A 69-year-old client presents to the emergency department reporting...

Question Answered step-by-step A 69-year-old client presents to the emergency department reporting… A 69-year-old client presents to the emergency department reporting fatigue, muscle aches, weakness. and severe cramping for 2 days. He reports being ill recently with nausea, vomiting and diarrhea that lasted 3 days. The client has a history of rheumatic fever, congestive heart failure (CHF) and hypertension. The client states that he follows a low-sodium diet, weighs himself daily and has continued this regiment throughout the current illness. The client has no known allergies and his current medication list includes:Toprol-XL 100 mg dailyZestril 5 mg dailyLanoxin 0.25 mg dailyAspirin 81 mg dailyK-Lor 20 mEq dailyLasix 40 mg daily Nursing Assessment:1. Alert, oriented to person, place, and time2. Heart sounds S1 and S2 present but irregular, no murmur3. Orthostatic hypotension4. Pedal and radial pulses irregular, 1+, and weak bilaterally5. Deep tendon reflexes 1+, and weak bilaterally6. Bowel sounds hypoactive in all 4 quadrants7. Chest x-ray: cardiomegaly; no evidence of CHF8. ECG: sinus tachycardia, occasional to frequent PVCs, depressed ST segment Vital Signs B/P: 115/65 supine 92/54 standing 106/58 sitting, Heart rate:112 bpm, irregularRespiratory rate:20O2 saturation:96%Temperature:97.8° F orallyCurrent weight:135 lbBlood glucose80 mg/dl Laboratory Results Serum K+2.7 mEq/L Serum Na140 mEq/L Serum BUN30 mg/dL Serum creatinine1.3 mg/dL Digoxin level2.3 ng/mL (normal 0.5 to 2 ng/mL) Health Care Provider Prescription1. Place on telemetry2. Fall precautions3. Vital signs every 15 minutes x 1 hour and then every 30 minutes x 1 hour, then every 4 hours if stable4. Monitor intake and output5. Administer IV solution now; 40 mEq of potassium chloride diluted in 500 mL of normal saline solution at 10 mEq/hr6. Hold digoxin, metoprolol and lisinopril7. Clear liquid diet8. Repeat ECG, serum potassium, glucose, and electrolytes in 4 hours and notify HCP of results9. Refer to primary HCP to restart digoxin and adjust potassium chloride, furosemide, metoprolol and lisinopril dosages Analyze the etiology/risk factors and symptoms (don’t overlook the lab results!) related to hypokalemia in this client. What primary nursing diagnosis (problem statement) should the nurse assign to this client? Health Science Science Nursing HHPS MISC Share QuestionEmailCopy link Comments (0)