Root Cause: What Caused it? Game 2

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Root Cause Builder

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RNPRPEPBESTIE

United States

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Root Cause: What Caused it? Game 2


Compléter Root Cause: What Caused it? Game 2Version en ligne Root Cause Builder par RNPRPEPBESTIE 1 A client remains in the ICU after treatment for septic shock and is receiving a titrated norepinephrine infusion to maintain blood pressure . Over the past hour the nurse notes the blood pressure has increased from 92 / 54 to 146 / 88 mmHg and heart rate has slowed slightly . The client ? s hands are now cool and pale with delayed capillary refill . Peripheral pulses are difficult to palpate and urine output has dropped from 45 mL / hr to 18 mL / hr despite stable IV fluid administration . The client reports new numbness and burning pain in the fingertips . Lactate level is beginning to rise again . These changes most likely developed because of . 2 A client admitted for chest pain has a history of stable angina and is prescribed sublingual nitroglycerin as needed . Late in the evening the client presses the call light after feeling suddenly lightheaded while walking to the bathroom . The nurse finds the client pale , diaphoretic , and unsteady . Blood pressure has dropped from 132 / 78 to 82 / 50 mmHg and heart rate has increased to 118 / min . The client reports taking a recently prescribed medication for erectile dysfunction earlier that afternoon . Cardiac monitoring shows sinus tachycardia without ST elevation . This sudden deterioration is most likely related to . 3 A client at 36 weeks gestation is admitted for worsening preeclampsia and reports new severe right upper abdominal pain and persistent nausea . Over the past several hours the nurse notes increasing restlessness and a complaint of headache that is not relieved by acetaminophen . Blood pressure has risen from 150 / 94 to 168 / 104 mmHg . Urine output has begun to decrease and the client ? s reflexes are brisk . Laboratory results now show falling platelet count , rising liver enzymes , and evidence of hemolysis . Fetal monitoring reveals decreased variability . The client ? s worsening condition is most likely due to . 4 An older adult is hospitalized for upper gastrointestinal bleeding and is receiving scheduled IV famotidine therapy . By the second hospital day the nurse observes that the client is increasingly restless at night and has begun pulling at monitoring leads . This morning the client is disoriented to place and attempts to climb out of bed . Vital signs remain stable and hemoglobin has improved since admission . Oxygen saturation is 97% on room air . Serum electrolytes are within normal limits . Family members report the client became similarly confused during a previous hospitalization . The change in mental status is most likely related to . 5 A warehouse employee presents to the emergency department with fever , fatigue , and mild chest discomfort several days after handling damaged packages at work . Initial assessment shows heart rate 112 / min , respiratory rate 24 / min , and oxygen saturation 95% on room air . The client becomes increasingly anxious and reports worsening shortness of breath despite clear lung sounds . Chest imaging later reveals mediastinal widening and small pleural effusions . Blood pressure begins trending downward and diaphoresis develops . The client ? s rapid deterioration is most likely due to . 6 On the first postoperative day following abdominal surgery , a client reports increasing shortness of breath and fatigue . The nurse notes respiratory rate has increased from 16 / min to 24 / min and oxygen saturation has decreased to 92% on room air . Breath sounds are diminished at the lung bases with fine crackles that improve after coughing . The client has been reluctant to use the incentive spirometer due to incisional pain and has remained mostly in bed . Temperature is now 100 . 4°F ( 38°C ) . These findings most likely developed because of . 7 An older adult with type 2 diabetes is brought to the emergency department after family members notice increasing confusion and extreme fatigue over the past two days . The client reports excessive thirst and has been urinating frequently . On assessment the nurse notes dry mucous membranes , poor skin turgor , and delayed capillary refill . Vital signs show blood pressure 88 / 54 mmHg , heart rate 122 / min , and respirations 22 / min . Laboratory results reveal very high serum glucose and significantly elevated serum osmolality with little to no ketone production . The client ? s condition is most likely caused by .

Vous pouvez intégrer le jeu dans un LMS compatible avec LTI 1.1 ou LTI 1.3 comme Canvas, Moodle ou Blackboard. Les scores seront ainsi automatiquement enregistrés dans le carnet de notes de la plateforme.

Root Cause: What Caused it? Game 2

Compléter

À propos de cette activité

Créé par

Téléchargez la version pour jouer sur papier

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Root Cause: What Caused it? Game 2Version en ligne

par RNPRPEPBESTIE