GCU NUR645E Week 5 Assignment Focused Assessment Latest 2019 April

NUR645E Advanced Health Assessments for Nurse Educators

Week 5 Assignment

Focused Assessment

Document a focused history, physical exam, nursing diagnoses, and nursing process of a case study from NUR-641E: Advanced Pathophysiology and Pharmacology for Nurse Educators and compare the differences with a complete assessment.

APA style is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

Case Study

A 22-year-old woman reports being “sick with the flu” for the past 8 days. She is vomiting several times every day, having difficulty keeping liquids or food down, and has been using more than the recommended dose of antacids in an attempt to calm the nausea. She has become severely dehydrated. After fainting at home, she was taken to a local hospital. An arterial blood gas sample was drawn and then an IV was placed to help rehydrate her. The arterial blood gas revealed the following:

Test Result Normal levels

pH 7.5 7.35 – 7.45

PaCO₂ 40 mm Hg 35-45 mm Hg

PaO₂ 95 mm Hg 80-100 mm Hg

SaO₂ 97% 95-100%

HCO₃- 32 meq/liter 22-26 meq/liter

How would you classify the patient’s acid-base disturbance and explain why?

Given the case study, what are the possible factors causing this acid-base disturbance? Explain the pathophysiology created by these factors.

How would the renal and respiratory systems try to compensate for this acid-base disturbance?

What pharmacologic intervention is commonly used to correct this acid-base disturbance? Describe the pharmacological actions.

Describe the educational needs for this patient and what your approach will be.