A nurse is taking care of an 85-year-old woman in a hospital-based skilled nursing facility. In the report, the nurse is told the patient has not been breathing well for the past 2 days. She has been lethargic, her skin is warm and dry, and she has a decr
Paper details:
A nurse is taking care of an 85-year-old woman in a hospital-based skilled nursing facility. In the report, the nurse is told the patient has not been breathing well for the past 2 days. She has been lethargic, her skin is warm and dry, and she has a decreased urine output. The following laboratory findings were returned from the laboratory immediately after morning report:
Na: 147
Cl 110
K 4.0
Blood Gases:
pH 7.33
PCO2 48
HCO3 27
Po2 96
Urine:
Urine Specific Gravity 1.040
Address the following:
Identify each of the abnormal laboratory findings in the above results. Specify how they differ from a normal range and identify what condition each abnormality indicates.
What specific electrolyte disturbance does the patient have?
What clinical manifestations would the nurse expect to see with this electrolyte abnormality presented above?
If the patient had an increase in her potassium level, what clinical manifestations would the nurse monitor for?
What blood gas abnormality is seen in this patient? Discuss the rationale for your answer.
What are the three major mechanisms of pH regulation?
APA style is required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines
RUBRIC
Identification of the abnormal laboratory findings is accurate, supplemented by a detailed and thorough identification of the conditions each abnormality indicates.
Identification of the electrolyte disturbance is correct.
Identification of electrolyte abnormality clinical manifestations is accurate, supported by thorough and detailed insight.
Identification of increased potassium level clinical manifestations is accurate, supported by detailed and thorough insight.
Assessment of blood gas abnormality is accurate, supported by a detailed and thorough discussion of the patient’s condition.
The three major mechanisms of pH regulation are accurately identified, and the properties of each mechanism are briefly described.
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
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