Root Cause Leap

Froggy Jumps

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Finding the Root Cause

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RNPRPEPBESTIE

United States

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Root Cause Leap


Froggy Jumps Root Cause LeapOnline version Finding the Root Cause by RNPRPEPBESTIE 1 A client arrives to the ER with worsening pneumonia after several days of fever and cough. Now restless and unable to finish sentences. RR 34, HR 122, SpO2 84% on 4L oxygen. Cyanosis and accessory muscle use noted. a Reduced hemoglobin concentration b Increased left ventricular preload c Impaired alveolar gas exchange from inflammatory fluid accumulation 2 A client receiving insulin infusion for DKA reports sudden weakness and palpitations. HR 128, BP 104/62. Cardiac monitor shows ectopy. Potassium decreased from 5.5 to 2.9. a Hepatic glucose overproduction b Rapid intracellular potassium movement after insulin administration c Increased renal sodium loss 3 On postoperative day one, a client avoids deep breathing due to pain. Now fatigued with mild dyspnea. RR 26, temp 100.6°F, SpO2 90% on room air. Breath sounds diminished at lung bases. a Increased pulmonary capillary pressure b Bronchial smooth muscle constriction c Alveolar collapse from sustained hypoventilation 4 Twenty four hours after a femur fracture, a client becomes anxious and confused. HR 126, RR 30, SpO2 87%. Petechiae appear across the chest. Mental status worsens. a Obstruction of pulmonary microcirculation b Decreased circulating red blood cell volume c Systemic inflammatory response to infection 5 A client with extensive burns presents with severe thirst and weakness. HR 134, BP 82/46. Urine output minimal. Skin cool with delayed capillary refill despite IV fluids started. a Peripheral vasodilation from neurogenic disruption b Increased capillary permeability causing intravascular fluid loss c Reduced myocardial contractility from electrolyte imbalance 6 A COPD client receives increased oxygen overnight. In the morning the client is difficult to arouse. RR 9, HR 94, SpO2 98%. ABG shows rising PaCO2. a Sudden pulmonary vascular obstruction b Acute metabolic acid accumulation c Decreased respiratory stimulation leading to hypoventilation and CO2 retention 7 A client stopped long term corticosteroids one week ago and now presents with dizziness and vomiting. HR 122, BP 80/48, blood glucose 58. Skin cool and pulses weak. a Loss of cortisol support for vascular tone and glucose regulation b Excess thyroid hormone activity c Renal sodium wasting from diuretic effect 8 Two days postpartum, a client reports sudden dyspnea and chest pressure while walking. HR 132, RR 28, SpO2 89%. Client appears anxious and diaphoretic. a Obstruction of pulmonary blood flow by thrombus formation b Acute decrease in uterine tone c Sudden drop in circulating progesterone 9 A child arrives to the ER with fever and sore throat. Now drooling and sitting forward. HR 138, RR 30, SpO2 92%. Inspiratory stridor noted. a Pulmonary surfactant deficiency b Upper airway narrowing from supraglottic tissue inflammation ✓ c Increased mucus production in bronchioles 10 An adolescent with type 1 diabetes presents with vomiting and abdominal pain after missing insulin doses. HR 124, RR 32, BP 98/60. Breath fruity and skin dry. a Excess sodium retention b Increased ketone production causing metabolic acidosis and osmotic dehydration c Sudden pancreatic insulin overrelease 11 A client with severe depression has refused food and fluids for several days. Now dizzy on standing. HR 118, BP 84/52. Mucous membranes dry and skin cool. a Acute sympathetic nervous system surge b Serotonin excess causing autonomic instability c Reduced circulating volume from prolonged inadequate intake

You can integrate the game into an LMS compatible with LTI 1.1 or LTI 1.3 such as Canvas, Moodle, or Blackboard. This way, the scores will be automatically saved into the platform’s gradebook.

Root Cause Leap

Froggy Jumps

About this activity

Created by

Download the paper version to play

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Root Cause LeapOnline version

by RNPRPEPBESTIE

A client arrives to the ER with worsening pneumonia after several days of fever and cough. Now restless and unable to finish sentences. RR 34, HR 122, SpO2 84% on 4L oxygen. Cyanosis and accessory muscle use noted.

A client receiving insulin infusion for DKA reports sudden weakness and palpitations. HR 128, BP 104/62. Cardiac monitor shows ectopy. Potassium decreased from 5.5 to 2.9.

On postoperative day one, a client avoids deep breathing due to pain. Now fatigued with mild dyspnea. RR 26, temp 100.6°F, SpO2 90% on room air. Breath sounds diminished at lung bases.

Twenty four hours after a femur fracture, a client becomes anxious and confused. HR 126, RR 30, SpO2 87%. Petechiae appear across the chest. Mental status worsens.

A client with extensive burns presents with severe thirst and weakness. HR 134, BP 82/46. Urine output minimal. Skin cool with delayed capillary refill despite IV fluids started.

A COPD client receives increased oxygen overnight. In the morning the client is difficult to arouse. RR 9, HR 94, SpO2 98%. ABG shows rising PaCO2.

A client stopped long term corticosteroids one week ago and now presents with dizziness and vomiting. HR 122, BP 80/48, blood glucose 58. Skin cool and pulses weak.

Two days postpartum, a client reports sudden dyspnea and chest pressure while walking. HR 132, RR 28, SpO2 89%. Client appears anxious and diaphoretic.

A child arrives to the ER with fever and sore throat. Now drooling and sitting forward. HR 138, RR 30, SpO2 92%. Inspiratory stridor noted.

An adolescent with type 1 diabetes presents with vomiting and abdominal pain after missing insulin doses. HR 124, RR 32, BP 98/60. Breath fruity and skin dry.

A client with severe depression has refused food and fluids for several days. Now dizzy on standing. HR 118, BP 84/52. Mucous membranes dry and skin cool.