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Root Cause: What Caused It?

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Root Cause: What Caused It?

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Root Cause Builder

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RNPRPEPBESTIE
RNPRPEPBESTIE
United States

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Root Cause: What Caused It?
 

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Root Cause: What Caused It?Online version

Root Cause Builder

by RNPRPEPBESTIE
1

A 28 - year - old client with a T6 spinal cord injury is participating in physical therapy on the rehabilitation unit . During the session the client suddenly reports a severe pounding headache and blurred vision . The nurse observes flushing of the face and neck along with heavy sweating above the level of injury . Vital signs reveal BP 198 / 112 and HR 52 . The client states that bladder catheterization was delayed this morning because of a scheduling issue .

Considering the sudden hypertension and the client ? s spinal cord injury history , the most likely root cause of this episode is .

2

A 52 - year - old client with type 1 diabetes is admitted for diabetic ketoacidosis . After several hours of treatment with IV insulin and fluids , the client begins complaining of muscle weakness and palpitations . Cardiac monitoring reveals new irregular beats .

Laboratory results show potassium 2 . 9 ? .

These findings suggest the client ? s symptoms are most likely caused by .

3

A 50 - year - old client arrives in the emergency department with severe muscle pain after being trapped under debris during a construction accident . Several hours later the client develops dark brown urine and decreasing urine output . Laboratory results reveal creatine kinase 18 , 000 ? and potassium 5 . 8 ? .

These findings suggest the client ? s kidney injury is most likely caused by .

4

A 46 - year - old client who has been taking long term corticosteroid therapy for lupus suddenly stops the medication without tapering the dose . Two days later the client develops severe fatigue , hypotension , nausea , and dizziness . Vital signs show BP 86 / 50 and HR 118 .

These symptoms suggest the client is experiencing .

5

A 29 - year - old client is admitted after a traumatic head injury from a motorcycle accident . Over the next 24 hours the client becomes increasingly lethargic and complains of headache and nausea . The nurse notices the client ? s urine output has dropped significantly . Laboratory results reveal sodium 121 ? and serum osmolality 268 ? . The client ? s neurological status continues to decline .

These findings suggest the client ? s symptoms are most likely caused by

6

A 34 - year - old client is admitted after sustaining extensive second degree burns to the chest and arms in a house fire . During the first several hours after admission the client becomes increasingly restless and reports feeling extremely thirsty . Vital signs reveal BP 84 / 48 , HR 132 , and cool clammy skin . Urine output begins to decrease despite IV fluids being started .

These findings indicate the client ? s symptoms are most likely caused by .

7

A 45 - year - old client is rescued from a house fire and brought to the emergency department . The client reports headache , dizziness , and nausea . The nurse notices the client appears confused despite receiving oxygen therapy . Vital signs show HR 118 and SpO ? 100% on pulse oximetry . The client ? s skin appears flushed .

These findings suggest the client ? s symptoms are most likely caused by .

 
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