ical Examination Height: 160 cm (5′3′′) Weight: 66.2 kg (146 lb) Mild fever: 38.6°C (101.5°F) Pulse: 86 BPM Respirations: 24/minute Scant urine output BP: 102/84 mm Hg Dry oral mucosa, furrowed tongue, cracked lips Diagnostic Data Urine specific gravity: 1.035 Serum sodium 155 mEq/L Serum potassium 3.2 mEq/L Chest x-ray negative What is Merlyn’s Chief Complain? What evidence led you to believe that this was the chief complain? What action would you take if Mrs. Chapman’s heart became irregular? Mrs. Chapman is responding inappropriately to your questions; she seems to be confused. What do you
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Merlyn Chapman, a 27-year-old sales clerk, reports weakness, malaise, and flu-like symptoms for 3–4 days. Although thirsty, she is unable to tolerate fluids because of nausea and vomiting, and she has liquid stools 2–4 times per day.
Physical Examination
Height: 160 cm (5′3′′) Weight: 66.2 kg (146 lb) Mild fever: 38.6°C (101.5°F) Pulse: 86 BPM
Respirations: 24/minute Scant urine output
BP: 102/84 mm Hg
Dry oral mucosa, furrowed tongue, cracked lips
Diagnostic Data
Urine specific gravity: 1.035 Serum sodium 155 mEq/L Serum potassium 3.2 mEq/L Chest x-ray negative
What is Merlyn’s Chief Complain?
What evidence led you to believe that this was the chief complain?
What action would you take if Mrs. Chapman’s heart became irregular?
Mrs. Chapman is responding inappropriately to your questions; she seems to be confused. What do you think is happening?
Offer suggestions for ways to help Mrs. Chapman increase her
Mrs. Chapman asks why you weigh her every morning. How do you respond?
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