Reference no: EM133729439
Question
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 department with complaints of lethargy, abdominal pain, nausea, and malaise. Vital signs:
• Temperature: 98.6 F
• Pulse: 110 beats/minute
• Respirations: 32 breaths/minute
• Blood pressure: 90/60 mm Hg
• Oxygen saturation: 96% on room air Laboratory results:
• Serum glucose: 400 mg/dL (on arrival at the emergency department)
• Serum sodium (Na+): 125 mEq/L
• Serum potassium (K+): 6.5 mEq/L
• Serum chloride (Cl): 120 mEq/L
• Blood urea nitrogen (BUN): 39 mg/dl
• Serum creatinine (Cr): 1.7 mg/dl
• Urinalysis - positive for ketones Arterial blood gas (ABG) results:
• pH: 7.30
• PaCO2: 33 mm Hg
• PaO2: 95 mm Hg
• HCO3: 19 mEq/L The client is admitted to the intensive care unit, and you are the nurse assigned to the client.
Questions:
1 Based on an interpretation of the ABG results, what acid-base imbalance is occurring?
2 What nursing assessment findings are expected?
3 Describe strategies for safe, effective multidimensional nursing care of the client.
Include rationale to support the strategies identified.