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Clinical Application for nursing graduates

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🔍 Root Cause RevealOnline version

Clinical Application for nursing graduates

by RNPRPEPBESTIE
1

You ? re caring for Mr . Daley , a 63 - year - old admitted for flank pain and possible kidney stones . After returning from a contrast CT scan , he seems slower to respond and says he " feels off . " His lips are dry , he looks mildly confused , and there ? s only a small amount of dark urine in his urinal . His labs now show a rising creatinine , BUN 42 , and potassium 5 . 8 . He takes lisinopril and used ibuprofen at home before coming in .

The trigger / cause was which affected and showed up as .

2

You ? re caring for Emma , a 19 - year - old with cystic fibrosis admitted for worsening abdominal bloating and increased coughing . She tells you she hasn ? t been taking her pancreatic enzymes regularly because she " keeps forgetting them , " and she skipped her airway clearance therapy yesterday . When you assess her , her abdomen is distended , her stools are greasy and foul - smelling , and her cough is tighter than usual . She looks tired and says eating makes her feel " crampy and full . "

The trigger / cause was which affected and showed up as .

3

You ? re caring for Mr . Lopez , a kidney - transplant recipient on tacrolimus and mycophenolate . His wife reports he was shivering overnight and " not acting like himself . " He now looks flushed , restless , and sweaty , with a dropping blood pressure and almost no urine output . He keeps dozing off mid - conversation .

The trigger / cause was which affected and showed up as .

4

You ? re caring for Noah , a 10 - month - old who was brought to the ED for sudden episodes of crying and drawing his knees to his chest . Between episodes , he appears unusually tired and less interactive . His mother reports he vomited twice and had a diaper with red , jelly - like mucus earlier today . When you assess him , his abdomen feels tender and slightly distended , and he becomes irritable when touched . He looks pale , his capillary refill is slightly delayed , and he whimpers softly during your exam .

The trigger / cause was a which affected and showed up as .

5

You ? re caring for Mr . Bryson , two days post - knee replacement . He suddenly becomes short of breath and anxious , clutching his chest . His oxygen saturation drops from 97 to 90 percent , and his surgical - side calf is more swollen and tender than before . His respirations are rapid , and he appears increasingly restless .

The trigger / cause was which affected and .

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