Read the “Resource 1: Case Study.”

Answer the questions at the end of the case study in a paper
of 750-1,000 words.

Prepare this assignment according to the APA guidelines
found in the APA Style Guide, located in the Student Success Center. An
abstract is not required.

This assignment uses a rubric. Please review the rubric
prior to beginning the assignment to become familiar with the expectations for
successful completion.

You are required to submit this assignment to Turnitin.
Please refer to the directions in the Student Success Center.

NUR-641E-CaseStudy-student.doc

Resource 1: 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

How would you classify the patient’s acid-base disturbance
and explain why?

Given the case study, what are the possible factors causing
this acid-base disturbance? Explain the pathophysiology created by these
factors.

How would the renal and respiratory systems try to
compensate for this acid-base disturbance?

What pharmacologic intervention is commonly used to correct
this acid-base disturbance? Describe the pharmacological actions.

Describe the educational needs for this patient and what
your approach will be.

80.0 %Content

20.0 % Paper correctly classifies the acid-base disturbance
and comprehensively explains why the case study fits the acid-base disturbance
selected.

No paper was turned in to grade.

Paper incorrectly classifies the acid-base disturbance
and/or does not explain why the case study fits the acid-base disturbance
selected.

Paper incorrectly classifies the acid-base disturbance but
explains why the case study fits the acid-base disturbance selected.

Paper correctly classifies the acid-base disturbance and
partially explains why the case study fits the acid-base disturbance selected.

Paper correctly classifies the acid-base disturbance and
adequately explains why the case study fits the acid-base disturbance selected.

Paper correctly classifies the acid-base disturbance and
comprehensively explains why the case study fits the acid-base disturbance
selected.

20.0 % Paper analyzes the possible factors causing the
acid-base disturbance and comprehensively explains the pathophysiology created
by the causative factors.

No paper was turned in to grade.

Paper lacks a discussion of the possible factors causing the
acid-base disturbance and/or lacks an explanation of the pathophysiology
created by the causative factors.

Paper insufficiently discusses the possible factors causing
the acid-base disturbance and/or insufficiently explains the pathophysiology
created by the causative factors.

Paper partially discusses the possible factors causing the
acid-base disturbance and/or partially explains the pathophysiology created by
the causative factors.

Paper adequately discusses the possible factors causing the
acid-base disturbance and adequately explains the pathophysiology created by
the causative factors.

Paper analyzes the possible factors causing the acid-base
disturbance and comprehensively explains the pathophysiology created by the
causative factors.

20.0 % Paper comprehensively discusses how the renal and
respiratory systems try to compensate for the acid-base disturbance.

No paper was turned in to grade.

Paper lacks a discussion of how the renal and/or respiratory
systems try to compensate for the acid-base disturbance.

Paper insufficiently discusses how the renal and respiratory
systems try to compensate for the acid-base disturbance.

Paper partially discusses how the renal and respiratory
systems try to compensate for the acid-base disturbance.

Paper adequately discusses how the renal and respiratory
systems try to compensate for the acid-base disturbance.

Paper comprehensively discusses how the renal and
respiratory systems try to compensate for the acid-base disturbance.

10.0 % Paper comprehensively discusses the pharmacologic
intervention(s) commonly used to correct the acid-base disturbance.

No paper was turned in to grade.

Paper lacks a discussion on the pharmacologic
intervention(s) commonly used to correct the acid-base disturbance.

Paper insufficiently discusses the pharmacologic
intervention(s) commonly used to correct the acid-base disturbance.

Paper partially discusses the pharmacologic intervention(s)
commonly used to correct the acid-base disturbance.

Paper adequately discusses the pharmacologic intervention(s)
commonly used to correct the acid-base disturbance.

Paper comprehensively discusses the pharmacologic
intervention(s) commonly used to correct the acid-base disturbance.

10.0 % Paper comprehensively describes the educational needs
for the patient and what the student?s approach will be.

No paper was turned in to grade.

Paper lacks a discussion of the educational needs for the
patient and what the student?s approach will be.

Paper insufficiently describes the educational needs for the
patient and what the student?s approach will be.

Paper partially describes the educational needs for the
patient and what the student?s approach will be.

Paper adequately describes the educational needs for the
patient and what the student?s approach will be.

Paper comprehensively describes the educational needs for
the patient and what the student?s approach will be.

15.0 %Format and Style

5.0 % Paragraph Development and Transitions Style

No paper was turned in to grade.

Paragraphs and transitions consistently lack unity and
coherence. No apparent connections between paragraphs. Transitions are
inappropriate to purpose and scope. Organization is disjointed.

Some paragraphs and transitions may lack logical progression
of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is
evident.

Paragraphs are generally competent, but ideas may show some
inconsistency in organization and/or in their relationships to each other.

A logical progression of ideas between paragraphs is
apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic
sentences and concluding remarks are used as appropriate to purpose,
discipline, and scope.

There is a sophisticated construction of paragraphs and
transitions. Ideas universally progress and relate to each other. The writer
has been careful to use paragraph and transition construction to guide the
reader. Paragraph structure is seamless. Individually and collectively,
paragraphs are coherent and cohesive.

5.0 % Mechanics of Writing (includes spelling, punctuation,
and grammar)

No paper was turned in to grade.

Writing errors are pervasive enough that they impede
communication of meaning.

Frequent and repetitive mechanical errors that distract the
reader.

Some mechanical errors or typos are present, but are not
overly distracting to the reader.

Paper is largely free of mechanical errors, although a few
may be present.

Writer is clearly in control of standard, written American
English.

3.0 % Language Use and Audience Awareness (includes sentence
construction, word choice, etc.)

No paper was turned in to grade.

Inappropriate word choice, sentence construction, and/or
lack of variety in language use. Writer appears to be unaware of audience. Use
of ?primer prose? indicates writer either does not apply figures of speech or
uses them inappropriately.

Some distracting and/or inconsistencies in language choice
(register), sentence structure, and/or word choice are present. Sentence
structure may be occasionally ineffective or inappropriate. The writer exhibits
some lack of control in using figures of speech appropriately.

Sentence structure is correct and occasionally varies.
Language is appropriate to the targeted audience for the most part.

The writer is clearly aware of audience; uses a variety of
sentence structures and appropriate vocabulary for the target audience; uses
figures of speech to communicate clearly.

The writer uses a variety of sentence constructions, figures
of speech, and word choice in unique and creative ways that are appropriate to
purpose, discipline, and scope.

2.0 % Excellent adherence to assignment length criteria
(within stated criteria)

No paper was turned in to grade.

This is not included for this part of the paper.

Poor adherence to assignment length criteria (within50% of
stated criteria).

Weak adherence to assignment length criteria (within 25% of
stated criteria).

Adequate adherence to assignment length criteria (within 10%
of stated criteria).

Excellent adherence to assignment length criteria (within
stated criteria).

5.0 %APA Format

5.0 % Evaluating and Documenting Sources (includes use of
appropriate style, correct citation format in-text and in References section)

No paper was turned in to grade.

Contains no title page, no References section, and no
correctly cited references within the body of the presentation.

Title page is incomplete or inaccurate. References section
includes sources, but many citation errors. References within the body of the
paper are included, but with many citation errors.

Title page has minor errors. References section includes
sources, but they are not consistently cited correctly. References included
within the body of the paper, but with some citation errors.

Title page has minor errors. References section includes
sources, but they are not consistently cited correctly. References included
within the body of the paper, but with some citation errors.

Title page is complete. References section includes
correctly cited sources. References within the body of the paper are included
and correctly cited.

100 % Total Weightage