Joseph is a 44 year old male who was previously healthy.  He…

Joseph is a 44 year old male who was previously healthy.  He presents with severe diarrhea for the past 10 days, likely due to norovirus infection.  He is moderately dehydrated.  His lab results are listed below.  Which of the following acid-base disturbances is present?  Na 142 mEq/L;   K 3.2 mEq/L  Cl 110 mEq/L;  HCO3 20 mEq/L; Glucose 110 mg/dL; BUN 25 mg/dL; Scr 1.1 mg /dL pH 7.34; PaCO2 25 mmHg; PaO2 96 mmHg;  bicarbonate 18 mEq/L

While discussing the difference between fetal and neonatal c…

While discussing the difference between fetal and neonatal circulation, the nurse discusses three fetal shunts in fetal circulation. The nurse knows that one shunt is between the right and left atrium, allowing blood to bypass the lungs. This shunt is called the

You are the NNP caring for a 35 3/7 week, two day old neonat…

You are the NNP caring for a 35 3/7 week, two day old neonate with visible jaundice.  The mother reports that the neonate has been breastfeeding for 3-5 minutes per breast every 3 hours and then falls asleep.  The mother states that they are ready for discharge home today.  The best next step in the management plan for this neonate would be: