1–Document a focused history, physical exam, nursing diagnoses, and nursing process of the case study and compare the differences with a complete assessment.
2–APA format is not required, but solid academic writing is expected.1000-1250 words.
3–Case Study
A 22-year-old woman reports being “sick with the flu” for the past 8 days. She is vomiting several times every day, having difficulty keeping liquids or food down, and has been using more than the recommended dose of antacids in an attempt to calm the nausea. She has become severely dehydrated. After fainting at home, she was taken to a local hospital. An arterial blood gas sample was drawn and then an IV was placed to help rehydrate her. The arterial blood gas revealed the following:
Test Result Normal levels
pH 7.5 7.35 – 7.45
PaCO2 40 mm Hg 35-45 mm Hg
PaO2 95 mm Hg 80-100 mm Hg
SaO2 97% 95-100%
HCO3- 32 meq/liter 22-26 meq/liter 20.0 %
4–Documents a Case History (Includes historical data, chief complaint, history of present illness, review of systems, and pertinent medications or allergies.),
Thoroughly presents complete case history. Addresses all components: historical data, chief complaint, history of present illness, review of systems, and pertinent medications or allergies. Describes in-depth and with supporting evidence.
5– Documents a Focused Assessment,
Clearly and comprehensively describes the focused assessment. Descriptions are in-depth and supported by evidence.
6– Includes Appropriate Nursing Diagnoses
The nursing diagnosis fits the scenario presented and is a priority for patient care.
7–Compares the Similarities and Differences in a Focused Assessment Versus a Complete Assessment
Thoughtfully analyzes and evaluates major points of the assessments. Draws warranted, judicious, non-fallacious conclusions. Identifies the salient arguments (reasons and claims) pro and con providing explicit examples and details.
8–Thesis Development and Purpose
Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.
9–Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment and style.)In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error.
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