You are the nurse on duty on the intermediate care unit, and you are scheduled to take the next admission. The ED nurse calls to give you the following report:

“This is Barb in the ED, and we have a 42-year-old male, K.L., with a lower GI bleed. He is a sandblaster with a 12-year history of silicosis. He takes prednisone 40mg PO per day. During the night he developed severe diarrhea. He was unable to get out of bed fast enough and had a large maroon-colored stool (hematochezia) in the bed. His wife ‘freaked’ and call the paramedics. He is coming to you. His vital signs (VS) are stable B/P 110/64, P 110, RR 28, T 36.8, but he is a little agitated. He has not had any stools since admission, but his rectal exam was guaiac positive and he is pale and diaphoretic. We have him on 3 L O2 per NC. We have started a 18G PIV with LR at 125ml/hr. He has a 18G salem sump to continuous low suction and the drainage is guaiac positive. We have done a CBC with dif, CBC, PT/INR, and PTT, T&C (type & crossmatch) for 4 units of PRBCs, and a UA. He is all ready for you.”

1. What are you on alert for today with this patient? (Predicting)
2. Explain why this is important.

K.L. arrives to your unit. As you help him transfer from the ED stretcher to the bed, K.L. becomes very dyspneic and expels 800ml of maroon stool.

1. What are the first three actions you should take? Why?

K.L. reports that he is getting nauseated but not thirsty. VS are 106/68, 116, 32.

1. What complication(s) are you worried about?
2. What additional interventions should you implement? List three with rationales.

Arterial Blood gas (ABG) results are ph: 7.45, PACO2: 33, PAo2: 65, HCO3: 23.

1. Interpret the ABG. What does it tell you?

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

please provide APA REFERENCES

Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples.

PLEASE PROVIDE APA REFERENCES

How does the corporate mission statement affect personal selling and sales management activities?

Use a patient care situation to describe differences in approach to nursing care.