pH 7.52         CO2 28           HCO3 24     Respiratory Alkalosis metabolic  acidosis    

Question  pH 7.52         CO2 28           HCO3 24     Respiratory Alkalosis metabolic  acidosis               pH 7. 30         C02  40          HCO3 12          pH 7.60          C02 45           HCO3 30     metabolic alkalosis         PH 7.30          CO2 52           HCO3 22      Respiratory acidosis           For the conditions you listed in question 1, what is a condition that could cause that condition? (for example, if you identified respiratory acidosis as a condition above, what things could cause a patient to develop respiratory acidosis).Disease or contributing condition to 1a                                Disease or contributing condition to 1 b                               Disease or contributing condition to 1c                                 Disease or contributing condition to 1 d                              Some diseases are transmitted via a vector.  Describe a vector borne transmission. You have a patient who has tested positive for West Nile virus.  What are signs and symptoms of West Nile?   List and explain the steps in the chain of infection Describe the pathophysiologic process of pulmonary fibrosis and the effects of those changes to the lung tissue have on the body BE DETAILED?  What is the difference between a thrombus and an emboli?  What risk factors and conditions put someone at a higher risk for developing a pulmonary embolism and why do those things put them at higher risk (BE DETAILED)? cc You are caring for a patient who has just returned from a lengthy surgical procedure. What will you monitor and what focused assessments will you complete to identify if your patient is experiencing a PE. INCLUDE YOUR RATIONALE  You determine that your patient above may be experiencing a PE.  What signs and symptoms do you expect to see INCLUDE YOUR RATIONALE  What labs and diagnostic tests would you anticipate being ordered for this patient and why?  What NURSING INTERVENTIONS (list at least 3)  will you anticipate being implemented (remember that these are ones a nurse can perform independently) PROVIDE DETAILED RATIONALE AS TO WHY YOU THINK THESE WOULD BE IMPLEMENTED  What medical interventions do you anticipate being implemented for this patient and why?  You are involved in a thrombus and emboli prevention committee on your unit.  What are some key factors to include in strategies to prevent DVT/emboli in your future patients.  PROVIDE RATIONALE AS TO WHY THESE WOULD WORK  You come upon an accident and the driver is having difficulty breathing, you notice her trachea is positioned off to one side and her ribs are not expanding equally bilaterally.  What condition do you think this person is experiencing?   Describe the pathophysiology of the condition in question 14.  BE DETAILED. What NURSING INTERVENTIONS would you expect to be implemented?  PROVIDE RATIONALE  What medical interventions would you expect to be implemented?  PROVIDE RATIONALE  A chest tube canister consists of three chambers.  List the functions of the three chambers   You have a patient admitted to your unit after surgery.  During the shift, your patient’s oxygen saturations decrease from 94 to 89.  The patient becomes increasing sleepy and you note their respirations to be 8.  What is this patient experiencing?  Provide your rationale for your deduction  What could be some factors that contributed to the patient condition in #18?  PROVIDE RATIONALE  You have a patient come into the clinical and he says he’s worried he has lung cancer.  In reviewing his H&P (history and physical), what signs or symptoms would you take note of that could point to a lung cancer diagnosis?  What testing would you anticipate being performed to check for lung cancer?  After a positive diagnosis of lung cancer, what are some surgical interventions that may be performed?  DESCRIBE EACH, NOT JUST LIST  Upon return to the unit after lung tumor removal, what focused assessments will you compete PROVIDE RATIONALE  What are at least 2 priority nursing concerns for the patient with lung cancer? PROVIDE RATIONALE  What are 3 NURSING INTERVENTIONS will you anticipate implementing post operatively for this patient?  You have a patient present to the ETC stating he had diarrhea for the past 4 days.  He is complaining of a headache and no appetite. Your focused assessment reveals deep, rapid respirations.  The provider orders a set of ABGs.  Based on your focused assessment and patient history, what condition do you believe the ABGs will reflect?   Respiratory acidosisRespiratory alkalosisMetabolic acidosis Metabolic alkalosis You have a patient present to the ETC stating she has been vomiting for the past three days. She complains of having muscle spasms in her legs and a feeling overall weakness.  Your focused assessment reveals an irregular heart rate.  The provider orders a set of ABGs.  What do you anticipate for findings?  Respiratory acidosisRespiratory alkalosisMetabolic acidosis Metabolic alkalosis  Explain why the patient in #29 would have developed heart arrhythmias. 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