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Homework answers / question archive / A nurse is taking care of an 85-year-old woman in a hospital-based skilled nursing facility
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:
Blood Chemistries
Arterial Blood Gases
Urinalysis
Address the following:
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Rubric:
Collapse All Rubric CriteriaCollapse All
25.05 points
Identification of Abnormalities
25.05 points
Identification of the abnormal laboratory findings is accurate, supplemented by a detailed and thorough identification of the conditions each abnormality indicates.
23.05 points
Identification of the abnormal laboratory findings and their respective conditions is accurate.
22.04 points
Identification of the abnormal laboratory findings and their respective conditions is mostly correct but is missing key specifics.
20.04 points
Identification of the abnormal laboratory findings and their respective conditions is incorrect and/or incomplete.
0 points
Identification of the abnormal laboratory findings and their respective conditions is not included.
25.05 points
Identification of Electrolyte Disturbance
25.05 points
Identification of the electrolyte disturbance is correct.
23.05 points
N/A
22.04 points
N/A
20.04 points
Identification of the electrolyte disturbance is incorrect.
0 points
Identification of the electrolyte disturbance is not included.
25.05 points
Electrolyte Abnormality Clinical Manifestations
25.05 points
Identification of electrolyte abnormality clinical manifestations is accurate, supported by thorough and detailed insight.
23.05 points
Identification of electrolyte abnormality clinical manifestations is accurate.
22.04 points
Identification of electrolyte abnormality clinical manifestations is mostly correct but is missing key symptoms.
20.04 points
Identification of electrolyte abnormality clinical manifestations is incorrect and/or incomplete.
0 points
Identification of electrolyte abnormality clinical manifestations is not included.
25.05 points
Increased Potassium Clinical Manifestations
25.05 points
Identification of increased potassium level clinical manifestations is accurate, supported by detailed and thorough insight.
23.05 points
Identification of increased potassium level clinical manifestations is accurate.
22.04 points
Identification of increased potassium level clinical manifestations is mostly correct but is missing key symptoms.
20.04 points
Identification of increased potassium level clinical manifestations is incorrect and/or incomplete.
0 points
Identification of increased potassium level clinical manifestations is not included.
25.05 points
Blood Gas Abnormality
25.05 points
Assessment of blood gas abnormality is accurate, supported by a detailed and thorough discussion of the patient’s condition.
23.05 points
Assessment of blood gas abnormality is accurate.
22.04 points
Assessment of blood gas abnormality is mostly correct but is missing key specifics.
20.04 points
Assessment of blood gas abnormality is incorrect and/or incomplete.
0 points
Assessment of blood gas abnormality is not included.
25.05 points
Mechanisms of pH Regulation
25.05 points
The three major mechanisms of pH regulation are accurately identified, and the properties of each mechanism are briefly described.
23.05 points
The three major mechanisms of pH regulation are accurately identified.
22.04 points
The three major mechanisms of pH regulation are mostly correct.
20.04 points
The three major mechanisms of pH regulation are incorrect and/or incomplete.
0 points
The three major mechanisms of pH regulation are not addressed.
8.35 points
Mechanics of Writing (includes spelling, punctuation, grammar, and language use)
8.35 points
The writer is clearly in command of standard, written, academic English.
7.68 points
Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.
7.35 points
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.
6.68 points
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.
0 points
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed.
8.35 points
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
8.35 points
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
7.68 points
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
7.35 points
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
6.68 points
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
0 points
Sources are not documented.