Case study #1
Mr. T, age 75, has been vomiting intermittently for the past 24hours. His weight today is 165lbs compared to a baseline of 165lbs.Upon assessment, the nurse notes that his mucous membranes and skinare dry. His vital signs are: temp 99.4, pulse 120, respiration 32,and blood pressure 90/60. His urine output for the last eight hoursis 150ml. On review of the morning lab work the electrolytefindings are: K 3.5, Na 145, and the Hematocrit and BUN areelevated.
Question 1: Identify a problem the nurse would be concernedabout. Based on the findings above, what is a priority nursingdiagnosis?
Question 2: List appropriate nursing interventions and how thenurse would evaluate the effectiveness of each intervention relatedto the priority nursing diagnosis that you have identified.
