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Seeing the Pattern in Nursing Questions

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Fill in the Pattern Set 2Online version

Seeing the Pattern in Nursing Questions

by RNPRPEPBESTIE
1

A 22 year old client with a history of asthma presents to the clinic reporting shortness of breath after being outside during high pollen levels . The client is able to speak in full sentences but reports chest tightness and frequent coughing .

On assessment , the nurse notes expiratory wheezing in all lung fields . Oxygen saturation is 95% on room air . Respiratory rate is 22 / min . The client denies throat tightness or difficulty swallowing and no swelling is noted .

These findings suggest the patient is moving toward an

2

A 7 year old child with hemophilia is brought to the emergency department after falling while playing outside . The parent reports the child initially cried but then seemed fine .

A few hours later , the child begins complaining of severe headache and nausea . The nurse notes the child is more drowsy than expected and has vomited once . A bruise is noted on the side of the head .

These findings suggest the patient is moving toward

3

A 64 - year - old client with a history of COPD is sitting in bed receiving oxygen at 2 L / min . Earlier , the client was alert and talking comfortably .

During reassessment , the nurse notes the client is now drowsy and slow to respond . Respiratory rate has decreased from 18 / min to 10 / min . Oxygen saturation reads 90% . The client states , " I feel really sleepy . "

These findings suggest the patient is moving toward .

4

A 19 - year - old client with sickle cell disease presents to the emergency department reporting chest pain and shortness of breath . The client states the pain started earlier today and is getting worse .

On assessment , the nurse notes the client has a fever of 101 . 8°F , respiratory rate of 26 / min , and oxygen saturation of 90% on room air . Lung sounds reveal crackles in the lower lobes .

These findings suggest the patient is moving toward

5

A 45 - year - old client receiving chemotherapy reports feeling very tired and notices bleeding when brushing their teeth . The client also states they have developed several bruises over the past few days without injury .

On assessment , the nurse notes scattered petechiae on the arms and legs . Laboratory results show a platelet count of 40 , 000 / mm³ .

These findings suggest the patient is moving toward

6

A 28 year old client in active labor has been progressing normally and coping well with contractions . The fetal heart rate had been stable around 140 / min .

During reassessment , the nurse notes the fetal heart rate has dropped to 100 / min and remains low after several contractions . The client reports increased intensity of contractions , and uterine activity appears more frequent than earlier .

These findings suggest the patient is moving toward

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