Fluid& electrolyte case study - Essay Prowess

Fluid& electrolyte case study

Mr James is an 89-year-old man admitted to your unit with worsening chronic bronchitis. On admission, he is short of breath, but able to walk to the bathroom without difficulty. The physician orders bronchodilators, antibiotics, and an intravenous (IV) infusion of normal saline at 150 mL per hour. When you return to work the next day, you find Mr James gasping for breath, coughing, and panicky. You quickly listen to his lungs and hear more moist crackles than you did yesterday. (2 points per question)

  1. What do you think is going on?
  • What additional information do you collect to confirm your suspicion?
  • You report your findings to the registered nurse (RN) and collaborate on quickly developing a diagnosis. What is your diagnosis and what factors contributed to this problem?
  • The RN pages the health care provider while you return to check on the patient. What nursing interventions can help until orders are received?
  • How will you know when the problem has been resolved?


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