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thank you guys, this is what have done so far, not sure if it is correct.. K.B. is a 32 y.o. woman who is being admitted to the medical floor for complaints of fatigue and dehydration. While taking your nursing history you discover that she has diabetes and has been insulin dependent since the age of eight. She has been in chronic renal failure (CRF) and undergoing hemodialysis for the past 3 years. Your initial assessment of K.B. reveals a pale, thin, lethargic woman in no acute distress. Her admitting chemistries are Na 145 mEq/L, K 5.5 mEq/L, Cl 93 mEq/L, HCO3 27 mEq/L BUN 40 mg/dl, creatinine 3.0 mg/dl, glucose 238 mg/dl. Her skin is warm and dry to touch with poor skin turgor, and her mucous membranes are very dry. Her VS are 140/88, 116. 18. 99.9F. She tells you she has been nauseated for 2 days so she has not been eating or drinking. She denies vomiting. The rest of K.B.’s physical assessment is within normal limits. She tells you she has an AV fistula in her left arm 1.What aspects or your assessment support her admitting diagnosis of dehydration? 1. Severediarrhea aggravates Mrs. KB’s condition. In addition to that vomiting and decreased food fluid intake may leavepatient to hypovolemic shock. 2. Poorskin turgor ,dry mucus membrane are clear signs of dehydration. Left untreatedcan lead to life threatening events. 3. Increasedblood pressure and pulse are short term compensatory mechanism to perfuse thevital tissues All the above factshelps the treating team to come to a conclusion of admitting Mrs. KB. . 2.Identify 2 possibilities for K.B.’s low-grade fever. Dehydration causesdecreased urine output. Hence lead to stagnant urine collection in the bladdermake the patient prone to urinary tract infection further causes fever Increased blood sugarprovide a better medium for the pathogen to grow ,which is another reasonbehind low grade fever I'm still working on questions 3 & 4, what do you guys think on those answers,, thank you

with the Case sudy, i'm new from this website. thanks in advance..:)

for answers of the case study. thank you.

K.B. is a 32 y.o. woman who is being admitted to the medical floor for complaints of fatigue and dehydration. While taking your nursing history you discover that she has diabetes and has been insulin dependent since the age of eight. She has been in chronic renal failure (CRF) and undergoing hemodialysis for the past 3 years. Your initial assessment of K.B. reveals a pale, thin, lethargic woman in no acute distress. Her admitting chemistries are Na 145 mEq/L, K 5.5 mEq/L, Cl 93 mEq/L, HCO3 27 mEq/L BUN 40 mg/dl, creatinine 3.0 mg/dl, glucose 238 mg/dl. Her skin is warm and dry to touch with poor skin turgor, and her mucous membranes are very dry. Her VS are 140/88, 116. 18. 99.9F. She tells you she has been nauseated for 2 days so she has not been eating or drinking. She denies vomiting. The rest of K.B.'s physical assessment is within normal limits. She tells you she has an AV fistula in her left arm. 1. What aspects or your assessment support her admitting diagnosis of dehydration? 2. Identify 2 possibilities for K.B.'s low-grade fever. 3. What is a fistula? Why does K.B. have one? 4. In assessment of an AV fistula, what physical findings would you expect during auscultation and palpation? Why?