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Priority Nursing

Created by

RNPRPEPBESTIE
RNPRPEPBESTIE
United States

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Priority Nursing

by RNPRPEPBESTIE
1

The nurse is caring for a 62 - year - old client admitted for treatment of a duodenal ulcer . The client has a history of chronic back pain and reports daily use of ibuprofen at home . He states , " That ? s the only thing that really helps my pain . "

This morning , the client reports mild epigastric discomfort rated 3 / 10 . He is eating breakfast and tolerating food well . Vital signs are stable .

While reviewing the medication administration record , the nurse notices an active PRN order for ibuprofen for pain . The client asks , " Can I get that now before the pain gets worse ? "

? Fill in the Flow

The root cause is , the patient is , and the nurse should .

2

The nurse is caring for a 36 - year - old client admitted with hyperthyroidism . Over the past hour , the client has become increasingly restless and agitated . The client is diaphoretic , trembling , and reports feeling like their " heart is racing out of control . "

Vital signs show BP 154 / 92 mmHg , HR 168 bpm , RR 30 , and Temp 103 . 4°F . The client appears anxious and is continuously attempting to get out of bed . Cardiac monitor shows sinus tachycardia .

New provider orders include propranolol IV , propylthiouracil ( PTU ) , acetaminophen , and cooling measures .

? Fill in the Flow

The root cause is , the patient is , and the nurse should .

3

The nurse is caring for a 32 - year - old postpartum client who delivered 2 hours ago after a complicated placental abruption . The client begins to report feeling weak and dizzy . The nurse notes continuous oozing of blood from the IV site and excessive vaginal bleeding despite a firm uterine fundus .

Vital signs show BP 86 / 48 mmHg , HR 132 bpm , RR 26 , and SpO ? 95% . The client ? s skin is cool and pale . Laboratory results return showing platelets 48 , 000 / mm³ ? , fibrinogen low , and prolonged PT and aPTT .

New provider orders include oxytocin infusion , fresh frozen plasma ( FFP ) , and platelet transfusion .

? Fill in the Flow

The root cause is , the patient is , and the nurse should .

4

The nurse is caring for a 68 - year - old client with chronic COPD admitted for shortness of breath . The client ? s symptoms have improved since admission . This morning , the client is sitting up in bed , speaking in full sentences , and reports mild fatigue with activity .

Vital signs show SpO ? 92% on 2 L nasal cannula , RR 20 , HR 88 , BP 128 / 76 . The client becomes slightly short of breath while attempting to get dressed and says , " I feel okay , I just get tired doing simple things . "

The client pauses frequently while putting on a shirt and appears mildly dyspneic with exertion .

? Fill in the Flow

The root cause is , the patient is , and the nurse should .

5

The nurse is caring for a 4 - year - old child admitted with acute otitis media . The child is playful , eating well , and has a low - grade fever . The provider has prescribed an oral antibiotic and pain management as needed .

While reviewing discharge teaching , the parent says , " I ? ll make sure my child finishes all the antibiotics , even if they start feeling better . I ? ll also have them lie flat during ear drop administration so the medicine goes in easier . And I ? ll keep giving them ibuprofen for the pain if they need it . "

The child remains stable and is preparing for discharge .

? Fill in the Flow

The root cause is , the patient is , and the nurse should .

6

The nurse is caring for a 61 - year - old client with sepsis who has developed acute respiratory distress syndrome . Over the last hour , the client has become increasingly hypoxic despite oxygen therapy .

The client is restless and using accessory muscles to breathe . Lung sounds reveal diffuse crackles bilaterally . Vital signs show BP 98 / 60 mmHg , HR 118 bpm , RR 32 , and SpO ? 82% on a non - rebreather mask .

The client is currently supine in bed . Respiratory therapy and the provider have been notified , and new orders are anticipated .

? Fill in the Flow

The root cause is , the patient is , and the nurse .

 
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