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Finding the Root Cause

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Finding the Root Cause

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About this activity

Nursing Critical Thinking

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United States

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Finding the Root Cause
 

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Finding the Root CauseOnline version

Nursing Critical Thinking

by RNPRPEPBESTIE
1

The nurse is assessing a client with cirrhosis who presents with increasing confusion and slowed responses over the past two days . The client reports following a new high - protein diet that includes frequent intake of red meat . On assessment , the client is disoriented with mild asterixis . Vital signs : HR 88 , BP 110 / 68 , Temp 98 . 6°F . Labs show ammonia ? .

This patient is most likely experiencing these findings due to .

2

The nurse is assessing a 2 - year - old client with a history of iron deficiency anemia who presents with increased fatigue and pallor . The parent reports the child has been drinking large amounts of milk throughout the day and eating fewer solid foods . On assessment , the child appears pale and less active than usual . Vital signs : HR 118 , RR 24 , Temp 98 . 7°F .

This patient is most likely experiencing these findings due to .

3

The nurse is assessing a client with osteoporosis who reports new onset hip and back discomfort . The client states they have been taking a daily corticosteroid medication for several months for another condition . On assessment , the client has a stooped posture and reports increasing pain with movement . Vital signs : HR 84 , BP 118 / 72 , Temp 98 . 4°F .

This patient is most likely experiencing these findings due to .

4

The nurse is assessing a client with infective endocarditis who reports increasing shortness of breath and fatigue . The client states they have been limiting fluid intake for the past two days because swallowing has felt uncomfortable and they " didn ? t want to keep getting up . " On assessment , the client is weak , tachycardic , and has delayed capillary refill . Vital signs : HR 118 , BP 92 / 58 , RR 24 , Temp 100 . 8°F , SpO ? 94% on room air .

This patient is most likely experiencing these findings due to .

5

The nurse is assessing a client 2 days after abdominal surgery who reports increasing shortness of breath . The client has remained in bed since surgery and reports incisional pain with movement . On assessment , lung sounds are diminished in the lower lobes and oxygen saturation is 91% on room air . Vital signs : HR 104 , RR 22 , Temp 100 . 4°F .

This patient is most likely experiencing these findings due to .

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