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Level_2_Critical_Points_RN_Concept_Based_Assessment_Practice

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Metabolic Alkalosis  Acid-Base Imbalances: Interpreting ABG Results for a Client Who Has Had Prolonged Vomiting (Ch. 45) -Arterial pH is an indirect measurement of hydrogen ion concentration and ... is a result of respiratory and kidney compensation function, but the arterial blood gases (ABGs) are most commonly used to evaluate acid-base balance. -An acid deficit causes the loss of gastric fluids, through prolonged vomiting resulting in an increase in the bicarbonate ion, and a decrease in the hydrogen ion concentration. -If this should occur, the nurse is to administer antiemetics, fluids, and electrolyte replacements. Benign Prostatic Hypertrophy  Benign Prostatic Hyperplasia: Postoperative Findings to Report (Ch.66) -Clients who have BPH typically have theses s/s: urinary frequency, urgency, hesitancy, or incontinence, incomplete emptying of the bladder, dribbling post-voiding, nocturia, diminished force of urinary stream, straining with urination, and hematuria. -The client rates the severity of lower urinary tract manifestations using a 0 to 5 scale and also rates his quality of life as affected by urinary tract manifestations. -When a client experiences persisting back flow of urine into the ureters and kidneys, this can lead to kidney damage. Gastroenteritis with Dehydration  Acute Infectious Gastrointestinal Disorders: Evaluating the Effectiveness of IV Rehydration for a Client Who Has Gastroenteritis (Ch.22) -Administer parenteral fluid therapy as prescribed, it’s initiated when a child is unable to drink enough oral fluids to correct fluid losses, also for patients with severe dehydration or continued vomiting. -Isotonic solution is administered at 20 mL/kg IV bolus with possible repeat for isotonic and hypotonic dehydration. -During hypertonic dehydration, rapid fluid replacement is contradicted because of the risk of cerebral edema. Asthma  Asthma: Evaluating Teaching About Peak Flow Meters (Ch.21) [Show More]

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