Tutor profile: Georgina S.
What are three nursing interventions that can be performed by a nurse without orders for a patient with suspected metabolic acidosis?
Three nursing interventions that can be performed by a nurse without orders for a patient with metabolic acidosis include providing supplemental oxygen, raising the head of the bed, and encouraging deep breathing exercises. Supplemental oxygen often requires an order, but the nurse is permitted to provide it when the patient is clearly struggling to breath. Providing supplemental oxygen can correct hypoxemia as a result of respiratory acidosis. Raising the head of the bed to at least 30 degrees can aid patients who are struggling to breath. It is a simple and easy intervention that nurses can perform when patients are experiencing respiratory distress. This position is know as Semi-Fowler’s for 30-45 degrees. An order is not required for positioning changes. Deep breathing exercises can be helpful for patients experiencing respiratory distress. The nurse can teach the patient to take deep, slow breathes through their nose and exhale slowly through their mouth. Deep breathing can improve ventilation and also provide the patient anxiety relief that may result from respiratory distress. While a respiratory therapist can provide this education, a nurse can teach deep breathing exercises without an order.
Subject: Film and Theater
Arthur Miller’s “The Crucible” is famously an allegory for what event in American history?
“The Crucible” is an allegory for McCarthyism. Miller compared the Salem witch trials of the 1690’s to the communism investigations by the American government of the 1940’s-50’s. Miller himself was questioned by the Committee of Un-American Activities after the play debuted on Broadway in 1953.
How does aldosterone impact sodium (Na+) and potassium (K+)? How does this impact blood pressure and blood volume?
Aldosterone acts primarily on the renal ducts of the kidneys to retain sodium and excrete potassium through urine. Because sodium is retained, water is retained. This leads to increased blood pressure and blood volume in the body.