d Thomas asks you to speak loudly during conversations 8 Thomas is at risk for

4d.Thomas asks you to speak loudly during conversations.8.Thomas is at risk for which of the following health issues when alone at home.Explain your answer.a.Sensory overloadb.Sensory deprivationc.Role confusiond.Communication problems

9.Thomas states he has not had a bowel movement in 4 days and indicated to you that he is uncomfortable. The mostappropriate intervention for you to do is:

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10.You have received a physician’s order to give Thomas a suppository; what should you do first:

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11.Once Thomas in settled in bed, you review his morning lab studies.As the nurse you know that the most common electrolytedisturbance in the older adult during vomiting and diarrhea is:

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12.According to the lab values, Thomas’ potassium level is 5.7 mmol/L.The following interventions should be followed:a.Teach Thomas the common foods to avoid for the next few days such as _______b.Contact the physician using the following SBAR format: ___________c.Assess for changes in Thomas’ vital signs especially __________d.Assess for signs and symptoms of hypernatremia.True or False?

13.The next lab value noted is Sodium level is 140 mmol/L.Your next intervention should be:

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Case Study # 3 – K-OLinda Hall is 42 years old and was diagnosed with bowel cancer 1 year ago. At that time she had surgical removal ofher large bowel and now has an ileostomy.Unfortunately she is not able to have any further treatments such aschemotherapy or radiation and is now considered to be palliative and therefore will not be receiving any furthertreatments. She complains of more pain in the past week because her cancer has spread to her bones and thereforeshe finds it difficult to sleep or mobilize without help.She has lost 40 lbs because she has not been eating or drinkingadequate amounts for the past month.Her skin and mucous membranes are dry and her eyes are sunken.She has been married for 15 years and has two children a 12 year old boy and a 10 year old girl. She has decided thatshe would like to die at home and receive home care services. Your role is to provide emotional support, physical careand comfort.Her present vital signs are as follows:T – 36.6 C, P – 60, R – 12, BP – 120/80, O2 sat 98% room air1 month ago electrolytes values were as follows:Na: 135 mmol/L, K+: 3.5 mmol/L, Ca: 2.25 mmol/L