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AAC – OE 1 – Scope of Services

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20 Elite terminologies related to NABH

AAC – OE 1 – Scope of Services

AAC – OE 1 – Scope of Services

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Access Assessment and Continuity of Care (AAC)

AAC – Standard 1 – The organisation defines and displays the healthcare services that it provides

Objective Elements 

a. The healthcare services being provided are defined and are in consonance with the needs of the community.

Interpretation: The services provided are defined by senior management and are in consonance with the requirements of the community. The needs of the community should be considered when planning new services. The needs of the community could be captured through various feedback mechanisms. However, this does not preclude the organisation from starting new services based on its judgment

AAC – OE 1 – Scope of Services

Commitment

b. Each defined healthcare service should have diagnostic and treatment services with suitably qualified personnel who provide out-patient, in-patient and emergency cover.

Interpretation: The team members have a clear understanding of their roles and responsibilities during the resuscitation to effectively function as a team.

Commitment

AAC – OE 1 – Scope of Services

c. Scope of the healthcare services of each department is defined. *

Interpretation: Each department’s scope is defined. The scope could be by inclusion or exclusion in relation to the services practised in the department. The organisation could have a brochure detailing the scope of each department. For example, nephrology department could do all activities like a biopsy, shunts, fistulas, dialysis (haemodialysis and CAPD), etc..

Commitment

d. The organisation’s defined healthcare services are prominently displayed.

Interpretation: Display should state the names of clinical and diagnostic departments of the organisation. The healthcare services so defined should be displayed prominently in an area visible to all patients and visitors. The display could be in the form of boards, citizen’s charter, etc. They should be permanent. Electronic displays could be used by the organisation. The display should be at least bi- lingual (State language/language spoken by the majority of people in that area and English). Dissemination of information can be supplemented by the use of brochures and standees.

Commitment

AAC – OE 1 – Scope of Services

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ABG Analysis

ABG Analysis

Mastering ABG analysis is essential for nursing practice and success on the NCLEX. Each question in this set emphasizes key concepts, including the identification of acid-base imbalances, physiological responses, and their implications for patient care. A strong grasp of these principles will enhance your ability to assess and respond effectively to patients' needs in various clinical situations.

The number of attempts remaining is 5

1 / 50

A patient with diabetes presents with a fruity odor on their breath. ABG results show: pH 7.25, PaCO2 40 mmHg, HCO3- 15 mEq/L. What condition is this indicative of?

2 / 50

A patient with a history of COPD is experiencing respiratory acidosis. Which intervention is most appropriate?

3 / 50

If a patient’s ABG shows a pH of 7.28, what should the nurse suspect?

4 / 50

A patient presents with confusion and lethargy. ABG analysis reveals pH 7.34, PaCO2 55 mmHg, HCO3- 26 mEq/L. Which of the following interventions is the priority?

5 / 50

A patient with chronic kidney disease shows signs of acidosis. What ABG change would be expected?

6 / 50

A patient with renal failure shows ABG results of pH 7.25, PaCO2 40 mmHg, HCO3- 16 mEq/L. This indicates:

7 / 50

A nurse notices a patient has rapid, shallow breathing. The patient’s ABG shows: pH 7.45, PaCO2 30 mmHg, HCO3- 22 mEq/L. What is the likely diagnosis?

8 / 50

A patient’s ABG shows: pH 7.45, PaCO2 48 mmHg, HCO3- 36 mEq/L. What condition does this most likely indicate?

9 / 50

A nurse is reviewing ABG results: pH 7.35, PaCO2 50 mmHg, HCO3- 25 mEq/L. Which condition is most likely?

10 / 50

Which of the following can lead to metabolic alkalosis?

11 / 50

A patient’s ABG indicates a pH of 7.50, what should the nurse suspect?

12 / 50

A patient with chronic kidney disease has a pH of 7.35 and HCO3- of 18 mEq/L. What is the likely diagnosis?

13 / 50

The nurse is caring for a patient with COPD. Which ABG result would indicate respiratory acidosis?

14 / 50

ABG results show: pH 7.47, PaCO2 38 mmHg, HCO3- 29 mEq/L. The nurse should assess for which of the following?

15 / 50

A patient is hyperventilating due to anxiety. What would you expect their ABG results to show?

16 / 50

In a patient with a suspected pulmonary embolism, what ABG changes might you expect?

17 / 50

A nurse is assessing a patient with potential metabolic acidosis. Which sign would be most indicative?

18 / 50

A patient with diabetic ketoacidosis has the following ABG results: pH 7.25, PaCO2 30 mmHg, HCO3- 15 mEq/L. What is the primary acid-base imbalance?

19 / 50

A patient presents with tachypnea and lightheadedness. Which ABG finding would be expected?

20 / 50

A patient is hypoventilating after a drug overdose. What would their ABG likely show?

21 / 50

A patient with a history of excessive alcohol consumption presents with ABG results: pH 7.30, PaCO2 40 mmHg, HCO3- 15 mEq/L. What is the likely diagnosis?

22 / 50

A patient in renal failure presents with pH 7.30 and HCO3- 15 mEq/L. What is the expected respiratory response?

23 / 50

What is the normal range for arterial blood pH?

24 / 50

A patient with renal failure presents with ABG results: pH 7.32, PaCO2 42 mmHg, HCO3- 16 mEq/L. What does this indicate?

25 / 50

A patient has a pH of 7.30, PaCO2 30 mmHg, HCO3- 18 mEq/L. What is the most likely diagnosis?

26 / 50

A patient has a pH of 7.39, PaCO2 of 52 mmHg, and HCO3- of 28 mEq/L. This patient is likely experiencing:

27 / 50

Which of the following ABG results would indicate metabolic acidosis?

28 / 50

A patient presents with confusion and fatigue. Their ABG results show: pH 7.28, PaCO2 58 mmHg, HCO3- 22 mEq/L. What condition do these findings suggest?

29 / 50

The nurse is interpreting ABG results: pH 7.50, PaCO2 30 mmHg, HCO3- 24 mEq/L. What condition is indicated?

30 / 50

If a patient is experiencing metabolic acidosis, what would you expect the respiratory compensation to be?

31 / 50

What is a common cause of metabolic acidosis?

32 / 50

ABG results show: pH 7.48, PaCO2 42 mmHg, HCO3- 30 mEq/L. What does this indicate?

33 / 50

A patient presents with a high HCO3- level and a pH of 7.50. What could this indicate?

34 / 50

A patient has the following ABG results: pH 7.30, PaCO2 50 mmHg, HCO3- 24 mEq/L. What is the primary acid-base disturbance?

35 / 50

A patient with an acute asthma attack is likely to have which of the following ABG results?

36 / 50

If a patient is experiencing metabolic alkalosis, which ABG result might be expected?

37 / 50

ABG results show: pH 7.45, PaCO2 35 mmHg, HCO3- 21 mEq/L. What is the interpretation?

38 / 50

In a patient with respiratory acidosis, what is the expected change in the kidneys?

39 / 50

A patient with chronic respiratory acidosis may develop:

40 / 50

ABG results show: pH 7.40, PaCO2 32 mmHg, HCO3- 19 mEq/L. Which acid-base balance does this indicate?

41 / 50

Which patient condition would most likely cause metabolic alkalosis?

42 / 50

Which of the following scenarios would likely lead to respiratory alkalosis?

43 / 50

A nurse reviews an ABG report: pH 7.35, PaCO2 55 mmHg, HCO3- 22 mEq/L. Which nursing diagnosis is appropriate?

44 / 50

A patient is experiencing respiratory distress and has an ABG result of pH 7.32, PaCO2 52 mmHg, HCO3- 24 mEq/L. What does this indicate?

45 / 50

A patient with severe dehydration would likely exhibit which of the following ABG results?

46 / 50

ABG results show: pH 7.38, PaCO2 48 mmHg, HCO3- 26 mEq/L. This indicates which type of compensation?

47 / 50

Which of the following ABG values would indicate respiratory alkalosis?

48 / 50

A patient presents with tachycardia and muscle cramps. ABG analysis shows: pH 7.50, PaCO2 38 mmHg, HCO3- 30 mEq/L. What should the nurse assess for?

49 / 50

A patient has a pH of 7.39, PaCO2 of 52 mmHg, and HCO3- of 28 mEq/L. This patient is likely experiencing:

50 / 50

In which condition would you expect to see a decreased HCO3- level?

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