Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. He is restless with slight confusion but is easily orientated with attempts from nurse. Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. Skin cool to touch and appears pale. His coughing, to clear his airway, appears ineffective. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition.

Required:
Write a Nursing plan. Write a Nursing Care Plan Assessment, Diagnosis, Goal, Implement, Evaluation

Answers

Answer 1

Solution :

Nursing the care plan

Assessment

To assess the respiratory rate, the depth, the abnormal breathing pattern.

Monitor the behavior of the patient and the mental status for the onset of the restlessness and confusion.

Observe for the nail beds and the cyanosis in the skin.

Monitor the oxygen saturation continuously with the help of a pulse oximeter.

Nursing diagnosis

Impaired the gas impaired exchanged related to the airway obstruction as a evidence by the restless and shortness of the breathing and confusion.

Goals

Improving the gas exchange and also improve the breathing pattern.

Intervention

Position the patient with his or her head elevated from the bed in a semi Flower's position.

Evaluation

The patient can breathe normally and then reduce the restlessness and the confusions.


Related Questions

Why are checking references in background check important when considering any staff member?

Answers

References can provide information on personal characteristics. The background check can be considered as a preemptive measure to ensure the integrity of the organization and the safety of employees. Individuals may not be appropriate for certain positions due to some aspect of their history.

1. Thiamin deficiency was observed only in the Chinese community even though all three communities had the same staple (rice) diet. 2. Explain. On packages of enriched rice sold in supermarkets, the rice preparation directions state that the rice should not be washed before cooking. Explain. 3. Severe metabolic acidosis caused by high levels of lactate is often associated with thiamin deficiency. Explain.4. Provide two plausible explanations for what might cause above normal levels of pyruvate in blood and urine. How can one determine which of the two explanations is correct? 5. Why does thiamin utilization increase among cancer patients? 6. A negative correlation exists between the need for thiamin and the amount of fat in the diet. Explain.

Answers

Answer and Explanation:

1. This is likely to happen because Chinese people often wash rice before cooking. This act ends up reducing the amount of thiamine that rice has. This causes the Chinese to consume rice that is low in thiamine, which causes the deficiency of this nutrient in the Chinese population.

2. The recommendation that rice should not be washed before cooking is precisely to avoid the loss of thiamine, since thiamine is a water-soluble protein, so when we wash rice, this vitamin is dissolved before being consumed.

3. Thiamine deficiency stimulates the accumulation of lactic acid and pyruvate in the body. This causes muscle damage, which can lead to lactic acidosis, as thiamine is essential in lactic acid metabolism.

4. Abnormal levels of pyruvate can be caused by a deficiency of thiamine in the body, or by eating foods that cause the creation of pyruvate in the body. We can determine which explanation is correct, through a blood test that will be able to determine the amount of thiamine in an organism.

5. Thiamine is directly related to the proliferation of cancer cells. The more thiamine is used, the greater the proliferation of cancer cells, that is, low levels of thiamine accelerate cancer.

6. Thiamine requirement is inversely proportional to the amount of fat in the diet, as increased thiamine can lead to increased appetite and increased fat accumulation.

It has been established that cancerous cells utilize a lot of thiamin. This is why there is often low thiamin levels in cancer patients.

Thiamin deficiency also called beri - beri results when an individual does not have enough vitamin B in the body. It is common in Chinese communities because they wash rice thereby reducing the thiamine in rice.

The recommendation that rice should not be washed is on order not to loose the thiamin content of the rice.

When there is not enough thiamin  in the body, it can lead to the presence of excess of lactic acid and pyruvate in the body.

There can be excess pyruvate in the body when there is a deficiency of thiamin   or when we consume foods that contain excess pyruvate.

It has been established that cancerous cells utilize a lot of thiamin. This is why there is often low thiamin levels in cancer patients.

When the level of thiamin in the body increases, the appetite of the individual increases and fat increases also.

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Which of these is a sexual stereotype?

Answers

Answer:

A stereotype is an inner image of an imaginary or actual group and its members, often in the form of simplified notions of the members' characteristics. A stereotype can, for example, have an ethnic, national, religious or gender-related connection.

Gender stereotypes reflect a normative view of women and men as well as of femininity and masculinity. These are usually presented as a dualism or as binary opposites. The characteristics of stereotypes vary between places, cultures and over time, as do all aspects of gender. These can also be positive and negative as well as being implicit or explicit. Despite this, these can still be linked to gender stereotypes, which can also be seen as limited. Stereotypes reduce and fix differences that prevent another varied thinking which in turn constructs the simple social categories such as "we" and "the others".

A cutting board is washed and detergent and then rinsed the cutting board is considered what

Answers

Answer:

Explanation:

maybe clean

the cutting board would be sterile

Depression in older adult usually leads to what?

Answers

Answer:

Health problems. Illness and disability, chronic or severe pain, cognitive decline, damage to your body image due to surgery or sickness can all be contributors to depression.

Explanation:

As we grow older, we often face significant life changes that can increase the risk for depression.

Answer:

Depression has a different effect on elderly people than it does on younger people. Depression is more common in older individuals, and it typically occurs in conjunction with other physical conditions and impairments, and it lasts longer. Depression is linked to an increased risk of heart disease and mortality from illness in older individuals.

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_____ is defined by intense anxiety, pain, and stress and the feeling of being overwhelmed by stressors. eustress psychosis distress situational

Answers

Answer:

Distress

Explanation:

When a person is distressed they feel extreme anxiety and pain. This is can be caused by factors like stressors and unstable emotions. Eustress is moderate stress that is often deemed healthy and beneficial. Psychosis is when a person's abilities are impaired due to emotions. Finally, situational does not need to be stressful; not all situations are bad. So, distress must be the correct answer.

Answer:

distress !

Explanation:

Which of the following would not be a good option when you have made a bad decision?

A. Take responsibility for your decisions and/or actions

B. Get advice if needed

C. Repeat your actions so you can learn from the experience

D. Apologize if necessary

Answers

Take responsibility for your decisions and/or actions

Which type of contraction is involved in controlling and stopping a movement

Answers

Answer:

Eccentric Contraction

Explanation:

the muscles that are actively involved do so primarily in the

eccentric contraction

A 75-year-old man in long term care. He has been bed bound for longer than six months. His history shows he has cardiac and circulatory problems, exacerbated by his lack of activity.
Explain some proactive changes staff might make for this gentleman that will enhance his health. Support your answer using specific facts, data, examples, and other information drawn from the textbook and at least one other supplemental source.

Answers

Explanation:

What to do I don't have idea

Long-term bed rest reduces blood flow and has an impact on pressure sores, circulation, and cardiac output. By incorporating cutting-edge services and practices into the care plan, health care providers play a crucial part in lowering risk factors.

What is cardiac output?

Cardiac output is defined as the rate in liters per minute that is created by multiplying the heart rate (HR) by the stroke volume (SV). The blood pressure must remain at certain levels for your brain and other essential organs to receive oxygen-rich blood, which is made possible by enough cardiac output.

Cardiac output, which is determined by the heart's pace, contractility, preload, and afterload, is the volume of blood it can pump in a minute. Hypertension, coronary disease, congenital issues, myocardial ischemia and infarction, congestive heart failure, shock, arrhythmias, hereditary illnesses, structural abnormalities, pericardial effusions, emboli, tamponade, and many more conditions are common etiologies.

Thus, long-term bed rest reduces blood flow and has an impact on pressure sores, circulation, and cardiac output. By incorporating cutting-edge services and practices into the care plan, health care providers play a crucial part in lowering risk factors.

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For children between the ages of 5and 12 what should strength training focus on?

Answers

Answer:

stronger bones to prevent broken arms and legs

Explanation:

Stronger bones to prevent broke arms and legs

Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as well, but it provides no drug coverage. She would like to keep the coverage she has but replace her existing Medigap plan with one that provides drug coverage. What should you tell her?

Answers

Answer:

Following are the solution to the given question:

Explanation:

In this question, Mrs. Gonzalez has had an original Medicaid enrollment and a Supplement policy, although she does not cover the drug coverage. She desires the coverage she has and to acquire one that gives prescription coverage for her current Medigap policy. He says Mrs. Gonzalez can purchase a Medigap Drug Plan but can following her Medigap Insurance and enrolled in a Part D Pharmaceutical Rx Program.

Answer:

Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but she could keep her Medigap policy and enroll in a Part D prescription drug plan.Explanation:

Which environmental factor has the most influence on your eating habits?
O restaurants providing large portions
food deficient in sugar and fats
O people ridiculing your body type
media stars with muscular bodies

Answers

People ridiculing your body type media stars with muscular bodies will influence the eating habits.

People perception about how they look change because of others. They stated distorting leading to engage in risk behavior.Due to peer pressure kids get indulge in stress eating which leads to obesity.Sometimes due to idealizing media stars people start following diets without actually knowing it which leads to dangerous result.Why people get influence by certain environmental factors when it comes to body size?Some people have certain body issues which they want to cover that’s why they follow a certain diet regime to achieve that.Those who cannot handle this pressure find food as an escape route which leads to obesity and other body issues.

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5. Explain the structure of the heart. nations of the heart​

Answers

Answer:

The human heart is a four-chambered muscular organ, shaped and sized roughly like a man's closed fist with two-thirds of the mass to the left of midline. The heart is enclosed in a pericardial sac that is lined with the parietal layers of a serous membrane.

How do you think teen pregnancies can be prevented? List at least four strategies that parents, educators, communities, and the government can use to help prevent teen pregnancies.

Answers

1. Sex education
2. Chaperones.
3. Parents actually taking care of kids.
4. Having a 1v1 conversation.

Many people enjoy watching movies, sporting events, and music performances in crowded theaters and arenas more than they like watching them at home alone. Which theory of emotions might help explain this? How?

Answers

Answer:

The correct answer is "Evolutionary theory".

Explanation:

There seems to be a communal unconsciousness of humans, the fundamental motive as well as archetypal structure, written from our cultural identity or heritage.We seem to have the unconscious screenplay because we're in a community that has made moving theatre additional enjoyable and laughing. Factors such as the camel's phenomenon also exist, which tries to emulate others' behaviors.

Put these in order of risk, starting with the highest.

a. Eating 40 tablespoons of peanut butter
b. Riding 10 miles on a bike
c. Flying 1000 miles by commercial jet

Answers

A,then C, then B. That’s it.

What is true of psychological effects of illness​

Answers

Answer: Psychologocal effects include, sadness, anger, depression, and others along the lines of that

Explanation:

What are some of the primary reasons/factors why students choose to use drugs while others do not?

Answers

Answer:

See below

Explanation:

Some might because of family enviroment and mental and physical health. Peers also have a big impact.

Consider this report belongs to an athlete with a calculated BMI of 28.9. The BMI value mathematically correlates height and weight with risks to health. BMI is useful for evaluating health risks of obesity. However, BMI is not equally useful in all populations because BMI fails to:________.
a) measure how much of a person's weight is fat
b) measure weight in kilograms
c) where the fat is located
d) a and c
e) all of the above

Answers

Answer:

d) a&c

Explanation:

because BMI measures your weight in kilograms but it dosen't measure your fat or where its located in the body. Hope this helps

Marshall and Earl are competing in an alternate shot doubles tournament at the local bowling center. Marshall is very accurate and throws the ball straight. Earl likes to put a lot of revolution on his bowling shot which creates a great deal of power and pin action. To maximize their skill set for the best score of the team, who is the logical choice to take the second shot of the frame?

A good strategy cannot be determined from this information
Both Earl and Marshall
Marshall
Earl

Answers

I say Marshall because he can determine what is the next frame needs to win and with his accuracy he can reach the needed target.

Many people enjoy watching movies, sporting events, and music performances in crowded theaters and arenas more than they like watching them at home alone. Which theory of emotions might help explain this? How?


please help me

Answers

I think it’s emotional contagion I’m not sure

Here is a reminder of what Sophia eats to. Every day she grabs breakfast to go from Burger King: a sausage biscuit (2 oz sausage on a medium biscuit) and 12 oz 100% orange juice. Mid-afternoon she stops by the vending machines to get a snack: usually 2 oatmeal cookies and a 12 ounce soda pop. For dinner every day she has a box of macaroni and cheese, made according to the package directions. She adds a hot dog (2 oz) to make it more filling. Each night she has a snack of one hard-cooked egg and 3-4 slices of wheat bread toast and jam. How many equivalents from the fruit group did Sophia eat?

Answers

Answer:

There are only 10 equivalent from the fruit group Sophia eat

What are common benefits of positive relationships with adults?
Select all that apply.
improved coping skills
fresh perspectives
O reduced work ethic
low self-efficacy

Answers

improved coping skills
fresh perspectives

The common benefits of positive relationships with adults include Improved coping skills, Fresh perspectives, and Increased self-esteem.

Improved coping skills. Having positive relationships with adults can help you learn how to cope with stress and difficult situations. Adults can provide you with support and guidance, and they can help you develop healthy coping mechanisms.

Fresh perspectives. Adults can offer you new perspectives on life and help you see things from a different angle. This can be helpful for personal growth and development.

Increased self-esteem. When you have positive relationships with adults, you feel supported and valued. This can boost your self-esteem and make you feel more confident in yourself.

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Which of the following is not a good strategy for reducing stress?

Answers

Answer:

Exercise. Exercise is one of the most important things you can do to combat stress. ...

Consider supplements. ...

Chew gum. ...

Spend time with friends and family. ...

Laugh.

Be happy.

Do meditation or yoga

Explanation:

HOPE IT HELPS YOU

Select the correct answer.
Juana can't control the urge to splurge on things she does not need and often runs into financial problems. What disorder does she have

Answers

Answer:

Compulsive Buying Disorder (CBD)

Explanation:

Compulsive buying disorder (CBD) is characterized by excessive shopping cognitions and buying behavior that leads to distress or impairment. Found worldwide, the disorder has a lifetime prevalence of 5.8% in the US general population.

Two Cooking
Method that can be used
to Cook chicken Kiev

Answers

Answer:

Pan-frying. To pan-fry chicken, the ideal cuts for this are chicken breast, tenderloins or chicken thigh fillets.

Explanation:

Brainliest please and follow,Hope it helps:D

The Physical Activity Guidelines for Americans, released in 2008, advise a minimum of minutes per week of moderate-intensity physical activity for adults.

a. 30
b. 60
c. 90
d. 150

Answers

Answer:

The correct answer is - d. 150.

Explanation:

According to the advice given by The Physical Activity Guidelines for Americans, released in 2008, To maintain substantial health benefits for public health and welfare.

The advice that for healthy adults, adults should workout for 150 minutes or hours and 30 minutes over a period of a week of moderate-intensity. For a vigorous-intensity aerobic physical activity, one should 75 minutes for a week.

Specialties including therapists, athletic trainers, and dietitians fall under the umbrella title of what?

Answers

Answer: Helpers of all sorts of people.

Specialties including therapists, athletic trainers, and dietitians fall under the umbrella title of Allied Health.

This is because Allied Health is a term that is used to describe the various health professions that are distinct from the typical medicine and nursing. They are known to deliver services that deal with diagnostic, technical, therapeutic, and support services in the health care system.

Some of these professions include the likes of therapists, athletic trainers, dietitians, Anesthesiologists, Occupational Therapists, Laboratory Technicians, Ultrasound Technicians, X-ray Technicians, Medical Assistants, etc.

Hence, in this case, the correct answer is "Allied Health."

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In which stage of the stress response do our bodies release the hormone adrenaline

Answers

Answer:

alarm reaction stage.

Explanation:

i just know

Answer:

Alarm reaction stage.

hope it helps

stay safe healthy and happy...

Internal temperature of food is the Termin by taking the temperature of the what

Answers

Answer:

Gráfico de temperaturas mínimas de cocción segura

Explanation:

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