🐸 Frog Leap: Early Signs of Deterioration

Froggy Jumps

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Quick clinical decision rounds

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RNPRPEPBESTIE

United States

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Froggy Jumps 🐸 Frog Leap: Early Signs of DeteriorationOnline version Quick clinical decision rounds by RNPRPEPBESTIE 1 A post-op client becomes restless, HR 122, RR 28, O2 88%. Skin cool and clammy. What should the nurse do first? a Elevate the head of the bed and apply supplemental oxygen b Reassess pain and administer analgesic if needed c Notify the provider of possible internal bleeding 2 A head-injury client is increasingly confused, pupils sluggish, BP 170/60. What is the next nursing action? a Administer PRN opioid for pain relief b Notify the provider and prepare for possible imaging c Reduce environmental stimuli and continue observation 3 A burn client’s urine output drops to 15 mL/hr, HR 128, BP 86/48. What is the best initial response? a Encourage oral fluids to maintain hydration b Document low output and monitor for another hour c Assess IV site patency and increase fluid rate as ordered 4 A septic client becomes pale and restless, BP 84/50, HR 130. Which action should the nurse take? a Recheck vitals after repositioning b Bolus IV fluids and activate the rapid response team c Obtain blood cultures before starting fluids 5 After chest surgery, a client becomes confused with shallow respirations, O2 86%. What is the priority? a Notify the charge nurse of possible delirium b Apply oxygen, assess airway, and evaluate chest expansion c Administer prescribed sedative to calm the client 6 A heart-failure client suddenly anxious, crackles heard, urine < 20 mL/hr. Which action takes priority? a Notify provider after obtaining another set of vitals b Sit upright and apply oxygen c Increase IV fluids to improve renal perfusion

Froggy Jumps

🐸 Frog Leap: Early Signs of DeteriorationOnline version

Quick clinical decision rounds

by RNPRPEPBESTIE

A post-op client becomes restless, HR 122, RR 28, O2 88%. Skin cool and clammy. What should the nurse do first?

Elevate the head of the bed and apply supplemental oxygen

Reassess pain and administer analgesic if needed

Notify the provider of possible internal bleeding

A head-injury client is increasingly confused, pupils sluggish, BP 170/60. What is the next nursing action?

Administer PRN opioid for pain relief

Notify the provider and prepare for possible imaging

Reduce environmental stimuli and continue observation

A burn client’s urine output drops to 15 mL/hr, HR 128, BP 86/48. What is the best initial response?

Encourage oral fluids to maintain hydration

Document low output and monitor for another hour

Assess IV site patency and increase fluid rate as ordered

A septic client becomes pale and restless, BP 84/50, HR 130. Which action should the nurse take?

Recheck vitals after repositioning

Bolus IV fluids and activate the rapid response team

Obtain blood cultures before starting fluids

After chest surgery, a client becomes confused with shallow respirations, O2 86%. What is the priority?

Notify the charge nurse of possible delirium

Apply oxygen, assess airway, and evaluate chest expansion

Administer prescribed sedative to calm the client

A heart-failure client suddenly anxious, crackles heard, urine < 20 mL/hr. Which action takes priority?

Notify provider after obtaining another set of vitals

Sit upright and apply oxygen

Increase IV fluids to improve renal perfusion

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🐸 Frog Leap: Early Signs of Deterioration

Froggy Jumps

About this activity

Created by

Download the paper version to play

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Froggy Jumps

🐸 Frog Leap: Early Signs of DeteriorationOnline version

by RNPRPEPBESTIE

A post-op client becomes restless, HR 122, RR 28, O2 88%. Skin cool and clammy. What should the nurse do first?

A head-injury client is increasingly confused, pupils sluggish, BP 170/60. What is the next nursing action?

A burn client’s urine output drops to 15 mL/hr, HR 128, BP 86/48. What is the best initial response?

A septic client becomes pale and restless, BP 84/50, HR 130. Which action should the nurse take?

After chest surgery, a client becomes confused with shallow respirations, O2 86%. What is the priority?

A heart-failure client suddenly anxious, crackles heard, urine < 20 mL/hr. Which action takes priority?

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