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HESI Case Study: Fluid Balance. An older adult with CAD and HTN was brought to the ED by her daughter because she has become increasingly weak and confused. The client was found by a neighbor wandering her neighborhood unable to locate her home. The client's daughter tells the RN that her mother takes a "water pill" for her BP 2-3x/day.a) Observe chest expansion for 15 seconds and multiply by 4. b) Encourage James to breathe as deeply and slowly as possible. c) Watch for nasal flaring and count the air exchanges with each movement. d) Place a hand on James' upper abdomen and observe the rise and fall of the chest. Place a hand on James' upper abdomen and observe the rise and ...

HESI case study: Fluid Balance Donna King is an 80 year old female with coronary artery disease and hypertension. Her daughter brought her to the Emergency Department because she has become increasingly weak and confused and was found by a neighbor wandering her neighborhood unable to locate her home. 1. Since the client has a fluid volume deficit, the nurse anticipates a decrease in which vital sign when she changes position? A. Respiratory Rate B. Blood Pressure. C. Temperature. D. Pulse Rate B. Blood Pressure 2. The nurse plans to assess the client for orthostatic vital sign changes. Which action will the nurse take first? Nov 10, 2022 · The nurse shows the ECG to Dr. Welch, who orders IV fluids and medications to try and correct the cardiac arrhythmia, or abnormal heart rhythm. The nurse administers a liter of IV fluids which ...

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