Competency

Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.

Scenario

Tony is a 56-year-old, Hispanic male that presented to the Emergency Room with complaints of frequent, which he has been experiencing for the past four days. He states “I haven’t felt good for about a week, but couldn’t afford to miss work.” He complains of a diarrhea, lightheadedness, and feeling exhausted. Past medical history includes asthma and chronic obstructive pulmonary disease. Upon physical examination, you notice that Tony is pale, drowsy, and his respiratory rate is 28 breaths per minute and deep, heart rate 125 beats per minute, blood pressure 80/40 mm Hg, and his pulse oximetry is 90% on room air. You notify the MD. He orders oxygen at 2 L via NC, a guiac stool, and an arterial blood gas.

Tony’s ABG results:

pH 7.28

PaCO2 – 32 mm Hg

PaO2 – 70 mm Hg

HCO3 – 18 mEq/L

Instructions

In a–2-page Word document:

1. Determine Tony’s acid-base imbalance

2. Describe possible causes of the imbalance

3. Identify the signs and symptoms that Tony is exhibiting as a result of the acid-base imbalance

4. List the multidimensional care strategies that are appropriate for the care of Tony

Must use a minimum of four scholarly resources (only .org, .edu, or .gov. Cite with links included for referencing)

INCLUDE FOUR REFRENCES

WRITE FROM NURSING PERSPECTIVE

APA FORMAT and TEXT CITATION

NO CONSIDERATION FOR PLAGIARISMDO MY PAPER AND GUARANTEE 5 STARS QUALITY Quality Affordable Non-plagiarized Essays score 100% 

Purpose: Effective hand hygiene to reduce the incidence of healthcare-associated infectionsPolicy: All members of the healthcare team will comply with current CDC hand hygiene guidelines. Procedure Indications for HandwashingIndications for Handwashing

1. Wash hands when hands are visibly dirty.

2. Wash hands using antimicrobial soap and water before eating and after using a restroom.

3. Handwashing may also be used for routinely decontaminating hands in the following clinical situations:

   • Before having direct contact with patients

   • After contact with inanimate objects (including medical equipment) in the immediate vicinity of the patient

   • After removing gloves

• you will respond to the following prompts

• How well does this policy align with the current hand hygiene standards based on the CDC recommendations for hand hygiene in healthcare settings? Describe the areas of alignment and opportunities for improvement.

• Based on your analysis, what modifications would you recommend to the policy?

• According to the CDC guidelines and resources for hand hygiene and the state policy options associated with Eliminating Healthcare Associated Infections, provide a brief discussion of what you must consider with regard to training your staff and documenting the impact by measuring hand hygiene practices.

• Now, review the Guidelines for Policy and Procedure Development, and write the policy based on your recommendations and what you found in the CDC guidelines. Submit the revised policy

• Any changes remitted from the CDC policy should be defended

Be sure to cite properly and provide two scholarly resources to support  EFFICIENTLY ORDER A 5 STAR COLLEGE TERM PAPER NOW  DO MY PAPER AND GUARANTEE 5 STARS QUALITY

 A patient’s Foley catheter was removed 24 hours before. On assessment, the nurse found that the urine output is less than the expected volume. Which of the following is the priority nursing action?
a. Administer Inj. Lasix 10 mg IV
b. Ambulate the patient
c. Check bladder for distension
d. Notify the doctor Best Essay – 1st guarantee to save time and money Best assignment writer to guarantee 5 star essays