Practice Question # 639.
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- Question 1 of 1
Which nursing diagnosis should a nurse plan to document for the client with gastric cancer experiencing hematemesis?Correct
Answer & Rationale:
Fluid volume deficit occurs with hematemesis (blood in emesis) from both vomiting and the loss of blood. Impaired oral mucous membrane occurs with chemotherapy treatment. Decreased cardiac output may result from congestive heart failure. Impaired gas exchange happens with restrictive/obstructive lung disease.Incorrect
FLUID VOLUME DEFICIT
- Dehydration occurs when the fluid intake of the body is not sufficient to meet the fluid needs of the body.
- The goal of treatment is to restore fluid volume, replace electrolytes as needed, and eliminate the cause of the fluid volume deficit.
Types of fluid volume deficits
- Isotonic dehydration
- Hypertonic dehydration
- Hypotonic dehydration