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

What muscle is located directly beneath the gastrocnemius and has similar functions to the gastrocnemius

Answers

Answer:

the soleus

Explanation:

Lying directly beneath the gastrocnemius is the soleus, which has similar functions to the gastrocnemius. hope that helps>3

The soleus. Lying directly beneath the gastrocnemius is the soleus, which has similar functions to the gastrocnemius.

sickle cell anemia is caused by an inherited mutation and can be classified as which type of disease ​

Answers

Answer:

Sickle cell anemia is one of a group of disorders known as sickle cell disease. Sickle cell anemia is an inherited red blood cell disorder in which there aren't enough healthy red blood cells to carry oxygen throughout your body.

Sickle cell anemia is an autosomal recessive disease, meaning that it only occurs if both the maternal and paternal copies of the HBB gene are defective.

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.

What Is outpatlent drug-free treatment?
O A. a treatment method that consists of group and Individual counseling sessions for people recovering from drug abuse, without
medication
O B. a treatment method where people recovering from drug abuse live together and learn to adjust to thelr new drug-free llves
• C.
a treatment method that Involves replacing the abused drug with a substitute that has fewer harmful effects

Answers

Answer:

 A. a treatment method that consists of group and Individual counseling sessions for people recovering from drug abuse, without

medication

Explanation:

How often does an ISSA personal trainer have to renew their certification

Answers

Answer: every two years or so.

every two
Each ISSA certified professional is required to accumulate continuing education credits every two (2) years in order to obtain recertification and maintain their designation.

what is a sign that a person may need help for a mental disorder?
A. Spending more time listening to music
B. Becoming dark or moody
C. becoming interested in different activities at school
D. Experiencing sudden changes in interests or hobbies​

Answers

Answer:

B. Becoming dark or moody.

Explanation:

Hope this helps

Answer:

B

Explanation:

What is the role of human psychology in population change?

Answers

Answer:

Psychologists are traditionally concerned with the study of behavior. We believe that many aspects of population, from fertility regulation to migration, may be viewed as examples of human behavior occuring within particular socioeconomic and environmental contexts and thus appropriate for psychological research.

The role of human psychology in population change is to commit to social reality, presenting some criteria to judge the social commitment of practices and knowledge of Psychology.

What is psychology and society?

The psychologist can no longer have a narrow view of his intervention, thinking it as a work aimed at an individual, as if he lived in isolation, had nothing to do with social reality, building it and being built by it. It is necessary to see any intervention, even at the individual level, as a social intervention and, in this sense, positioned. Let's put an end to the idea that the psychological world has nothing to do with the social world. That psychic suffering has nothing to do with objective conditions of life.

With this information, we can conclude that the role of human psychology in population change is to commit to social reality, presenting some criteria to judge the social commitment of practices and knowledge of Psychology.

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Which is a potential effect of domestic violence on a family?

Domestic violence increases healthcare costs.
Domestic violence can cause strain on emergency services.
Communities with high rates of domestic violence pay higher taxes.
Some abusers prevent victims from seeing their families in an effort to isolate them.

Answers

Answer:

Some abusers prevent victims from seeing their families in an effort to isolate them.

Explanation:

Posted before (https://brainly.com/question/11524310)

Some abusers prevent victims from seeing their families in an effort to isolate them. Therefore option "D" is correct.

What is domestic violence?

Domestic violence is committed by a member of the victim's domestic circle. This incorporates current and previous accomplices, individuals from one's close family, as well as different family members and companions. Domestic violence is a crime committed when the perpetrator and the victim have a close relationship.

Everyone experiences wretchedness, nervousness, PTSD, substance abuse, and aggressive behavior at home. Youngsters' emotional wellness is fundamentally impacted by openness to aggressive behavior at home.

For the sake of the children and the couple's well-being, it is best to avoid domestic violence.

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A food worker has been working the cash register and will now switch to preparing sandwiches. What is she required to do before making sandwiches?
a. Fix her hair
b. Wash her hands
c. Put on a new apron
d. Count the money in the cash register

Answers

Answer: B. Wash her hands

Explanation: It is a required action for workers to wash their hands before handling any food. This will prevent any germs and sicknesses from reaching the consumer. Many states also have rules regarding washing hands, with many laws creating a necessity for restaurant workers to wash their hands before entering the kitchen.

Paulette and Devon are getting ready to go to practice at the community lake. Their coach has them work a lot on developing muscular endurance and strength especially in their back, forearm and wrist muscles. From the choices below, select the racing sport Paulette and Devon are training for in their local community:

Cross-country
Motocross
Rowing
Speed skating

Answers

Answer: D Motocross

Explanation:

Motocross

I would say Rowing because you use those muscles during that sport.

The frontal lobe helps the body cope with stress and promotes muscle development ?

Answers

Answer:

No, the frontal lobe is not responsible for these functions, but the low order Cognitive properties of the hypothalamus that is involved in maintaining homeostatic conditions through regulating blood pressure, and ensures proper digestion and other functions including maintaining tone and muscular development in some ways.

The frontal lobe helps the body cope with stress and promotes muscle development. ... The frontal lobe releases norepinephrine that speeds up bodily processes such as heart rate and breathing rate.

Amanda's parents frequently argue. A month ago, Amanda's dad left the hcluse in anger. He did return a
week later. Now, Amanda gets nervous every time her dad leaves for work.
What is the condition described here?
O post-traumatic stress disorder
denial
O depression
O anxiety

Answers

i'd say ptsd or anxiety- i feel like the answer would be ptsd

Answer:

anxiety

Explanation:

cuantas estrofas tiene el poema el vuelo de las garzas plz ayuda ​

Answers

Explanation:

El poema contiene siete estrofas, cada una de las cuales tiene cuatro líneas. Cada línea es bastante similar en longitud al resto.

QUESTION 17
Access to psychological testing is limited by

Answers

Answer:

the age of the individual seeking the service

In Georgia, your Provisional License (Class D) can be suspended if you ______.
a. Hit and run or leaving the scene of a crash.
b. mis-represent your age for the purpose of obtaining an alcoholic beverage.
c. mis-represent your identity for the purpose of obtaining an alcoholic beverage.
d. use a fake I.D. for the purpose of obtaining an alcoholic beverage.

Answers

Hi !

Answer:

b.   mis-represent your age for the purpose of obtaining an alcoholic beverage.

c.  mis represent your identity for the purpose of obtaining an alcoholic beverage.

d. use a fake I.D. for the purpose of obtaining an alcoholic beverage.

What should not be included in a first aid kit?

Answers

Answer:

First aid kits may not contain prescription or over-the-counter medications such as aspirin, ibuprofen, decongestants, sinus relief, etc. These are not first aid items.

Explanation:

Hope this helps.

ANSWER;
POOP!!

explanation:
well it’s very obvious that poop would not be in a first aid kid rather it’d be in the toilet!! also many thing would not be included, but poop wouldn’t even come to mind when you ask “what WOULD be included in a first aid kit” thank you
I HOPE THIS HELPSSS

Select the correct answer.
How does a proper warm up affect blood flow?
A.
Blood flow increases.
B.
Blood flow decreases.
C.
Blood flow increases and then decreases.
D.
Blood flow decreases and then increases.

Answers

I think it’s b because it helps the blood cells enable more oxygen and takes it to the muscles

Hope that help

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".

The blastocyst is compromise of three layers which of the layers will develop into a digestive and respiratory system

Answers

Answer:

the endoderm will develop into a digestive system

Case Study
Manuel is a nontraditional
student who just finished his bachelor's degree in business. He likes
his job, and is happily married with three healthy kids. He sometimes gets irritable and lashes
out at his wife, later regretting it. When he meets with friends and family, he gets anxious,
feeling they have much more than he does. Manual is showing signs of:
A -suicidal tendencies.
B-too much caffeine intake.
с-stress.
D-homicidal tendencies.

Answers

Answer:

C

Explanation:

Just what I came up with

Manuel is suffering from c-stress.

You are assisting with the care of a newborn infant. Your 12-hour shift is almost over, and the infant has not had a bowel movement. What is the correct course of action?

Answers

Answer:

put vitamin drops in the formula

The correct course of action is to inform the next health care provider that will be taking over from you that the baby is yet to have a bowel movement.

The first bowel movements in new born infants occurs from the time of birth till the 6th day and starts within 0 to 24  hours after delivery of normal babies.

The first bowel movements in new born is called meconium. This is made up of substances that are released into the digestive tract while in the uterus of the mother.

Therefore inform the next health care provider that will take over from you concerning the bowl movements the baby is yet to have. This is the best approach for the care of the newborn because it's not up to 24 hours from delivery time.

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What role does the renal status of a patient play in their respiratory status? Explain

Answers

Answer:

Your kidneys remove wastes and extra fluid from your body. Your kidneys also remove acid that is produced by the cells of your body and maintain a healthy balance of water, salts, and minerals—such as sodium, calcium, phosphorus, and potassium—in your blood.

Explanation:

Which of these is a permanent birth control method used by women?

A female condom
B sterilization
C vasectomy

Answers

Answer:

B. sterilization

Explanation:

vasectomy is for males

Answer: B

Explanation: because the pills dont really work u could take a pill and end up pregnant so it would be B cus sterlization kills all forms of life inside of you

Loss of consciousness; dangerously slow breathing may occur at a BAC of...

> 0.7
0.25
0.10
0.02

Answers

Answer:

Explanation:

.25

2. what are the aspects of quality of life?

Answers

Answer:

Eight important aspects of life were identified: physical; personal autonomy; emotional; social; spiritual; cognitive; healthcare; and preparatory.

physical, personal autonomy, social, emotional, mental

what do you mean by health

Answers

Answer:

The state of being free from illness or injury is called health.

physical, mental, & emotional well being of a person or animal

In normal DNA,
what controls the growth rate of cells?

a) Tumor suppressor genes
b) Neoplasms
C) Oncogenes
d) Repair genes

Answers

Answer:

Repair genes

Explanation:

Cell growth, polyferation and differentiation are controlled largely by selective transcriptional modulation of Gene expression in response to extracellular stimula.

The answer is going to be D

which of the life span theories do you think best explains your own development and why?​

Answers

Answer: PSYCHOSOCIAL THEORY OF DEVELOPMENT. explains your own development because people  believed that personality is shaped only in childhood, Erikson proposed that personality development takes place all through the lifespan. Hope its helps you.have a great day.keep smiling be happy stay safe.

Select the correct answer.
All of the following will help you control you portion size when eating out EXCEPT?
O A. Sharing a main dish with a friend.
OB.
Eating everything on your plate every time you eat out.
OC. Ordering an appetizer instead of an entrée..
D. When your food is delivered, pack up half of it immediately.

Answers

Eating everything on your plate each time you go out to dine is the right response (B). When you eat everything on your plate in a restaurant, you run the risk of overeating because portion sizes there are frequently far bigger than what is ideal.

When dining out, sharing a main dish with a companion, selecting an appetiser instead of an entrée, or taking half of the meal home right away are all terrific strategies to manage portion size. Maintaining a balanced diet while dining out requires being aware of portion sizes.

To avoid overeating, think about other options like sharing a dish or ordering lesser servings rather than completing everything on your plate.When eating out, controlling your portion sizes can help you choose healthier foods and keep up a balanced diet.

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produce antibodies as part of an adaptive immunity.

a) B-cells
b) AB-cells
c) A-cells
d) Z-cells

Answers

Answer:

it's B cells

b cells changes to plasma cells then the plasma cells produce antibodies

B-cells, and are also referred to as B lymphocytes are part of adaptive immunity
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WRITE THE FUNCTION FOR THE GIVEN TABLE PLS HW HELP ASAP PLZZZZZ write a research based essay in which you discuss the causes and effects of gender-based violence (GBV) (300) words .Part B how can GBV be addressed.Choose a specific context when answering part B (300 words) What is the 10th term of the geometric sequence a(n)=-3(2)^(x-1_()) A client has two refrigerators, one in the kitchen and one in the basement.The former is new and efficient. The latter is 30 years old and uses 120Kwh/month. If this client pays 0.15/kwh HELP PLEASE I REALLY NEED IT Tim Hortons is hiring and offers $200 every week plus $5 per hour. McDonalds offers $300 every week plus $2 per hour. State the conditions under which Tim Hortons is the better employer A. AB. CC. DD. BHELLLP GUYS!!! A sample from of water is heated with 5000 J of energy and its temperature goes up by 6 K. What is the mass of the sample? After ATP donates a phosphate group to a coupled reaction, then it becomes ADP. The ADP Group of answer choices can be recharged in an equilibrium reaction to form ATP. can be recharged in an oxidation reaction to form ATP. can be recharged with the release of energy to form ATP. is a waste product that will be broken down. can be recharged with the uptake of energy to form ATP. An iron block of mass 18 kg is heated from 285 K to 318 K. If 267.3 kJ is required, what is the specific heat of iron?A. 490.05B. 158.77C. 145.80D. 450.00 The entry for a science exhibition is $5 for students and four dollars more than the students for adults. On a particular day, 600 people visited the exhibition and $3500 was collected. How many students and adults visited on that day? What was the state of the economy in post-war United States? renrese ABC is a triangle. Work out angle x How many triangles are there in the picture? Clue, there are more than 30. What might be the problems of man in the primitive age? Discuss and list the 2. problems. What is the weight on Earth of an apple with mass 150g? 4a+b+16a^2-b^2 how to factorize this can u plz solve it Which of the following vocabulary words refer to family relationships? Select all that apply.yourselvescriseschildrenbrethrenbrotherssheaves Which of the following does NOT cause weathering?A. PlantsB. WaterC. HeliumD. Temperature change