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Medical-Surgical Nursing

Competency-Based Assessments

Medical-Surgical NursingCompetency-Based Assessments

Competency-Based Assessments

1 .
A patient with chronic kidney disease is admitted to the hospital. How do the impaired functions of the kidneys affect the homeostasis of fluids and electrolytes in the body? Discuss potential nursing interventions.
2 .
As a clinical nurse, you are working with a patient who has been diagnosed with diabetes mellitus, a condition affecting the pancreas. What is the impact of impaired pancreatic function on both fluid balance and the body's ability to maintain homeostasis?
3 .
A patient is admitted with hypovolemia due to severe dehydration after a prolonged bout of vomiting. Describe the pathophysiology of hypovolemia, identify relevant risk factors, and outline the clinical manifestations a nurse should assess in this patient.
4 .
In the emergency department, you encounter a patient with severe hypovolemia due to gastrointestinal bleeding who needs fluid replacement. Discuss the factors you should consider when selecting the appropriate type and rate of fluid replacement.
5 .
As a nursing student, how would you assess the effectiveness of nursing care for a patient with hypernatremia?
6 .
A patient with electrolyte imbalances is receiving medical therapies, including IV potassium replacement and loop diuretics. Discuss the nursing considerations and potential complications associated with these therapies. How would you evaluate the efficacy of the nursing care provided?
7 .
Explain the interplay between the respiratory system (lungs) and the endocrine system in maintaining acid-base balance. How does this contribute to overall homeostasis?
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