Question

The nurse is planning care for a patient who is experiencing metabolic alkalosis and formulates the nursing diagnosis Acute Confusion. Which NOC outcomes are appropriate for the nurse to include in the plan of care?

Answer 1

NOC outcomes for a patient with metabolic alkalosis and Acute Confusion should include maintaining electrolyte balance, cognitive orientation, and preventing complications. Monitoring lab tests and regular assessment of mental status are crucial, alongside providing education and support.

Step-by-step explanation:

The nursing diagnosis of Acute Confusion for a patient experiencing metabolic alkalosis requires the inclusion of appropriate Nursing Outcomes Classification (NOC) outcomes in the plan of care. Metabolic alkalosis can arise from conditions such as prolonged vomiting, excessive use of diuretics or antacids, and Cushing's disease, leading to disturbances in body fluid chemistry, particularly affecting the levels of hydrogen, chloride, and bicarbonate ions. To address the risk of acute confusion, the nurse should focus on NOC outcomes that aim to stabilize the patient's mental status by managing the underlying electrolyte imbalances. These outcomes might include maintaining electrolyte balance, cognitive orientation, and prevention of complications associated with the alkalosis.

For instance, closely monitoring lab tests for pH, CO2 partial pressure (pCO2), and HCO3- levels will be pertinent to assess the extent of the metabolic alkalosis and any compensatory responses. Regular assessment of the patient's mental status for changes in cognition, orientation, and behavior is also critical to ensure safety and guide the effectiveness of the interventions aimed at correcting the metabolic disturbance. Additionally, education and support provided to the patient and family about the condition, its causes, potential treatments, and prevention strategies form an essential part of the care plan.