Fill in the Blanks: Fill in the Pattern


Fill in the Blanks Fill in the PatternOnline version Seeing the Patter by RNPRPEPBESTIE 1 A 61 - year - old man admitted for pneumonia had been sitting up in bed earlier in the afternoon watching television and eating small amounts of dinner . During the evening rounds the nurse notices he is now lying back with his eyes closed and responding more slowly to questions . He quietly states , " I just feel really tired ? breathing feels like more work . " His oxygen saturation that had been 95% on 2 L earlier is now reading 91% . His respiratory rate has increased from 20 to 26 / min and his pulse has risen from 92 to 112 / min . An arterial blood gas drawn that morning showed a PaCO ? of 42 mmHg . A repeat value now shows 55 mmHg . He becomes increasingly drowsy as the assessment continues . These findings suggest the patient is moving toward 2 Four hours after an uncomplicated vaginal delivery , a 32 year old client had been smiling and bonding with her newborn . When the nurse returns to reassess , she appears pale and says she feels dizzy when trying to sit upright . Her blood pressure that was 118 / 70 earlier is now 92 / 56 , and her pulse has increased from 84 to 116 / min . The nurse notes her fundus , previously firm , now feels soft on palpation . Laboratory results drawn on admission showed a hemoglobin of 11 . 2 g / dL . A repeat level now reads 9 . 6 g / dL . She asks quietly if it is normal to feel this weak after delivery . These findings suggest the patient is moving toward 3 A 54 year old man arrives at the emergency department after returning from a long overseas flight . He initially reports soreness in his calf but is able to walk into triage without difficulty . While waiting , he begins to feel short of breath and describes a vague sense of uneasiness . His oxygen saturation drops from 97% at triage to 92% . His heart rate increases from 88 to 108 / min while his blood pressure remains near baseline . Laboratory testing later shows an elevated D - dimer compared with the normal reference range . He becomes reluctant to walk due to increasing breathlessness . These findings suggest the patient is moving toward 4 A 72 year old resident in a long term care facility had been participating in morning activities but is now noted to be more confused and restless . The nurse observes he keeps attempting to stand without assistance . His temperature has risen from 98 . 6°F earlier in the day to 100 . 8°F . His heart rate has increased from 86 to 104 / min , and his blood pressure is slightly lower than his usual readings . Laboratory results reveal a white blood cell count that has increased from 8 , 900 / mm³ last week to 14 , 600 / mm³ today . A urine sample appears cloudy with a strong odor . These findings suggest the patient is moving toward 5 A construction worker is brought to urgent care after feeling unwell during several hours of outdoor work in high temperatures . Earlier he reported nausea but insisted on finishing his shift . During assessment he appears flushed and slightly disoriented . His temperature is now 103 . 4°F . His pulse has increased from 96 earlier at a workplace clinic to 132 / min , and his blood pressure has decreased to 94 / 60 . Laboratory testing shows rising creatinine compared with his previous baseline results from a recent physical exam . He becomes increasingly unsteady when attempting to stand . These findings suggest the patient is moving toward 6 A 26 year old client is recovering on the orthopedic unit following surgical repair of a femur fracture . He had been talking with friends earlier and tolerating oral fluids . Later in the shift he becomes increasingly restless and complains of sudden shortness of breath . His oxygen saturation drops from 96% earlier to 89% on room air . His heart rate increases from 88 to 118 / min . The nurse notices small red pinpoint spots across his upper chest and neck . An arterial blood gas shows a PaO ? lower than earlier values . These findings suggest the patient is moving toward 7 A 35 year old client remains in the clinic waiting area after receiving an immunization . She initially reported only mild soreness at the injection site . Within several minutes she tells the nurse she feels " strange " and begins rubbing her throat . Her skin appears flushed and she develops scattered hives across her arms . Her pulse increases from 78 to 110 / min and her blood pressure decreases from 124 / 80 to 92 / 58 . She becomes increasingly anxious and states she feels like her throat is tightening . These findings suggest the patient is moving toward 8 A 68 year old client receiving anticoagulant therapy for atrial fibrillation has been resting comfortably earlier in the evening . Later he complains of a sudden severe headache and becomes increasingly confused . His blood pressure rises from 132 / 76 to 178 / 92 while his pulse decreases slightly . He vomits once during the assessment and struggles to follow commands . Laboratory results show his coagulation values higher than therapeutic range . These findings suggest the patient is moving toward 9 A 57 year old client is recovering after abdominal surgery . Earlier he reported mild discomfort but was able to rest . Several hours later he becomes increasingly restless and states he feels pressure in his lower abdomen . His blood pressure increases from 124 / 74 to 148 / 88 and his pulse rises from 82 to 102 / min . The nurse notes minimal urine output since the catheter was removed and bladder scanning shows a volume higher than expected . These findings suggest the patient is moving toward 10 A client admitted for bipolar disorder had been calm and cooperative earlier in the shift . Later the nurse notices increased pacing and rapid speech . Heart rate rises from 84 to 110 / min and the client reports sleeping less than two hours overnight . He begins making impulsive decisions and refuses meals . He becomes increasingly difficult to redirect . These findings suggest the client is moving toward

1

A 61 - year - old man admitted for pneumonia had been sitting up in bed earlier in the afternoon watching television and eating small amounts of dinner . During the evening rounds the nurse notices he is now lying back with his eyes closed and responding more slowly to questions .

He quietly states , " I just feel really tired ? breathing feels like more work . " His oxygen saturation that had been 95% on 2 L earlier is now reading 91% . His respiratory rate has increased from 20 to 26 / min and his pulse has risen from 92 to 112 / min .

An arterial blood gas drawn that morning showed a PaCO ? of 42 mmHg . A repeat value now shows 55 mmHg . He becomes increasingly drowsy as the assessment continues .

These findings suggest the patient is moving toward

2

Four hours after an uncomplicated vaginal delivery , a 32 year old client had been smiling and bonding with her newborn . When the nurse returns to reassess , she appears pale and says she feels dizzy when trying to sit upright .

Her blood pressure that was 118 / 70 earlier is now 92 / 56 , and her pulse has increased from 84 to 116 / min . The nurse notes her fundus , previously firm , now feels soft on palpation .

Laboratory results drawn on admission showed a hemoglobin of 11 . 2 g / dL . A repeat level now reads 9 . 6 g / dL . She asks quietly if it is normal to feel this weak after delivery .

These findings suggest the patient is moving toward

3

A 54 year old man arrives at the emergency department after returning from a long overseas flight . He initially reports soreness in his calf but is able to walk into triage without difficulty .

While waiting , he begins to feel short of breath and describes a vague sense of uneasiness . His oxygen saturation drops from 97% at triage to 92% . His heart rate increases from 88 to 108 / min while his blood pressure remains near baseline .

Laboratory testing later shows an elevated D - dimer compared with the normal reference range . He becomes reluctant to walk due to increasing breathlessness .

These findings suggest the patient is moving toward

4

A 72 year old resident in a long term care facility had been participating in morning activities but is now noted to be more confused and restless . The nurse observes he keeps attempting to stand without assistance .

His temperature has risen from 98 . 6°F earlier in the day to 100 . 8°F . His heart rate has increased from 86 to 104 / min , and his blood pressure is slightly lower than his usual readings .

Laboratory results reveal a white blood cell count that has increased from 8 , 900 / mm³ last week to 14 , 600 / mm³ today . A urine sample appears cloudy with a strong odor .

These findings suggest the patient is moving toward

5

A construction worker is brought to urgent care after feeling unwell during several hours of outdoor work in high temperatures . Earlier he reported nausea but insisted on finishing his shift .

During assessment he appears flushed and slightly disoriented . His temperature is now 103 . 4°F . His pulse has increased from 96 earlier at a workplace clinic to 132 / min , and his blood pressure has decreased to 94 / 60 .

Laboratory testing shows rising creatinine compared with his previous baseline results from a recent physical exam . He becomes increasingly unsteady when attempting to stand .

These findings suggest the patient is moving toward

6

A 26 year old client is recovering on the orthopedic unit following surgical repair of a femur fracture . He had been talking with friends earlier and tolerating oral fluids .

Later in the shift he becomes increasingly restless and complains of sudden shortness of breath . His oxygen saturation drops from 96% earlier to 89% on room air . His heart rate increases from 88 to 118 / min .

The nurse notices small red pinpoint spots across his upper chest and neck . An arterial blood gas shows a PaO ? lower than earlier values .

These findings suggest the patient is moving toward

7

A 35 year old client remains in the clinic waiting area after receiving an immunization . She initially reported only mild soreness at the injection site .

Within several minutes she tells the nurse she feels " strange " and begins rubbing her throat . Her skin appears flushed and she develops scattered hives across her arms .

Her pulse increases from 78 to 110 / min and her blood pressure decreases from 124 / 80 to 92 / 58 . She becomes increasingly anxious and states she feels like her throat is tightening .

These findings suggest the patient is moving toward

8

A 68 year old client receiving anticoagulant therapy for atrial fibrillation has been resting comfortably earlier in the evening .

Later he complains of a sudden severe headache and becomes increasingly confused . His blood pressure rises from 132 / 76 to 178 / 92 while his pulse decreases slightly .

He vomits once during the assessment and struggles to follow commands . Laboratory results show his coagulation values higher than therapeutic range .

These findings suggest the patient is moving toward

9

A 57 year old client is recovering after abdominal surgery . Earlier he reported mild discomfort but was able to rest .

Several hours later he becomes increasingly restless and states he feels pressure in his lower abdomen . His blood pressure increases from 124 / 74 to 148 / 88 and his pulse rises from 82 to 102 / min .

The nurse notes minimal urine output since the catheter was removed and bladder scanning shows a volume higher than expected .

These findings suggest the patient is moving toward

10

A client admitted for bipolar disorder had been calm and cooperative earlier in the shift . Later the nurse notices increased pacing and rapid speech .

Heart rate rises from 84 to 110 / min and the client reports sleeping less than two hours overnight .

He begins making impulsive decisions and refuses meals . He becomes increasingly difficult to redirect .

These findings suggest the client is moving toward

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.

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