Recognize and Respond

Froggy Jumps

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Nurse scenarios and communication.

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RNPRPEPBESTIE

United States

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Recognize and Respond


Froggy Jumps Recognize and RespondOnline version Nurse scenarios and communication. by RNPRPEPBESTIE 1 At 1200, a 35-year-old admitted for vaso-occlusive pain reports 9/10 pain two hours after IV opioids. HR has increased from 110 to 118 and temperature from 100.4°F to 101.2°F. What is the most accurate interpretation? a The upward trends suggest the current plan is not adequately controlling the crisis. b The vital sign changes reflect expected stress response during severe pain. c The temperature elevation indicates likely infection as the primary cause. 2 At 1200, the nurse notes persistent 9/10 pain with rising HR and temperature despite PRN opioids and IV fluids. The provider has not rounded. Which action would be inappropriate at this time? a Document the upward trends and the patient’s reported distress verbatim. b Contact the provider with clustered findings and request plan reassessment. c Continue reassessing pain hourly to allow additional medication time to take effect. 3 The nurse is preparing to contact the provider about a 35-year-old with persistent 9/10 pain, rising HR, and low-grade fever despite treatment. The unit is busy. Which task is appropriate for the nurse to delegate while preparing to escalate care? a Ask the LPN to evaluate the pain pattern and determine if escalation is needed. b Ask the UAP to reassure the patient that the medication will begin working soon. c Ask the UAP to obtain a repeat full set of vital signs and report them promptly. 4 Before contacting the provider, the nurse documents the patient’s status. The patient states, “They never believe how bad it is,” while reporting 9/10 pain. HR is 118 and temperature is 101.2°F. Which entry best supports safe clinical practice? a Pain remains severe; provider to be notified if symptoms continue to worsen. b Reports 9/10 pain; HR 118; temp 101.2°F; states, “They never believe how bad it is.” c Patient appears uncomfortable; pain medication administered as ordered. 5 A 35-year-old with vaso-occlusive pain continues to report 9/10 pain with rising HR and low-grade fever. SpO2 remains 96% on room air, lungs are clear, and she denies chest pain. Which action would be premature at this time? a Prepare to communicate clustered findings to the provider promptly. b Initiate supplemental oxygen therapy to prevent further hypoxia. c Reassess lung sounds and respiratory effort during ongoing evaluation. 6 While reviewing the chart, the nurse considers whether the patient’s repeated pain reports represent exaggeration or inadequate control. HR and temperature continue trending upward. Which internal conclusion would be most unsafe? a Repeated high pain ratings may reflect tolerance and should be monitored. b Persistent severe pain with physiologic changes suggests crisis progression. c Escalation is warranted when trends and patient report align consistently. 7 The nurse contacts the provider regarding persistent 9/10 pain with rising HR and temperature despite treatment. Which statement reflects inadequate clinical communication? a Current interventions have not improved her status over the last four hours. b Her pain remains severe and vital signs are trending upward since admission. c She continues rating pain high, but this is typical during sickle crises. 8 The nurse contacts the provider regarding persistent 9/10 pain with rising HR and temperature despite PRN opioids and IV fluids. After presenting clustered findings, which request is most appropriate? a Request broad-spectrum antibiotics to address possible infection. b Request reassessment and adjustment of the analgesic regimen. c Request a chest radiograph to rule out early pulmonary changes. 9 During reassessment, the patient remains on room air with SpO2 96% but now reports new mild chest tightness while continuing to rate pain 9/10. HR remains elevated and temperature is 101.2°F. Which finding requires the most immediate attention? a New report of chest tightness in the context of rising trends. b Continued low-grade fever without a confirmed infectious source. c Ongoing severe generalized pain despite recent opioid dosing. 10 A 35-year-old with persistent 9/10 pain states tearfully, “They never believe how bad it is.” HR and temperature remain elevated despite treatment. Which response by the nurse best demonstrates therapeutic communication? a Your medication was given recently, so we need to allow more time. b Pain crises can feel overwhelming, but we are following standard protocol. c I can see this has been exhausting for you, and I take your pain seriously.

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Recognize and Respond

Froggy Jumps

About this activity

Created by

Download the paper version to play

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Recognize and RespondOnline version

by RNPRPEPBESTIE

At 1200, a 35-year-old admitted for vaso-occlusive pain reports 9/10 pain two hours after IV opioids. HR has increased from 110 to 118 and temperature from 100.4°F to 101.2°F. What is the most accurate interpretation?

At 1200, the nurse notes persistent 9/10 pain with rising HR and temperature despite PRN opioids and IV fluids. The provider has not rounded. Which action would be inappropriate at this time?

The nurse is preparing to contact the provider about a 35-year-old with persistent 9/10 pain, rising HR, and low-grade fever despite treatment. The unit is busy. Which task is appropriate for the nurse to delegate while preparing to escalate care?

Before contacting the provider, the nurse documents the patient’s status. The patient states, “They never believe how bad it is,” while reporting 9/10 pain. HR is 118 and temperature is 101.2°F. Which entry best supports safe clinical practice?

A 35-year-old with vaso-occlusive pain continues to report 9/10 pain with rising HR and low-grade fever. SpO2 remains 96% on room air, lungs are clear, and she denies chest pain. Which action would be premature at this time?

While reviewing the chart, the nurse considers whether the patient’s repeated pain reports represent exaggeration or inadequate control. HR and temperature continue trending upward. Which internal conclusion would be most unsafe?

The nurse contacts the provider regarding persistent 9/10 pain with rising HR and temperature despite treatment. Which statement reflects inadequate clinical communication?

The nurse contacts the provider regarding persistent 9/10 pain with rising HR and temperature despite PRN opioids and IV fluids. After presenting clustered findings, which request is most appropriate?

During reassessment, the patient remains on room air with SpO2 96% but now reports new mild chest tightness while continuing to rate pain 9/10. HR remains elevated and temperature is 101.2°F. Which finding requires the most immediate attention?

A 35-year-old with persistent 9/10 pain states tearfully, “They never believe how bad it is.” HR and temperature remain elevated despite treatment. Which response by the nurse best demonstrates therapeutic communication?