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

Which of the above muscles actually cover all of the other muscles listed?

Answers

sternocleidomastiod muscle is the answer I hope.

Good luck

Regards
BLACKSHARK

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 would say James-Lange's emotional theory would explain this. The James-Lange theory suggests that emotions are the result of physical changes in the body. According to James and Lange, our body's responses to an emotional event—such as a racing heart rate or sweating, for example—are what make up our emotional experience. We experience all of these in a theater, while other people are surrounding us, feeling the same thing. The collective sigh or gasp when something interesting happens is all part of the "film experience" people are only usually able to find in a cinema with other people rather than at home.

Warning: Put this in your own words.

The James-Lange theory of emotions explains why many people enjoy watching movies, sporting events, and music more than they like watching them at home alone.

The James–Lange theory is of the first theories developed to explain emotions in modern psychology.

This theory (James-Lange theory) was proposed in 1880 by the psychologists William James and Carl Lange, who published independent studies to explain the nature of emotions.

According to the James-Lange theory, the primary cause of emotions is a physical cause, which then causes to feel an emotion (e.g., smiling makes a person feel happy).

In conclusion, the James-Lange theory of emotions explains why many people enjoy watching movies, sporting events, and music more than they like watching them at home alone.

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what do you mean by medical personnel ? give some examples and explain about it​

Answers

yes medical clinic would be a great answer

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.

A Moving to the next question prevents changes to this answer.
Question 3
Proxemics involves facial expressions.
True
False
Moving to the next question prevents changes to this answer.
True

Answers

Answer:

False

Explanation:

Proxemics is a non-verbal form of communication that is visual in nature. It relates to the use of space as a tool of communication.

Examples of proxemic communication include:

1. defining and protecting one's territory

2. managing proximity between self and others or another person especially during conversations

To move a way physically from someone during a conversation can mean that there are unresolved issues that need to be settled.

Cheers

Children go from being able to speak about 500 to 600 words at age 2 to saying over _________ words at the end of the period.

Answers

700 I think, maybe I’m not sure just guessing

Carlos has been trying to manage his type 2 diabetes more effectively through diet, but he's still
unhappy with his daily sugar levels. He's not sure what he's doing wrong, since he has eliminated most
sugary foods from his diet. He has a significant budget available to help him reach this goal but is
unsure how to spend the money. What might be the most appropriate purchase for Carlos?

Answers

Answer:

D

Explanation:

As a suppprt worker, a client asked to drink a bottle of wine at 10pm when my shift ends what is the correct response?​

Answers

Answer:

personally i'd turn down the offer.

Say that you dont think you can make it and 10 is pretty late.

if you wanna take the offer.

Say something like, That sounds amazing ill meet you there.

10. The category of elderly people who are able and willing to change their lifestyles by reducing their activities by choice are called as __ a) Mauntainers b) Influencers c) Transformers d) Gate-keepers​

Answers

Answer:

c) Transformers

Explanation:

The category of elderly people who are able and willing to change their lifestyles by reducing their activities by choice are called as Transformers.

This is because they are willing to make the hard choice and positively transform their lives for the better.

Which is a symptom of bulimia nervosa?
O binge eating, then undereating
O binge eating, then purging
O undereating, then purging
O overeating, then undereating

Answers

binge eating, then purging

physicak health is one component of the health triangle. what are the other two components?
A. Community health
B. Mental and emtional health
C. Social health
D. Public health​

Answers

Answer:

The correct answer are a+b

Explanation:

Social health refers to managing and expressing your emotions, building and maintaining good relationships, communicating effectively with people around you .  Physical health refers to the state of your physical body and how well the body is operating and is inter-linked to the other components of health. Exercising regularly and having a balanced diet will help in maintaining the physical health.

I hope this helps you out! Have a nice day!

Answer:

The correct answers are A and B

Explanation:

Social health refers to managing and expressing your emotions, building and maintaining good relationships, communicating effectively with people around you. Exercising regularly and having a balanced diet will help in maintaining the physical health. Physical health refers to the state of your physical body and how well the body is operating and is inter-linked to the other components of health.  

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.

List five types of loss that can cause grief.

Answers

Life Changes. Death of a spouse, family member, or friend. Pregnancy or loss of a pregnancy. ...
Health Changes. Personal injury or illness. ...
Job/School-related Change. Gain or loss of a promotion or career opportunity. ...
Other Changes. Loss of income or financial readjustment.

Sending the right message. What does this image most likely illustrate.

Answers

Explanation:

Sending the right message is the image which illustrates Hand refusing other hand holding a pack of cigarettes ..

hope it is helpful to you

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.

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.

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 is the CDC, and what does it have to do with healthy weight levels? (3 points)

Answers

Answer:

The CDC is Center for Disease Control: they monitor health statistics and give suggestions for national awareness

Hope This Helps!!!

Collective Dairy Coalition: they create menus to help consumers balance dairy intake with other food groups

Coalition Directing Consumption: they collect grocery sale information and provide purchase recommendations

Center for Disease Control: they monitor health statistics and give suggestions for national awareness

Charter for Decreasing Calories: they create new laws and regulations concerning the calories in food
Center for Disease Control: they monitor health statistics and give suggestions for national awareness

Which of the following is one of the five general care steps for a suspected spinal injury in the water?

1. Use of spying on mobile restriction technique

2. Communicate with the guest throughout the process

3. Do a secondary check on the guest to determine if there are any other injuries

4. Secure guest using just the straps of the backboard and move into the shallow end of the attraction

Answers

Answer:

Secure guest using just the straps of the backboard and move into the shallow end of the attraction

Explanation:

One of the five general care steps for a suspected spinal injury in the water is "Secure guest using just the straps of the backboard and move into the shallow end of the attraction."

The other general care steps for a suspected spinal injury in the water are:

1. Activate the EAP

2. Safely enter the water

3. Perform a rescue providing manual in-line stabilization

4. Check for responsiveness and breathing

What are the first steps that you would take in planning an HCV intervention ?

Answers

Answer:

The first step in the HCV cascade of care is screening and diagnosis. Historically, hepatitis C screening was recommended for those with specific risk behaviors, risk exposures, or specific medical conditions.

what three cognitive skills that develop during puberty?

Answers

this one right here is speaking facts bro that’s right shawty
Cognitive Development in the Teen Years
Combine (add)
Separate (subtract or divide)
Order (alphabetize and sort)
Transform objects and actions (change things, such as 5 pennies = 1 nickel)

A swimmer would like to improve his time in the 100 yard freestyle race. After talking to his coach, he intends to focus on one critical element at the beginning of the race. This swimmer will try to improve his 100 yard freestyle time by improving his:

Answers

Answer:

stamina

Explanation:

a proper focus and hardwork for the achievement

A 23-year-old male reports that during a game of hoops (basketball), he tripped while driving the ball to the basket, and fell on his outstretched right hand with the palm down. Two days later, he phoned his anatomist father and related that his right wrist was painful. Later that day, he visited his father, who noted that the wrist was slightly swollen and tender but without deformity. He instructed his son to extend the right thumb, thereby accentuating the anatomical "snuffbox," which is extremely tender to deep palpation. His father advised him to get his hand and wrist x-rayed.
1. What is the most likely diagnosis?
2. What is the most likely anatomic defect?

Answers

Answer:

The correct answer is -

1. It sounds like he suffered a fractured wrist.

2. Fracture of the scaphoid carpal bone.

Explanation:

In the given case, it is instructed that the payer has impacted the right-hand wrist while diving the ball to the basket. His anatomist father inspected his injury and found swollen wrist without deformity and extended thumb which makes anatomical snuffbox, a triangular depression on the dorsum of the hand. All this suggested that he most likely fractured his wrist bone. The scaphoid carpal bone is the bone that is most likely to be fractured here.

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:

What types of on-campus drinking behaviors put you at the highest risk for negative outcomes?

Answers

Answer:

It's horribly damaging and destructive. Horribly. The drinker has lapses in judgement (drunk driving, infidelity, violence, verbally combative & beligerant, inappropriate, embarrassing in public, abusive).

The type of on-campus drinking behaviors that put you at the highest risk for negative outcomes include excessive consumption and public drinking.

Alcohol belongs to the alkanol family and taking it by individuals in high

amounts results in drowsiness, slow and distorted speech, poor sense of

reasoning and judgement.

Alcohol consumption poses risks to individuals such as accidents, fighting ,

death and other negative behaviors. It is best to take it in moderate amounts

and not publicly to reduce accidents and other vices.

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which disease is called long sightedness?​

Answers

Answer:

You may be able to see distant objects clearly, but closer objects are usually out of focus. It often affects adults over 40, but can affect people of all ages – including babies and children. The medical name for long-sightedness is hyperopia or hypermetropia.

You may be able to see distant objects clearly, but closer objects are usually out of focus. It often affects adults over 40, but can affect people of all ages – including babies and children. The medical name for long-sightedness is hyperopia or hypermetropia.

Ms. Morris will turn 65 on June 10th. She has never previously qualified for Medicare. she is entitled to Medicare part a and intends to enroll in Part B. she wants to know if she is eligible to enroll in a Medicare Advantage plan that includes prescription drug coverage. What do you tell her?

Answers

Answer: There are certain terms and conditions which are required to be fulfilled to get the eligibility to Medicare part B.

Explanation:

For free premium of the Medicare Part B one should meet the following requirements:

1. The person must be 65 years or older in age.

2. The person must be citizen of U.S.

3. The person should be the permanent resident of U.S for atleast 5 years.

According to the given situation Ms. Morris is eligible for getting Medicare part B when she will turn 65 years of age. She can avail drug coverage at this age.

Which of the following is considered INCORRECT posture for a crunch?
keeping your head stationary
moving until only your shoulder blades are off the ground
placing your hands behind your head or neck
keeping your legs straight out in front of you

Answers

Answer:

keeping you legs straight out in front of you

Explanation:

because you need your legs bent up against your stomach

The following is considered an incorrect posture for a crunch: keeping the legs straight out in front, which is present in the last option because it is a position that helps the person concentrate in the abdomen area.

What are the benefits of crunching?

There are many exercises, such as some for the shoulder, some for the back and posture of the body, some for the muscles, and some for the abdominal region, and the exercises are chosen as per that. Crunching is an exercise in which the shoulder and head are raised off the ground and the leg is not straight but slightly bent so that the abdomen muscle is worked out.

Hence, the following is considered an incorrect posture for a crunch: keeping the legs straight out in front, which is present in the last option because it is a position that helps the person concentrate in the abdomen area.

Learn more about crunching and exercise here.

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#SPJ2

How do other senses go about adapting and becoming stronger when one sense is lost

Answers

Answer:

The brain adapts to the loss by giving itself a makeover.

Explanation:

If one sense is lost, the areas of the brain normally devoted to handling that sensory information do not go unused — they get rewired and put to work processing other senses.

The brain adapts to the loss by giving itself a makeover. If one sense is lost, the areas of the brain normally devoted to handling that sensory information do not go unused — they get rewired and put to work processing other senses.

which of these is a controllable risk factor for disease?

a. climate
b. poverty
c. food washing
d. age

Answers

C Food Washing........

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