The nurse identifies an electrolyte imbalance in a preoperative ileostomy patient based on the laboratory values of:

1. Na+, 144 mEq/L; K+, 5 mEq/L; HCO3, 26 mEq/L; poor tissue turgor.
2. Na+, 140 mEq/L; K+, 4.5 mEq/L; HCO3, 28 mEq/L; no nausea or vomiting, re-quest for pain analgesic q5hr.
3. Na+, 160 mEq/L; K+, 2.5 mEq/L; HCO3, 18 mEq/L; confused, and weak.
4. Hct, 41 mL/dL; Hgb, 11 g/dL; WBC, 8000/mm3; shallow rapid respirations.


3
Normal values of electrolytes are Na+ = 140 mEq/L, K+ = 5 mEq/L, HCO3 = 27 mEq/L.

Nursing

You might also like to view...

An 84-year-old patient has returned from the PACU. The patient is oriented to name only. The patient's family is very upset because before having surgery, the patient knew the family. The patient is diagnosed with delirium

What should the nurse explain to the patient's family? A) There is nothing to worry about. B) Delirium involves a progressive decline in memory loss. C) Delirium usually lasts only a short time. D) Delirium is generally more prevalent in women.

Nursing

In making emergency equipment available at the bedside of a client who has undergone subtotal thyroidectomy, the nurse would include

a. a defibrillator. b. a tracheostomy set. c. an electrocardiogram (ECG) monitor. d. an intra-aortic balloon pump.

Nursing

Which of the following best represents an example of infectious disease spreading via a vector?

a. Being bitten by an infected mosquito b. Disease spreading from infected mother to infant via the placenta c. A group of partygoers hugging and shaking hands d. Two persons, one of whom is infected, sharing a glass of soda

Nursing

The nurse notices a fire at the end of the hall of a second-floor unit and recognizes that the clients will need to be evacuated out of the hospital. The nurse will use which carrying method to evacuate clients safely out of the hospital?

A. Blanket method B. Cradle method C. Back-strap method D. Two-person swing method

Nursing