; serum potassium 3.0 mEq/L; serum sodium 140 mEq/L; Cl 92 mEq/L; Mg 1.4 mg/dL. For the patient in the Case Study, list two (2) priority Nursing Diagnoses and your rationale for selecting each diagnosis.For the Nursing Diagnosis: Deficient Fluid Volume, list two assessments and the Rationale for each assessment.For the Nursing Diagnosis: Deficient Fluid Volume, list two Interventions (Actions) and the rationale for each intervention.For the Nursing Diagnosis: Deficient Fluid Volume, list two (2) important patient teachings and Rationale.View keyboard shortcutsEditViewInsertFormatToolsTable12ptParagraph Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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