K.B. is a 32-year-old woman being admitted to the medical floor for complaints of fatigue and dehydration. While taking her history, you discover that she has diabetes mellitus (DM) and has been insulin dependent since the age of 8. She has undergone hemodialysis (HD) for the past 2 years because o...
K.B. Case Study 2023 LATEST QUESTIONS
AND ANSWERS GRADED A+
K.B. is a 32-year-old woman being admitted to the medical floor for
complaints of fatigue and dehydration. While taking her history, you discover
that she has diabetes mellitus (DM) and has been insulin dependent since the
age of 8. She has undergone hemodialysis (HD) for the past 2 years because
of end-stage renal disease (ESRD). You initial assessment of K.B. reveals a
pale, thin, slightly drowsy woman. Her skin is warm and dry to the touch with
poor skin turgor, and her mucous membranes are dry. Her vital signs are
140/88, 116, 18 99.9 F (37.7 C). She tells you she has been nauseated for 2
days so she has not been eating or drinking. She reports severe diarrhea.
The following blood chemistry results are back.
Sodium 145 mEq/L
Potassium 6.0 mEq/L
Chloride 93 mEq/L
Bicarbonate 27 mEq/L
BUN 48 mg/dL
Creatinine 5.0 mg/dL
Glucose 238 mg/dL
What aspects of your assessment support her admitting diagnosis of dehydration? -
ANSWER The patient's history supports an admitting diagnosis of dehydration
because she told you she has not been drinking for 2 days and reports severe
diarrhea. Her skin is warm and dry with poor skin turgor and dry mucous
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