ldalzell

Thank you daytonite. I reallly appreciate you helping me. I know the questions may have sounded stupid but then again I am still learning and you helped me learn how to reference Mosby's Diagnostic and Laboratory Test Reference correctly. Thank you!!!

That could be why the nurse did nothing. I believe the increased BUN is related CHF and dehydration and the CBC counts related to slight anemia. No nursing actions needed regarding these lab values except to continue to monitor. Does this Nursing Dx sound okay? Deficient Fluid Volume r/t fluid shifts AEB pitting edema in bilateral ankles and feet, weakness et pt. stating "I came in because my feet were swollen".

Yes we just need one but I am sure they would not care if we had more than one....the assignment only calls for 1 with 5 interventions. Thanks for your help AugustRain and RedHairedNurse

The medical diagnosis is Dehydration....sorry....My nursing diagnosis is Impaired physical mobility related to weakness as evidenced by impaired ability to ambulate independently and pt. stating “I’m too weak to walk”. I looked up the labs and found this: Elevated glucose levels: When a pt. is dehydrated it increases the levels of glucose in the blood because of decreased circulation. This can also cause diminished circulation to the capillaries. Elevated BUN: Related to dehydration et CHF- Renal blood flow is dimished. This is one lab test done to diagnose dehydration(increase in BUN). As for the CBC I assume the pt. has anemia. My teachers want: What are the nursing actions related to this abnormal laboratory value. I was not sure if notifying the physician is sufficient enough. Or would you notify physician?

I am totally sorry for affending anyone with my question. I had horrible nurses you did not help me during clinicals.....not an excuse. My diagnosis IS DEHYDRATION!!!!! I Can't find any nursing actions on high glucose and BUN so excuse me for asking.....

I have to complete a care plan and was curious as to what certain nursing actions would be used for my lab values. My pt. was admitted with dehydration and has a hx or CHF. Glucose- 112 High BUN- 35 High CBC: RBC- 3.58 Low Hemoglobin- 11.4 Low Hematocrit- 33.9 Low Can someone please help me??? Thank you