{"id":25693,"date":"2023-07-31T01:27:48","date_gmt":"2023-07-31T01:27:48","guid":{"rendered":"https:\/\/www.goodacademic.com\/blog\/questions\/module-06-discussion-multidimensional-care-for-the-client-with-acid-base-imbalance\/"},"modified":"2023-07-31T01:27:48","modified_gmt":"2023-07-31T01:27:48","slug":"module-06-discussion-multidimensional-care-for-the-client-with-acid-base-imbalance","status":"publish","type":"questions","link":"https:\/\/www.goodacademic.com\/blog\/questions\/module-06-discussion-multidimensional-care-for-the-client-with-acid-base-imbalance\/","title":{"rendered":"Module 06 Discussion \u2013 Multidimensional Care for the Client with Acid-Base Imbalance"},"content":{"rendered":"<h4 style=\"font-weight: bold; font-size: 2em; line-height: inherit; cursor: auto;\">Directions<\/h4>\n<p style=\"margin-right: 0px; margin-bottom: 0.3125rem; margin-left: 0px; font-size: 0.875rem; line-height: 1.6; cursor: auto; color: inherit;\"><span style=\"line-height: inherit; cursor: auto; color: inherit;\">The client is a 23-year-old African American male with type-1 diabetes who has not been taking his insulin as prescribed or adhering to a diabetic diet. The client presented to the emergency&nbsp;<\/span>department with<span style=\"line-height: inherit; cursor: auto; color: inherit;\">&nbsp;complaints of lethargy, abdominal pain, nausea, and malaise.&nbsp;<\/span><\/p>\n<p style=\"margin-right: 0px; margin-bottom: 0.3125rem; margin-left: 0px; font-size: 0.875rem; line-height: 1.6; cursor: auto; color: inherit;\"><span style=\"line-height: inherit; cursor: auto; color: inherit;\">Vital signs:<\/span><\/p>\n<ul style=\"padding: 0px 3rem 0px 1.5rem; font-size: 0.875rem; line-height: inherit; cursor: auto; color: inherit;\">\n<li style=\"padding: 0px 0px 0px 1.5em; line-height: inherit; cursor: auto; color: inherit;\">Temperature: 98.6 F<\/li>\n<li style=\"padding: 0px 0px 0px 1.5em; line-height: inherit; cursor: auto; color: inherit;\">Pulse: 110 beats\/minute<\/li>\n<li style=\"padding: 0px 0px 0px 1.5em; line-height: inherit; cursor: auto; color: inherit;\">Respirations: 32 breaths\/minute<\/li>\n<li style=\"padding: 0px 0px 0px 1.5em; line-height: inherit; cursor: auto; color: inherit;\">Blood pressure: 90\/60 mm Hg<\/li>\n<li style=\"padding: 0px 0px 0px 1.5em; line-height: inherit; cursor: auto; color: inherit;\">Oxygen saturation: 96% on room air<\/li>\n<\/ul>\n<p style=\"margin-right: 0px; margin-bottom: 0.3125rem; margin-left: 0px; font-size: 0.875rem; line-height: 1.6; cursor: auto; color: inherit;\"><br style=\"line-height: inherit; cursor: auto; color: inherit;\"><\/p>\n<p style=\"margin-right: 0px; margin-bottom: 0.3125rem; margin-left: 0px; font-size: 0.875rem; line-height: 1.6; cursor: auto; color: inherit;\"><span style=\"line-height: inherit; cursor: auto; color: inherit;\">Laboratory results:<\/span><\/p>\n<ul style=\"padding: 0px 3rem 0px 1.5rem; font-size: 0.875rem; line-height: inherit; cursor: auto; color: inherit;\">\n<li style=\"padding: 0px 0px 0px 1.5em; line-height: inherit; cursor: auto; color: inherit;\">Serum glucose: 400 mg\/dL (on arrival at the emergency department)<\/li>\n<li style=\"padding: 0px 0px 0px 1.5em; line-height: inherit; cursor: auto; color: inherit;\">Serum sodium (Na+): 125 mEq\/L<\/li>\n<li style=\"padding: 0px 0px 0px 1.5em; line-height: inherit; cursor: auto; color: inherit;\">Serum potassium (K+): 6.5 mEq\/L<\/li>\n<li style=\"padding: 0px 0px 0px 1.5em; line-height: inherit; cursor: auto; color: inherit;\">Serum chloride (Cl): 120 mEq\/L<\/li>\n<li style=\"padding: 0px 0px 0px 1.5em; line-height: inherit; cursor: auto; color: inherit;\">Blood urea nitrogen (BUN): 39 mg\/dl<\/li>\n<li style=\"padding: 0px 0px 0px 1.5em; line-height: inherit; cursor: auto; color: inherit;\">Serum creatinine (Cr): 1.7 mg\/dl<\/li>\n<li style=\"padding: 0px 0px 0px 1.5em; line-height: inherit; cursor: auto; color: inherit;\">Urinalysis &#8211; positive for ketones<\/li>\n<\/ul>\n<p style=\"margin-right: 0px; margin-bottom: 0.3125rem; margin-left: 0px; font-size: 0.875rem; line-height: 1.6; cursor: auto; color: inherit;\"><br style=\"line-height: inherit; cursor: auto; color: inherit;\"><\/p>\n<p style=\"margin-right: 0px; margin-bottom: 0.3125rem; margin-left: 0px; font-size: 0.875rem; line-height: 1.6; cursor: auto; color: inherit;\"><span style=\"line-height: inherit; cursor: auto; color: inherit;\">Arterial blood gas (ABG) results:&nbsp;<\/span><\/p>\n<ul style=\"padding: 0px 3rem 0px 1.5rem; font-size: 0.875rem; line-height: inherit; cursor: auto; color: inherit;\">\n<li style=\"padding: 0px 0px 0px 1.5em; line-height: inherit; cursor: auto; color: inherit;\">pH: 7.30<\/li>\n<li style=\"padding: 0px 0px 0px 1.5em; line-height: inherit; cursor: auto; color: inherit;\">PaCO2: 33 mm Hg<\/li>\n<li style=\"padding: 0px 0px 0px 1.5em; line-height: inherit; cursor: auto; color: inherit;\">PaO2: 95 mm Hg<\/li>\n<li style=\"padding: 0px 0px 0px 1.5em; line-height: inherit; cursor: auto; color: inherit;\">HCO3: 19 mEq\/L<\/li>\n<\/ul>\n<p style=\"margin-right: 0px; margin-bottom: 0.3125rem; margin-left: 0px; font-size: 0.875rem; line-height: 1.6; cursor: auto; color: inherit;\"><br style=\"line-height: inherit; cursor: auto; color: inherit;\"><\/p>\n<p style=\"margin-right: 0px; margin-bottom: 0.3125rem; margin-left: 0px; font-size: 0.875rem; line-height: 1.6; cursor: auto; color: inherit;\"><span style=\"line-height: inherit; cursor: auto; color: inherit;\">The client is admitted to the intensive care unit, and you are the nurse assigned to the client. Reply to the following questions:<\/span><\/p>\n<ol style=\"padding: 0px 0px 0px 1.5em; font-size: 0.875rem; line-height: inherit; cursor: auto; color: inherit;\">\n<li style=\"padding: 0px 0px 0px 1.5em; line-height: inherit; cursor: auto; color: inherit;\"><span style=\"line-height: inherit; cursor: auto; color: inherit;\">Based on an interpretation of the ABG results, what acid-base imbalance is occurring?<\/span><\/li>\n<li style=\"padding: 0px 0px 0px 1.5em; line-height: inherit; cursor: auto; color: inherit;\"><span style=\"line-height: inherit; cursor: auto; color: inherit;\">What nursing assessment findings are expected?<\/span><\/li>\n<li style=\"padding: 0px 0px 0px 1.5em; line-height: inherit; cursor: auto; color: inherit;\"><span style=\"line-height: inherit; cursor: auto; color: inherit;\">Describe strategies for safe, effective multidimensional nursing care of the client. Include rationale to support the strategies identified.<\/span><\/li>\n<\/ol>\n<p style=\"margin-right: 0px; margin-bottom: 0.3125rem; margin-left: 0px; font-size: 0.875rem; line-height: 1.6; cursor: auto; color: inherit;\"><br style=\"line-height: inherit; cursor: auto; color: inherit;\"><\/p>\n<p><br style=\"cursor: auto; color: inherit;\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Directions The client is a 23-year-old African American male with type-1 diabetes who has not been taking his insulin as prescribed or adhering to a diabetic diet. The client presented to the emergency&nbsp;department with&nbsp;complaints of lethargy, abdominal pain, nausea, and malaise.&nbsp; Vital signs: Temperature: 98.6 F Pulse: 110 beats\/minute Respirations: 32 breaths\/minute Blood pressure: 90\/60 [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","meta":[],"disciplines":[190],"paper_types":[],"tagged":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/questions\/25693"}],"collection":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/questions"}],"about":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/types\/questions"}],"author":[{"embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/comments?post=25693"}],"version-history":[{"count":0,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/questions\/25693\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/media?parent=25693"}],"wp:term":[{"taxonomy":"disciplines","embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/disciplines?post=25693"},{"taxonomy":"paper_types","embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/paper_types?post=25693"},{"taxonomy":"tagged","embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/tagged?post=25693"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}