Root Cause Leap

Froggy Jumps

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Clinical triggers in care scenarios

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RNPRPEPBESTIE

United States

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Root Cause Leap


Froggy Jumps Root Cause LeapOnline version Clinical triggers in care scenarios by RNPRPEPBESTIE 1 A client with SIADH is receiving continuous 0.9% saline. The client now reports headache, confusion, and nausea. What is triggering the patient’s problem? a Underlying ADH overproduction b Administration of isotonic fluids in SIADH c Electrolyte imbalance from sodium loss 2 A client taking phenelzine ate a turkey sandwich and fruit juice for lunch. One hour later, they report a pounding headache and BP is 190/110. What is triggering the patient’s problem? a Tyramine intake with MAOI use b Medication dose taken too early c Increased sodium intake from the meal 3 A client with a head injury is lying flat after returning from CT. They become restless, vomit, and their pupils are unequal. What is triggering the patient’s worsening neuro status? a Vomiting increasing intracranial pressure b Restlessness indicating neurologic irritation c Flat positioning after head injury 4 A client with a bowel obstruction has an NG tube clamped for 4 hours. The abdomen is firm, distended, and the client reports worsening nausea. What is triggering the patient’s problem? a Clamping the NG tube during obstruction b Abdominal distention from bowel obstruction c Nausea indicating impaired gastric emptying 5 A toddler with gastroenteritis has dry lips, no tears, and only one wet diaper today. The parent has been giving small sips of water only. What is triggering the child’s problem? a Dry mucous membranes from dehydration b Diarrhea causing ongoing fluid loss c Replacing fluid loss with water only 6 A postpartum client receiving magnesium sulfate becomes very drowsy with slurred speech and absent patellar reflexes. What is triggering the client’s problem? a Drowsiness from postpartum exhaustion b Absent reflexes showing neuro depression c Magnesium level becoming too high 7 A client with BPH takes diphenhydramine for sleep. They now report lower abdominal fullness, discomfort, and inability to void. What is triggering the patient’s problem? a Bladder distention causing discomfort b Enlarged prostate obstructing urine flow c Anticholinergic effect of diphenhydramine 8 A client with heart failure takes furosemide daily. Today they report weakness, dizziness, and palpitations. Labs show K+ 2.9. What is triggering the patient’s problem? a Dizziness from decreased circulating volume b Potassium loss from diuretic use c Low potassium causing cardiac symptoms 9 A client newly prescribed sertraline reports restlessness, sweating, tremors, and diarrhea. They also take St. John’s wort daily. What is triggering the patient’s problem? a Combining SSRI with herbal supplement b Diarrhea from increased serotonin activity c Restlessness related to anxiety disorder 10 A client with COPD is receiving 4 L/min oxygen via nasal cannula. They become drowsy, with shallow respirations and rising CO2 levels. What is triggering the patient’s problem? a Shallow respirations limiting oxygen intake b CO2 retention causing decreased alertness c High oxygen flow reducing respiratory drive 11 A child with cystic fibrosis eats a high-fat meal. The parent reports frequent bulky, foul-smelling stools and poor weight gain. The chart shows enzymes were not given with meals. What is triggering the patient’s problem? a Missing pancreatic enzyme doses with meals b High-fat intake increasing stool volume c Fat malabsorption causing steatorrhea 12 A client with cirrhosis eats a large high-protein meal. Later they become confused, drowsy, and have difficulty concentrating. What is triggering the patient’s problem? a Drowsiness related to chronic liver disease b Confusion from hepatic encephalopathy c Increased protein intake raising ammonia levels

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Root Cause Leap

Froggy Jumps

About this activity

Created by

Download the paper version to play

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Root Cause LeapOnline version

by RNPRPEPBESTIE

A client with SIADH is receiving continuous 0.9% saline. The client now reports headache, confusion, and nausea. What is triggering the patient’s problem?

A client taking phenelzine ate a turkey sandwich and fruit juice for lunch. One hour later, they report a pounding headache and BP is 190/110. What is triggering the patient’s problem?

A client with a head injury is lying flat after returning from CT. They become restless, vomit, and their pupils are unequal. What is triggering the patient’s worsening neuro status?

A client with a bowel obstruction has an NG tube clamped for 4 hours. The abdomen is firm, distended, and the client reports worsening nausea. What is triggering the patient’s problem?

A toddler with gastroenteritis has dry lips, no tears, and only one wet diaper today. The parent has been giving small sips of water only. What is triggering the child’s problem?

A postpartum client receiving magnesium sulfate becomes very drowsy with slurred speech and absent patellar reflexes. What is triggering the client’s problem?

A client with BPH takes diphenhydramine for sleep. They now report lower abdominal fullness, discomfort, and inability to void. What is triggering the patient’s problem?

A client with heart failure takes furosemide daily. Today they report weakness, dizziness, and palpitations. Labs show K+ 2.9. What is triggering the patient’s problem?

A client newly prescribed sertraline reports restlessness, sweating, tremors, and diarrhea. They also take St. John’s wort daily. What is triggering the patient’s problem?

A client with COPD is receiving 4 L/min oxygen via nasal cannula. They become drowsy, with shallow respirations and rising CO2 levels. What is triggering the patient’s problem?

A child with cystic fibrosis eats a high-fat meal. The parent reports frequent bulky, foul-smelling stools and poor weight gain. The chart shows enzymes were not given with meals. What is triggering the patient’s problem?

A client with cirrhosis eats a large high-protein meal. Later they become confused, drowsy, and have difficulty concentrating. What is triggering the patient’s problem?