Meet the Client: Clara
Clara is an 86-year-old female with hypertension. Her daughter brought her to the Emergency Department because she has become increasingly weak and confused. Clara’s daughter tells the nurse that her mother takes a “water pill” for her blood pressure 2 or 3 times a day. The label on the medication bottle that she brought to the hospital states, “hydrochlorothiazide (HydroDIURIL). Take 1 tablet daily.” Clara is admitted with fluid volume deficit
In addition to Clara’s vital signs, the nurse performs additional assessments.
1.For ongoing assessment of her fluid volume status, it is most important to assess what data? And why?
2.Clara usually weighs 150 lbs. The nurse weighs Clara and she now weighs 65 kg. How much weight did she lose?
3. What problem occurs in elderly that could contribute to fluid volume deficit in elderly? Explain your answer.
4.Her fluid volume improves and she is restarted on hydrochlorothiazide (12.5 mg). What lab value is most important to monitor and why?
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