Page 1 of 1

Case Study, Disorders in Fluid and Electrolyte Balance A 62-year-old male, James Howard, is hospitalized with dyspnea an

Posted: Tue Jul 05, 2022 8:50 am
by answerhappygod
Case Study, Disorders in Fluid and Electrolyte BalanceA 62-year-old male, James Howard, is hospitalized with dyspnea andorthopnea. Hismedical diagnoses include chronic renal failure, poorly controlledtype 2 diabetesmellitus and hypertension. He reports a recent weight gain ofapproximately 10 lb andprofound swelling of his lower legs bilaterally. When the nurseexamines him, he notescrackles in the lungs bilaterally and 4+ pitting edema distal tothe knees bilaterally.James’ lab work indicates a potassium level of 5.5 mEq/L and an ABGresult withabnormally low pH and HCO3 readings and a normal CO2. (LearningObjectives 3, 4, 6,7)1. What type of precaution you will practice when taken care of Mr.Howard?2. Describe the type of fluid imbalance this client isexperiencing. What signs andsymptoms are consistent with this imbalance?3. Describe the type of electrolyte imbalance this client isexperiencing. What arecommon causes for this imbalance and what nursing interventions arenecessary?4. Describe the type of acid--base imbalance this client isexperiencing. What arecommon causes for this imbalance and what signs and symptoms areconsistentwith this imbalance?