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Froggy Jumps
Froggy Jumps

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Froggy Jumps

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Seeing the Pattern

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Froggy Jumps

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Seeing the Pattern

by RNPRPEPBESTIE
1

A client with hyperparathyroidism is monitored. Earlier calcium 10.8 mg/dL with mild fatigue. Now calcium 12.6 mg/dL. Reports increasing weakness and constipation. Urine output increases. Irregular rhythm noted on telemetry.

2

A child admitted with bacterial pneumonia receives IV antibiotics. Earlier Temp 102.2 RR 34 SpO2 92%. Now Temp 100.1 RR 26 SpO2 95%. Begins eating small amounts and interacts with parent.

3

A client with rib fractures has a chest tube to suction. Earlier RR 24 SpO2 93% on 2 L with 120 mL serosanguineous drainage. Now RR 22 SpO2 94% on 2 L. Total drainage 160 mL. Intermittent bubbling noted. Breath sounds unchanged.

4

A client treated for sepsis is monitored in the ICU. Earlier BP 96/54 HR 122 Temp 102.4. Now BP 108/64 HR 108 Temp 100.8. Urine output increases from 20 to 40 mL/hr. Lac tate decreases from 4.8 to 3.1.

5

A client hospitalized for acute mania begins lithium therapy. Earlier slept one hour with rapid speech and pacing. Now sleeps four hours. Speech less pressured. Participates briefly in groups. Consumes partial meals. Remains distractible.

6

A client at 32 weeks with placenta previa is monitored. Earlier BP 112/70 HR 92 with light bright red bleeding. Now BP 110/68 HR 94. Bleeding remains light. Abdomen soft. Fetal heart rate 138 with moderate variability.

7

A client with a T6 spinal cord injury is monitored. Earlier BP 110/70 HR 88. Now BP 86/54 HR 118. Skin cool. Urine output decreases from 45 to 20 mL/hr. Increasing restlessness noted.

8

A client with myasthenia gravis is monitored. Earlier ptosis noted with mild dysphagia. Now speech slurred. Chewing fatigues with meals. Eyelid droop increases. Neck weakness present. Vital capacity decreases from 2.4 L to 1.6 L.

9

A client treated for myxedema coma is monitored. Earlier Temp 94.6 HR 42 BP 86/50 with somnolence. Now Temp 96.8 HR 56 BP 98/62. More responsive to voice. Urine output 35 mL/hr. Skin remains dry and cool.

10

A client receiving TPN through a central line is monitored. Earlier glucose 138 with dry dressing. Now glucose 212 Temp 100.6 HR 108. Dressing at insertion site appears moist.

11

A client with an ischemic stroke is monitored. Earlier BP 168/92 with right arm weakness and slurred speech. Now BP 170/94. Right arm weakness persists. Speech unchanged. Swallow study pending. Blood glucose 112.

12

A client with DKA receives an insulin infusion. Earlier glucose 520 with Kussmaul respirations. Now glucose 290 RR 22. Potassium decreases from 5.6 to 3.4 mEq/L. Telemetry shows new PVCs.

13

A client with left-sided heart failure is treated with diuretics. Earlier RR 28 SpO2 90% on 2 L with crackles at bases. Now RR 20 SpO2 95% on 2 L. Crackles diminished. Urine output increases. Weight decreases from 82.4 to 81.6 kg.

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