A patient has been experiencing diarrhea for several days. What should the nurse assess to determine if adverse effects are occurring within this patient?
Select all that apply.
1. skin turgor
2. muscle tone
3. serum potassium level
4. serum magnesium level
5. orthostatic blood pressure
Correct Answer: 1, 3, 4, 5
Diarrhea can have devastating effects. Water and electrolytes are lost in diarrheal stool. This can lead to dehydration. With severe diarrhea, potassium and magnesium are lost, potentially leading to hypokalemia and hypomagnesemia Monitor orthostatic vital signs and skin turgor to identify and respond to possible adverse effects of diarrhea. Muscle tone will not help identify possible adverse effects of diarrhea.
You might also like to view...
Transferring the authority to perform a selected nursing task in a selected situation to a competent individual is ____
a. Authorization b. Delegation c. Empowerment d. Supervision
The supply dose is also known as the
A. desired dose B. dose on hand C. dosage unit D. dosage strength
A common finding today regarding leaders and followers is that:
A. Leaders do not receive enough apprecia-tion for their achievements. B. Followers tend to get more appreciation for their contributions than they actually should. C. Leaders receive more disrespect than fol-lowers. D. Followers do not get the appreciation they should for their significant contributions.
Which of these causes condylomata acuminata or genital warts?
a. Chlamydia b. Adenovirus c. Human papillomavirus (HPV) d. Herpes simplex virus 1 (HSV-1)