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Original Question

Please read the following brief vignettes and answer the questions that follow: A 20 year old woman is carried to the hospital by her husband, too weak to walk. Last night she had the sudden onset of loose stool followed by watery diarrhea and an hour later, profuse vomiting. The diarrhea soon became watery grey with flecks of mucus in it without blood, and over a few hours it increased in frequency to 2-3 times an hour and to a volume estimated at “half a liter bottle of Coke” each time. Over the night, the vomiting began to subside although the diarrhea continued. She experienced neither fever nor abdominal pain apart from intermittent abdominal cramps. Physical Exam: Clothing slightly stool-soiled with a vague fishy smell. Extremely weak and listless; No fever, HR 160, BP barely detectable at 60/palp , RR 22 and deep; Indications for dehydration: eyes sunken/deep and dry; mouth dry; turgor poor, Abdomen: slightly distended; bowel sounds decreased with intermittent long “gushes”; no tenderness 1. Using this concept map, what is at least one nursing diagnosis for this patient? For each diagnosis complete the map including listing contributing factors, possible medications, labs that might need to be done and essential education to provide for the patient. Image transcription text CONCEPT MAPS Nursing Diagnosis, Evaluation, & Intervention Contributing Factors Primary Diagnosis com Medications for this condition Drug/Dose/Route Labs & Signficance Patient Education NURSING.com – ‘The Best Place to… Show more 2. Please explain the pathophysiology and epidemiology of Cholera 3. Two days later, the woman’s husband and her sister begin to have diarrhea, 3-4 times/day, watery, without cramps. They take no medications, and in 3 days they’re fine. What caused their illness?

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