BSN 366 Acid-Base Imbalances Exam Questions And Answers.

BSN 366 Acid-Base Imbalances Exam Questions And Answers. Mr. Abdul, a 76-year-old male, has been admitted to the hospital with complaints of having shortness of breath, headaches and blurred vision, fatigue, and increased anxiety for the past week. He has begun experiencing tremors in his hand. The tremors were so severe he was unable to fix his dinner or take his medication. He reports that he has had increasing trouble keeping his balance when walking and had to borrow a friend's cane for balance. He has a history of type I diabetes mellitus (DM), treated with a daily dose of insulin with breakfast. He has smoked one pack of cigarettes per day for 56 years. He was diagnosed with chronic obstructive pulmonary disease (COPD) three years ago. He has no known drug allergies (NKDA). - Correct Answer Temperature 36.5 °C (97.7 °F) Pulse 118 regular Respirations 32 and labored BP 160/100 mm Hg Pulse oximetry 90% on room air ABG on room air: pH 7.2, PaCO2 60 mm Hg, PaO2 73 mm Hg, HCO3− 25 mEq/L Urine ketones: +2 Other assessment findings to note include: Reflexes are +1 bilaterally. Gait is slow and unsteady, frequently reaches out to wall or furniture to steady self. Denies pain but is very restless. Anxious demeanor. Slow to respond to questions. Unsure about answers to some current events' questions. Skin is warm, dry, and slightly pale. Reported sleep quality is good and he says he sleeps about 10 hours at night and takes two naps during the daytime. Impaired Gas Exchange Acute Confusion Self-Care Deficit The nurse is completing a patient's shift assessment and notes that the patient is lethargic, but restless and agitated. Which nursing diagnosis should the nurse include to the plan of care based on this data? Acute Confusion