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arthur thomason 56-year-old mva victim, fourth day post op with a splenectomy and femur repair. he is experiencing new onset of shortness of breath and has a nasal cannula with 2l of oxygen in place. he is restless with slight confusion but is easily orientated with attempts from nurse. temperature spiked during the night to 102.4, bp now 146/94 which is slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. skin cool to touch and appears pale. his coughing, to clear his airway, appears ineffective. recent chest x-ray shows diffuse bilateral interstitial infiltrates in all lobes. recent blood gases demonstrate falling pao2 (hypoxemia) and increasing co2 (hypercapnia). mr. thomason is anxious and is obviously worsened from the shift before in overall condition.

Respuesta :

From the information mentioned, Mr. Thomason has: Impaired Gas Exchange, because recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (hypercapnia); Ineffective Airway Clearance, because to clear his airway, his coughing appears ineffective; and Anxiety or Fear, because he is anxious, experiencing shortness of breath, and worsened from the shift before in overall condition.

The assessment based on the data as follows:

  • Neuro: patient gets anxiety and confused but can be reoriented to place.
  • Vitals signs: RR 30 bpm, HR 102 bpm, BP 146/94, temperature 102.4 (temporal).
  • Resp: coughing, ineffective in clearing secretions.
  • Chest XR: showed bilateral interstitial infiltrated in all lobes.
  • Blood gases: falling PaO² and increasing CO², which means there is impared gas exchange.
  • Skin: cool and dry.

Hence, Mr. Thomason has Impaired Gas Exchange, Ineffective Airway Clearance, and Anxiety or Fear.

Learn more about Impaired Gas Exchange at: https://brainly.com/question/28233059

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Avardian

The following are the acuity levels, or acuity status, of Mr. Arthur Thomason, a 56-year-old MVA (a motor vehicle accident) victim:

  • Educational Needs: INCREASED acuity.
  • Health Change: INCREASED acuity.
  • LOC: INCREASED acuity.
  • Pain level: NORMAL acuity.
  • Psychological needs: NORMAL acuity.
  • Safety: INCREASED acuity.

Understanding the Acuity of Nursing

Nurse managers use acuity levels to determine optimal staffing levels in acute care, long-term care, and other rehabilitation and treatment settings. Patients may well not receive the level of treatment they require if this system is not in operation. This is especially critical when dealing with a limited health provider. Patients in critical condition receive higher acuity levels, whereas those in better health obtain lower levels. In practice, this implies that stable patients with predictable outcomes are given less frequent or extensive nursing care.

Learn more about acuity level here: brainly.com/question/28344033

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