John arrived at the emergency department with complaints of…

John arrived at the emergency department with complaints of chest pain. He is certain this is the “big heart attack” his father had. He is taken to the main emergency department, which is one large area with stretchers aligned side by side with only a curtain between each stretcher offering minimal to no privacy. It seems that someone appears every five minutes to check his blood pressure, draw blood or ask him more questions about his health history. The noise of the other patients, staff and monitoring equipment is so loud it is difficult for him to hear the providers’ questions. Time passes. Now John has been in the emergency room for over 12 hours and he has not rested. When he finally starts to close his eyes and relax the nurse’s aide begins placing him on a different monitoring device, with no explanation, just the statement, “You are going upstairs.” The cardiac floor where he arrives is not much quieter. John is placed in a four-person room. Both patients on the other side of the room have their televisions on and one of the IV pumps continuously alarms. John is feeling discomfort in his chest similar to what he felt in the Emergency Department. He has been unable to contact his wife because the battery on his cell phone went dead. He is anxious about what will eventually happen to him. What can the nurse do to care for John using all four contexts of Katharine Kolcaba’s theory of comfort?

The patients ABG results reveal: pH 7.39 paC02 48 HC03 28. T…

The patients ABG results reveal: pH 7.39 paC02 48 HC03 28. The nurse recognizes this patient is in _____________ (metabolic or respiratory)      ________________ (acidosis or alkalosis)      _____________ (uncompensated, partially compensated, fully compensated). Fill in the blanks.