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Mursely

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  1. Okay, last try, how about this one Altered fluid and electrolyte balance, hypokalemia rt corticosteroids and excessive loss of fluid and electrolytes by diuretic aeb potassium serum blood level less than 3.5
  2. risk for injury (lethal arrhythmia/death) related to hypokalemia aeb by serum potassium levels than 3.5 How about that?
  3. The client was on corticosteroids which lowered the potassium levels. So would "Hypokalemia rt corticosteroids aeb serum potassium levels less than 3.5" Be a nursing diagnosis? Or is that still medical?
  4. So I had a client in clinical who was potassium deficient, but my instructor didn't like my nursing diagnosis because she said it's not a nursing diagnosis. What would I change about " Potassium deficit rt steroids aeb serum potassium levels less than 3.5" to make it a nursing diagnosis? Should I use Potassium deficit rt to hypokalemia aeb serum potassium levels? Is that better? Here is the original, should I change it to rt hypokalemia? 1. Potassium deficit rt steroids aeb serum potassium levels less than 3.5 Goal: Within 48 hours of nursing intervention, client will be able to maintain serum potassium levels within normal range. Nursing Interventions: 1. Strictly monitor clients' intake and output. (Careful monitoring of fluid intake and output is necessary because 40 mEq of potassium is lost for every liter of urine) (Client voided a total of 1700 ml of urine within only 4 hours) 2. Monitor BUN and creatinine levels (Renal function should be monitored for patients receiving potassium replacement). 3. Supply client with potassium supplements as directed by physicians orders. 4. Make sure client is getting a potassium rich diet. 5. Monitor serum potassium levels (Evaluates the effectiveness of therapy).
  5. There is no patient, we are supposed to make it up.
  6. I am doing an auto immune disorder called systemic lupus erythematosus. My nursing diagnosis is acute pain related to inflammation and tissue damage. What would be my as evidenced by be?
  7. Order: Ampicillin 750mg im q6h Supply: 1 gram vial of ampicillin Directions: add 2.4 ml sterile water to yield 2.5 ml of soltuion 750 mg x 2.5 ml = 1875 1 gram = 1000 mg D/H = 1875/1000 = 1.9 ml. Order: Nafcillin 750 mg IM qid Supply: Nafcillin 2 gram vial Directions: add 6.8 ml sterile water for total of 8 ml of solution. 750 mg x 8 ml = 6000 2 gram = 2000 mg D/H= 6000/2000 = 3 ml.
  8. By the way, how do you do a question like this: "The physician orders Mandol 500 mg IM stat. The 1 Gram vial that is available has the following directions for reconstitution. "Add 3 mL of an approved diluent. Provides an approximate volume of 3.5 mL" How many ml will you administer? I am confused at this particular one, it doesn't provided me the me the mg after dilution.
  9. okay, so it was 0.76 ml. I misread the question. thanks
  10. The question says, "The physician orders 250 mg Cefazolin IM q 8 hours. What volume will you administer?" Label says, "Cefazolin for injection, USP 1 gram" "Preparation of solution: For IM use - Add 2.5 ML sterile water for Injection. SHAKE WELL. Resulting solution provides an approximate volume of 3 ml (330 mg per ml)" Here is what I did, Desire/Have 250 mg/330 mg = 0.76 ml. Now, to me that seems wrong because it looks like it's underdosed, so I decided to multiple 350 mg by 3 ml, and got 750 mg/330 mg = 2.27 ml. The correct answer is 2.27 ml, right?

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