Final answer:
In the plan of care for Mr. Gomez, coming from the ER, Nurse Allyson should include his code status, ABGs, dietary preferences, activity tolerance, and last dose of bronchodilator medication. These details are critical for ensuring personalized and effective care.
Step-by-step explanation:
Nurse Allyson is planning care for Mr. Gomez who is coming from the ER. In creating a plan of care, certain data points are critical for ensuring that Mr. Gomez receives appropriate and personalized care. The nurse should include the following data in the plan of care for Mr. Gomez:
- Code status - This is vital to understand the level of medical intervention Mr. Gomez wishes to receive in case of a life-threatening situation or cardiac arrest.
- ABGs (Arterial Blood Gases) - ABGs are important for assessing Mr. Gomez's respiratory function and acid-base balance, especially relevant in cases of respiratory issues like asthma.
- Dietary preferences - These need to be taken into account to ensure that Mr. Gomez's meals meet his nutritional needs and are consistent with any dietary restrictions, such as those related to his type 2 diabetes.
- Activity Tolerance - This information helps plan the level of activity that Mr. Gomez can undertake without causing undue strain or exacerbating his condition.
- Last dose of bronchodilator medication - Knowing when Mr. Gomez last received his bronchodilator is crucial for managing his asthma and preventing potential complications.
All these data points are essential for the comprehensive care of Mr. Gomez and should be included in the nursing care plan.