What additional assessment data should the nurse obtain

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Reference no: EM133854460

Assignment:

Sarah Smith is a 73 year old female with lung cancer. She has been receiving chemotherapy on an outpatient basis. She completed her third treatment 5 days ago and has been experiencing nausea and vomiting for 2 days even though she has been taking Zofran (an antiemetic) orally as directed. Ms. Smith's daughter brings her to the hospital where she is admitted to the medical unit. The admitting nurse performs a thorough assessment and records:

Subjective Data:

1. Complains of lethargy, weakness, dizziness, and dry mouth.

2. States has been too nauseated to eat or drink anything for two days.

Objective Data:

1. Heart rate 110 beats/minute

2. Blood pressure 100/65

3. Weight loss of 5 pounds since her last chemo treatment 5 days ago

4. Dry oral mucous membranes

Critical Thinking Questions

1. Based on her clinical manifestations, what fluid imbalance does Ms. Smith have and what lead you to the conclusion?

2. What additional assessment data should the nurse obtain?

3. What lab tests would you expect to be ordered and what would you expect those tests to show?

4. What are priorities in terms of nursing management for Mrs. Smith?

5. What is your priority nursing diagnosis for this patient?

6. What complication do you need to monitor the patient for?

Reference no: EM133854460

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