Admission Laboratory Values
Laboratory Test
Normal Range
Patient Value
Serum Potassium
3.5 to 5.0 mEq/L
4.4 mEq/L
Serum Creatinine 41 to 61 years
Male 0.6 to 1.3 mg/dL
Female 0.5 to 1.1 mg/dL
1.46 mg/dL
BUN Blood Urea Nitrogen
10 to 20 mg/dL
27 mg/dL
Serum Sodium
135 to 145 mEq/L
139 mEq/L
During the first 24 hours of admission, an additional dose of furosemide 40 mg was administered that resulted in 2400 mL of urine output. Client reported a lessening of dyspnea as well as an improvement of abdominal symptoms. Home medications including hydrochlorothiazide, spironolactone, carvedilol, and lisinopril were continued as previously prescribed.
Subsequent Laboratory Values (24 hours Later)
Laboratory Test
Normal Range
Patient Value
Serum Potassium
3.5 to 5.0 mEq/L
3.8 mEq/L
Serum Creatinine
41 years to 61 years
Male 0.6 to 1.3 mg/dL
Female 0.5 to 1.1 mg/dL
1.87 mg/dL
BUN
Blood Urea Nitrogen
10 to 20 mg/dL
27 mg/dL
Serum Sodium
135 to 145 mEq/L
142 mEq/L
Based on the comparison of admission and subsequent laboratory values, ___1___ presents a major concern for ___2 _____ and requires ___3 ____ (Please fill in the blanks)
Laboratory Values (Option 1)
Concern (Option 2)
Required Intervention (Option 3)
A. Serum Potassium
A. Increase in glomerular filtration
A. Discontinuation of lisinopril
B. Serum Creatinine
B. The onset of acute kidney injury
B. Decrease of hydrochlorothiazide dosage
C. BUN
C. Exacerbation of hypertension
C. Decrease of spironolactone dosage
D. Serum Sodium
D. Exacerbation of congested heart failure (CHF)
D. Discontinuation of furosemide
Provide a written up rationale (paragraph) for each of your choices- following the rubric!
done
Seen
few seconds ago[supanova_question]
discussion question
Lifelong learning involves a commitment to remain current within a rapidly changing, increasingly complex, and technologically reliant healthcare world.
Why is it important for nurses to commit to lifelong learning in relation to patients, organizations, and self?
How can organizations such as Sigma Theta Tau International (STTI) assist nurses in their lifelong learning journey order to receive full credit, you will need to clearly respond to both parts of the question using subtitles or bullets AND cite at least one scholarly reference in your response.
done
Seen
few seconds ago[supanova_question]
Using the case study below, prepare a 2 – 3 page APA paper. A 21-year old female (A.M.) presents
NSG complex Nursing Assignment Help Using the case study below, prepare a 2 – 3 page APA paper.
A 21-year old female (A.M.) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She states that she has Type I diabetes and has not been managing her blood sugars since she’s been ill and unable to keep any food down. She’s only tolerated sips of water and juices. Since she’s also been unable to eat, she hasn’t taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that she’s unsteady, her skin is warm and flushed, and that she’s drowsy. You also note that she’s breathing rapidly and smell a slight sweet/fruity odor. A.M. has a challenge answering questions but keeps asking for water to drink.
You get more information from A.M. and learn the following:
She had some readings on her glucometer which were reading ‘high’
She vomits almost every time she takes in fluid
She hasn’t voided for a day but voided a great deal the day before
She’s been sleeping long hours and finally woke up this morning and decided to seek care
Current labs and vital signs:
What is the disorder and its pathophysiology that you expect the health care provider to diagnose and treat?
Describe the etiology of the disorder A.M is experiencing.
Identify and describe the clinical manifestations of the disorder A.M. is experiencing.
Identify and describe the expected treatment options for A.M. based on the disorder and clinical manifestations.
Instructions:
Summarize the questions above and formulate what may be happening with A.M. and how you would improve her condition.
Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides. Be sure to cite your sources in-text and on a References page using APA format.
You can find useful reference materials for this assignment in the School of Nursing guide: https://guides.rasmussen.edu/nursing/referenceebooks
Have questions about APA? Visit the online APA guide: https://guides.rasmussen.edu/apa
Case study adapted from:
Harding, M.M. [supanova_question]
NR443 week 5 social media discussion: healthcare policies and population health
Discussion Question
Healthcare policies impact all populations. Now, with the use of social media, policies involvement and awareness are rising.
Take a moment to review the Twitter feed for compelling Tweets that are related to healthcare policy and are directly impacting your community or those you care for.
Give an overview of a policy or potential policy. Include how it could impact your community or those you care for positively negatively.
Next, discuss the importance that interdisciplinary collaboration would have related to the policy.
Then, identify any ethical concerns it raises for you and why.
Compose a 280-character or fewer Tweet that describes what you have shared with the class. Remember Twitter only allows 280 characters (this include spaces, etc.) so you will need to be concise. It should include a hashtag. Include a reference URL if applicable. Share this Tweet in the discussion. (Note: A Twitter account is not required).
Your discussion post should look like:Paragraph one: overview of the policy or potential policy. Include how it could impact your community or those you care for positively negatively.
Paragraph two: Discuss the importance that interdisciplinary collaboration would have related to the policy.
Paragraph three: Identify any ethical concerns it raises for you and why
Paragraph four: Compose a Tweet that describes what you have shared with the class.
Resources: Where did you find your data?
Example Tweet: Medications should be affordable. #pharmaceuticaltransparency #nursesunit #advocate https://www.cms.gov/newsroom/press-releases/cms-ta..
done
Seen
Nov 28th, 2021[supanova_question]