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- A patient from Austin Hospital receives 6 oz of Glucerna every 4 hours followed by 0.375 cups of water per gastrostomy tube during the 0600-1800 work shift. The patient consumes 0.25 lb of ice pop over the shift. The patient's Foley catheter is emptied of 0.3963 gal of urine . Calculate the Intake and Outtake of the patient in mL.oY i 1A < Which of the following is the gold standard substance for the clearance test used for estimation of GFR? Para-amino-hippuric acid Glucose Inulin O O OO Creatinine dihVl hanIdentify the nitrogen balance of a patient who eats 80 grams of protein per day,with a urinary excretion of 1.7 liters of urine having a nitrogen concentrationof 500 milligrams/ 100 mL.
- A patient has a fecal impaction. The nurse correctly adminis-ters an oil-retention enema by: a. Administering a large volume of solution (500–1,000 mL)b. Mixing milk and molasses in equal parts for an enemac. Instructing the patient to retain the enema for at least30 minutesd. Administering the enema while the patient is sitting onthe toiletA 7 YO 50lb child has been prescribed a maintenancew dose of digoxin 4mcg/kg/day PO administered in equal divided doses twice daily. Digoxin elixir is available in 60mL bottles containing 50mcg/mL. How many mL will you administer per dose?on admission Ms. Jamenezs creatinine was 1.4mg/dL and BUN was 25mg/dL. Ms. Jimenez has repeat creatinine and BUN labs drawn two day after admission. The results are a creatinine of 4.7mg/dL . A day later her creatinine is 8.5mg/dL with a BUN of 57mg/dL. 1.Are these results getting better or worse since admission? discuss why. The following potassium values are reported: on admission 3.6mEq/L: forty-eight hours after admission 4.0mEq/L: and seventy- two hours after admission 4.2mEq/L 2. What potential cardiovascular change is of greatest concern to the nurse? 3. Identify five priority nursing diagnoses that are appropriate to include in Ms. Jimenes plan of care.
- A two-month old child was admitted to hospital after failure to thrive. The “boy”, whose external genitalia were ambiguous, was found to have elevated blood pressure, but no dehydration. The following measurements were made on a plasma sample taken on admission: Variable Result Reference Range Urea (mM) 6.2 2.5 - 7.0 Creatinine (μ�M) 95 60 - 120 Glucose (mM) 4.3 3.5 - 5.5. (fasting) Na+ (mM) 170 134 -147 K+ (mM) 2.8 3.5 - 5.0 11 -deoxycortisol (nM) 57 <10 Deoxycorticosterone (nM) 1.3 <0.4 Cortisol (nM) 22 138 - 690 Testosterone (nM) 7.4 0.5 -3.2 (adult female) 5 - 40 (adult male) The concentrations of progesterone, 17-hydroxyprogesterone and ∆4-androstenedione were also increased above the reference range. A chromosome analysis showed that the child was a genotypic female (46, XX karyotype). A consultant obstetrician initially diagnosed congenital adrenal hyperplasia, however they were confused by the…An individual has been fasting for several days (water only), he would expect which of the following? Group of answer choices (A) a very acidic urine (B) ketones (ketone bodies) present in the urine (C) decreased specific gravity (D) A and B (E) all of the aboveMeasure the Intake and Output of Mr. De la Cruz for the 8-Hour shift and give conclusion if Intake & Output is proportionate or not. Case Application: Measuring Intake & Output Mr. dela Cruz is a 67 year old male who has been admitted to the Medical ICU with a diagnosis of congestive heart failure (CHF). He is intubated and attached to a ventilator, with nasogastric tube attached at the L nostril, intravenous fluid (IVF) of D5 LR 1L x 12 hours, and foley catheter draining to a pale straw urine. He is monitored hourly for his vital signs as well as intake & output. Nurse Tina was assigned to take care of Mr. Dela Cruz and the following tasks transpired during her morning shift: After endorsement, Nurse Tina made her rounds to check on Mr. Dela Cruz. She took his vital signs, level of consciousness. His present IVF has a remaining amount of 600 cc & regulated the desired rate. She prepared the medications and osteorized tube feeding (OTF) all due at 8 am. She fed Mr. Dela…
- How can you relate the Concept of Thermoregulation to your future professional clinical practice (I'm un nursing school), explain in ~ 150 words.?Patient N., 70 y/o, is complaining of stomach ache, nausea, vomiting and muscle ache. Objectively: evident symptoms of dehydration, Kussmaul’s breathing, arterial pressure – 95/60 mm column of mercury, anuria, temperature – 35.9 ºC, glycemia – 11.6 mmol/l, acetonuria is not present, blood PH – 6.7, content of lactic acid -1.9 mmol/l (norm - 0.62 -1.3 mmol/l). What is your diagnosis? A. Hyperlactacidemic coma B. Uremic coma C. Ketoacidotic coma D. Brain coma E. Hyperosmolar comaA patient’s GFR is 125 ml/min, and his urine is produced at a rate of 1.25 ml/min. (A) By what factor is the inulin concentrate in his urine. (B) The concentration of glucose in his plasma is 5 mmol/l. His renal reabsorption of glucose is completely inhibited. What would be the concentration of glucose in his urine.
