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The nurse on shift is caring for a 66 year old male patient who was brought in to the urgent care center by his partner with new onset nausea, vomiting, and confusion. Th nurse notes the following upon assessment History of DM, hypertension, chronic kidney disease (CKD) Reports of decreased urinary output over "past few days." Reports "feeling drowsy and tired." Noted pitting edema to lower extremities. Vitals: T97.3(oral), P86 regular, R20, BP178/95, SPO293% on room air Labs - BUN72, creat7.8, K6.1 Questions: 1. What signs and symptoms are of concern in this patient's presentation? 2. What could these be telling you is happening to the patient? 3. Of the concerning symptoms, which of these is a priority? Please explain your answer. 4. What can we do to stabilize this patient? Why?

The nurse on shift is caring for a 66 year old male patient who was brought in to the urgent care center by his partner with new onset nausea, vomiting, and confusion. Th nurse notes the following upon assessment History of DM, hypertension, chronic kidney disease (CKD) Reports of decreased urinary output over "past few days." Reports "feeling drowsy and tired." Noted pitting edema to lower extremities. Vitals: T97.3(oral), P86 regular, R20, BP178/95, SPO293% on room air Labs - BUN72, creat7.8, K6.1 Questions: 1. What signs and symptoms are of concern in this patient's presentation? 2. What could these be telling you is happening to the patient? 3. Of the concerning symptoms, which of these is a priority? Please explain your answer. 4. What can we do to stabilize this patient? Why?

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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The nurse on shift is caring for a 66 year old male patient who was brought in to the urgent care center by his partner with new onset nausea, vomiting, and confusion. Th nurse notes the following upon assessment

  • History of DM, hypertension, chronic kidney disease (CKD)
  • Reports of decreased urinary output over "past few days."
  • Reports "feeling drowsy and tired."
  • Noted pitting edema to lower extremities.
  • Vitals: T97.3(oral), P86 regular, R20, BP178/95, SPO293% on room air
  • Labs - BUN72, creat7.8, K6.1

Questions:

1. What signs and symptoms are of concern in this patient's presentation?

2. What could these be telling you is happening to the patient?

3. Of the concerning symptoms, which of these is a priority? Please explain your answer.

4. What can we do to stabilize this patient? Why?

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