Answer Happy

Case Study, Chapter 76, Disorders in Fluid and Electrolyte Balance A 62-year-old male, James Howard, is hospitalized with dyspnea and orthopnea. His medical diagnoses include chronic renal failure, poorly controlled type 2 diabetes mellitus and hypertension. He reports a recent weight gain of approximately 10 lb and profound swelling of his lower legs bilaterally. When the nurse examines him, he notes crackles in the lungs bilaterally and 4+ pitting edema distal to the knees bilaterally. James' lab work indicates a potassium level of 5.5 mEq/L and an ABG result with abnormally low pH and HCO3 readings and a normal CO2 (Learning Objectives 3, 4, 6, 7) 1. Describe the type of fluid imbalance this client is experiencing. What signs and symptoms are consistent with this imbalance? 2. Describe the type of electrolyte imbalance this client is experiencing. What are common causes for this imbalance and what nursing interventions are necessary? 3. Describe the type of acid-base imbalance this client is experiencing. What are common causes for this imbalance and what signs and symptoms are consistent with this imbalance? Fungssted for Le Can Electrode