Doesn Need Answer Question & Answer Guide (With Explanation)
This type of question evaluates analytical and critical thinking skills.
What This Question Is About
This question relates to doesn need answer and requires a structured academic response.
How to Approach This Question
Use appropriate theories and support your answer with clear reasoning.
Key Explanation
This topic involves doesn need answer. A strong answer should include explanation, application, and examples.
Original Question
DOESN’T NEED TO ANSWER ALL QUESTIONS. Just as much as possible. CASE STUDY THE PATIENT WITH HYPERVOLEMIA TV is an 80-year-old patient admitted to your medical unit with a diagnosis of Cardiac Failure and Pulmonary Edema. Vital signs are BP 160/90 P 102 and bounding, R 20 and T 100. Further assessment reveals positive JVD, crackles and wheezes upon auscultation, and a 2+ edema of the lower extremities. TV also reports being SOB and is experiencing a constant irritating cough. The following orders have been written for TV chest XRay Central Venous Pressure Monitoring (CVP) arterial blood gases, chemistry profile, daily weights, and urines for specific gravity. Diagnostic findings reveal a state of Hypervolemia. TV is also on D51/2 NS at 40 cc per/hr, Lasix 20mg. IV push and Vasotec 5 mg BID. 1. Describe the pathophysiology associated with a Hypervolemic state. 2. What clinical conditions would predispose a patient to Hypervolemia? Why do these conditions contribute to Hypervolemia? 3. Identify clinical manifestations TV has that are consistent with Hypervolemia, What other signs and symptoms would you expect to find ? Are TV’s vital signs consistent with his diagnosis? 4. Discuss and describe the purpose of a CVP monitoring device. What are the nursing responsibilities when obtaining a CVP reading? Discuss the significance of an elevated and a decreased CVP reading. 5. Why are urine specific gravities ordered for TV what information will they provide? What specific gravity reading would you expect to find with TV? 6. TV’s chemistry screen is back from the lab, what electrolyte findings would you expect to find? 7. Why has TV been placed on Lasix and what are the nursing responsibilities when administering Lasix? 8. What other nursing interventions should be employed to alleviate TV’s presenting symptoms and underlying pathology? 9. Identify potential complications associated with Hypervolemia. 10. Why is it especially important to maintain I&O’s, daily weights and lung auscultation? 11. Formulate three nursing diagnoses appropriate to TV. 12. What teaching instructions would you provide to TV prior to his discharge to home?
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