Pattern Shift

Froggy Jumps

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Clinical deterioration cases

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RNPRPEPBESTIE

United States

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Pattern Shift


Froggy Jumps Pattern ShiftOnline version Clinical deterioration cases by RNPRPEPBESTIE 1 A client hospitalized for COPD exacerbation receives oxygen at 2 L. Earlier SpO2 90% RR 26 HR 104. Now SpO2 88 RR 30 HR 112. PaCO2 rises from 52 to 60 mmHg. The client is increasingly somnolent. a B. Stable b A. Improving c C. Deteriorating 2 A client with cystic fibrosis receives pancreatic enzymes with meals. Earlier weight 18.2 kg with frequent bulky stools. Now weight 18.8 kg. Stools more formed and less frequent. Appetite improves. Abdomen soft. a C. Deteriorating b B. Stable c A. Improving 3 A client admitted for acute mania is monitored. Slept one hour overnight. Now HR 118 BP 142/86 with pressured speech. Refuses meals and scheduled medications throughout the morning. a C. Deteriorating b B. Stable c A. Improving 4 A postpartum client treated for uterine atony is monitored. Earlier BP 92/60 HR 118 fundus boggy. Now BP 108/68 HR 96. Fundus firm. Lochia decreases. Reports improved strength. a B. Stable b C. Deteriorating c A. Improving 5 An adolescent receiving nutritional therapy for anorexia is monitored. Earlier HR 48 BP 88/52. Now HR 62 BP 96/60. Phosphorus decreases from 3.5 to 1.9 mg/dL. Reports increasing muscle weakness. a C. Deteriorating b A. Improving c B. Stable 6 A client with an ischemic stroke is monitored. Earlier BP 168/92 with slurred speech. Now BP 176/98. Speech remains slurred. Increased confusion noted. Right arm drift present on reassessment. a B. Stable b A. Improving c C. Deteriorating 7 A child with hemophilia A is admitted after a fall. Earlier HR 96 BP 102/64. Reports knee discomfort. Now HR 118 BP 94/58. Knee swelling increases with warmth. Movement limited. Hemoglobin decreases from 11.8 to 10.6. a B. Stable b C. Deteriorating c A. Improving 8 A client with suspected thyroid storm is monitored. Earlier HR 136 BP 162/92 Temp 103.1. Now HR 142 BP 148/86 Temp 103.4. Agitation and diaphoresis noted. a B. Stable b A. Improving c C. Deteriorating 9 A client at 34 weeks with preeclampsia is monitored. Earlier BP 154/96 HR 88. Reports headache. Now BP 150/94 HR 86. Reflexes 2+. Urine protein remains 2+. No visual changes. Urine output 40 mL/hr. a A. Improving b C. Deteriorating c B. Stable 10 A client with a stage 3 pressure ulcer is monitored. Earlier wound 3 cm × 2 cm with red granulation tissue and moderate serous drainage. Now wound 3 cm × 2 cm. Tissue remains red. Drainage unchanged. Surrounding skin intact. a A. Improving b B. Stable c C. Deteriorating 11 A postpartum client is monitored two hours after vaginal birth. Earlier BP 118/72 HR 86 fundus firm. Now BP 104/66 HR 102. Fundus midline. Lochia remains moderate rubra. Hemoglobin decreases from 11.5 to 10.9. a B. Stable b C. Deteriorating c A. Improving 12 A client with a T6 spinal cord injury develops autonomic dysreflexia. Earlier BP 198/102 HR 48 with headache and flushing. Now BP 162/94 HR 58. Skin less flushed. Headache decreases. Foley draining clear yellow urine. a A. Improving b C. Deteriorating c B. Stable 13 A client with DKA receives insulin therapy. Earlier glucose 520 RR 32. Now glucose 260 RR 22. Potassium decreases from 5.4 to 3.1. Telemetry shows new PVCs. a B. Stable b C. Deteriorating c A. Improving

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Pattern Shift

Froggy Jumps

About this activity

Created by

Download the paper version to play

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Pattern ShiftOnline version

by RNPRPEPBESTIE

A client hospitalized for COPD exacerbation receives oxygen at 2 L. Earlier SpO2 90% RR 26 HR 104. Now SpO2 88 RR 30 HR 112. PaCO2 rises from 52 to 60 mmHg. The client is increasingly somnolent.

A client with cystic fibrosis receives pancreatic enzymes with meals. Earlier weight 18.2 kg with frequent bulky stools. Now weight 18.8 kg. Stools more formed and less frequent. Appetite improves. Abdomen soft.

A client admitted for acute mania is monitored. Slept one hour overnight. Now HR 118 BP 142/86 with pressured speech. Refuses meals and scheduled medications throughout the morning.

A postpartum client treated for uterine atony is monitored. Earlier BP 92/60 HR 118 fundus boggy. Now BP 108/68 HR 96. Fundus firm. Lochia decreases. Reports improved strength.

An adolescent receiving nutritional therapy for anorexia is monitored. Earlier HR 48 BP 88/52. Now HR 62 BP 96/60. Phosphorus decreases from 3.5 to 1.9 mg/dL. Reports increasing muscle weakness.

A client with an ischemic stroke is monitored. Earlier BP 168/92 with slurred speech. Now BP 176/98. Speech remains slurred. Increased confusion noted. Right arm drift present on reassessment.

A child with hemophilia A is admitted after a fall. Earlier HR 96 BP 102/64. Reports knee discomfort. Now HR 118 BP 94/58. Knee swelling increases with warmth. Movement limited. Hemoglobin decreases from 11.8 to 10.6.

A client with suspected thyroid storm is monitored. Earlier HR 136 BP 162/92 Temp 103.1. Now HR 142 BP 148/86 Temp 103.4. Agitation and diaphoresis noted.

A client at 34 weeks with preeclampsia is monitored. Earlier BP 154/96 HR 88. Reports headache. Now BP 150/94 HR 86. Reflexes 2+. Urine protein remains 2+. No visual changes. Urine output 40 mL/hr.

A client with a stage 3 pressure ulcer is monitored. Earlier wound 3 cm × 2 cm with red granulation tissue and moderate serous drainage. Now wound 3 cm × 2 cm. Tissue remains red. Drainage unchanged. Surrounding skin intact.

A postpartum client is monitored two hours after vaginal birth. Earlier BP 118/72 HR 86 fundus firm. Now BP 104/66 HR 102. Fundus midline. Lochia remains moderate rubra. Hemoglobin decreases from 11.5 to 10.9.

A client with a T6 spinal cord injury develops autonomic dysreflexia. Earlier BP 198/102 HR 48 with headache and flushing. Now BP 162/94 HR 58. Skin less flushed. Headache decreases. Foley draining clear yellow urine.

A client with DKA receives insulin therapy. Earlier glucose 520 RR 32. Now glucose 260 RR 22. Potassium decreases from 5.4 to 3.1. Telemetry shows new PVCs.