We're sorry, this computer has been flagged for suspicious activity.
If you are a member, we ask that you confirm your identity by entering in your email.
You will then be sent a link via email to verify your account.
If you are not a member or are having any other problems, please contact customer support.
Thank you for your cooperation
Chapter 6: Knowledge Integration
Case Study 1: Adult Client (continued)
1. Which findings are considered abnormal for this adult client? What medical terminology is used to define/label these findings?
- The pulse in lying position is within normal limits, but in the sitting and standing position, the pulse is elevated and is identified as tachycardia (> than 100 bpm)
- The pulse increased more than 20 bpm and the systolic BP decreased more than 20 mm Hg when the client moved from lying to standing, indicating orthostatic hypotension
- The pulse is weak and thready at 1+ force, which is abnormal
- The respiration rate is high: tachypnea (> 20 bpm)
- The oxygen saturations are slightly low (< 97%)
2. What further assessment should the healthcare provider do based on this adult client’s findings?
Continue to assess for signs of dehydration:
- Dry mucous membranes
- Poor skin turgor
- Decreased and concentrated urine output
3. What actions should the healthcare provider take based on this adult client’s findings?
- Notify the most responsible provider such as the physician or nurse practitioner.
- If you are the most responsible provider, discuss and initiate treatments such as fluid rehydration.
Vital Sign Measurement Across the Lifespan - 1st Canadian edition by Ryerson University is licensed under a Creative Commons Attribution 4.0 International License , except where otherwise noted.
Hayley-Foundations: Vital sign case study
Terms in this set (6)
Students also viewed, vital signs.
Rule of Nines practice
Vital signs exam 1, fundamentals chapter 30: vital signs (review….
Sets found in the same folder
Hormonal regulation si worksheet- week 3, fon exam #1 study guide unit 2.
Jeopardy- week 4
Exam #2 unit 4 objective notecards potter and….
Other sets by this creator
Ati lab values, pharm exam 4, hayley-pharmacology: (in class lectures week…, verified questions.
In the traditional Ethernet protocol, the frames are sent with the CRC. If the frame is corrupted, the receiving node just discards it. Is this an example of a Simple Protocol or the Stop-and-Wait Protocol? Explain
A small fly of mass 0.25 g 0.25 \mathrm{~g} 0.25 g is caught in a spider's web. The web oscillates predominately with a frequency of 4.0 H z ~4.0 \mathrm{~Hz} 4.0 Hz . At what frequency would you expect the web to oscillate if an insect of mass 0.50 g 0.50 \mathrm{~g} 0.50 g were trapped?
For the column decoder shown in Fig. , how many column-address bits are needed in a 256-Kbit square array? How many NMOS pass transistors are needed in the multiplexer? How many NMOS transistors are needed in the NOR decoder? How many PMOS transistors? What is the total number of NMOS and PMOS transistors needed?
List the secondary sex characteristics that appear in males at puberty.
Recommended textbook solutions
The Human Body in Health and Disease
Clinical Reasoning Cases in Nursing
Health: The Basics
The Language of Medicine
Other quizlet sets, giełda pa pa patomorfa sem 2 część 1 part 3 (…, exam 3 questions. (ch. 11, 12, 14, 15, 18), clinical chemistry.
We've updated our privacy policy. Click here to review the details. Tap here to review the details.
Activate your 30 day free trial to unlock unlimited reading.
Case Study VITAL SIGNS [Critical Thinking Skills]
You are reading a preview.
Activate your 30 day free trial to continue reading.
Check these out next
Download to read offline
CASE STUDY You are working in the night shift and noticed the following temperature readings in your client’s chart. When you assess your client temperature at midnight, it is 101.2˚F. Discuss the management of the patient as a nursing student.
Recommended
More Related Content
Slideshows for you (20).
Similar to Case Study VITAL SIGNS [Critical Thinking Skills] (20)
Recently uploaded (20)
- 1. B Y : R AB I ’ AT U L AD AW I YAH B T S U L AI M AN 3 0 6 7 1 4 1 0 0 4 B AC H E L O R O F S C I E N C E I N N U R S I N G ( H O N S ) K P J H E ALT H C AR E U N I V E R S I T Y C O L L E G E M O N I TO R E D B Y : M AD AM G E M ALY N S . M AL D I S A CLIENT CARE 1 UNIT 8 : VITAL SIGNS CRITICAL THINKING SKILLS
- 2. SCENARIO You are working in the night shift and noticed the following temperature readings in your client’s chart : When you assess your client temperature at midnight, it is 101.2˚F. TIME TEMPERATURE 4.00 a.m 97.4˚F 8.00 a.m 97.9˚F 12.00 noon 98.4˚F 4.00 p.m 99.6˚F 8.00 p.m 100.9˚F 12.00 a.m 101.2˚F
- 3. LINE CHART OF TEMPERATURE IN ˚F 95 96 97 98 99 100 101 102 4.00 a.m 8.00 a.m 12.00 p.m 4.00 p.m 8.00 p.m 12.00 a.m Temperature[˚F] Time [12 hours]
- 4. TASKS What do you notice about the pattern of the temperature readings? What is important in this scenario? As a nursing student, what should you do? Develop at least 1 possible nursing care plan for this patient.
- 5. DISCUSSION From the question, plan what to do : Find the formula to convert the temperature from °F to °C Sketch the graph showing the temperature to determine the pattern of the temperature readings List the normal temperature in the normal person Develop nursing care plan to help decrease client’s body temperature from 38.4°C back to normal range which are from 36.4°C to 37.5°C
- 6. FORMULA (FROM °F-°C AND °C-°F) °F = (°C × 9/5) + 32 If there are no calculator, use the following formula : °F = ( °C × 2) + 30 °C = (°F – 32) × 5/9
- 7. TABLE OF TEMPERATURE IN °C From the formula, the temperature can be convert from °F to °C : TIME TEMPERATURE 4.00 a.m 36.3 °C 8.00 a.m 36.6 °C 12.00 noon 36.9 °C 4.00 p.m 37.6 °C 8.00 p.m 38.3 °C 12.00 a.m 38.4 °C
- 8. LINE CHART OF TEMPERATURE IN ˚C 35 35.5 36 36.5 37 37.5 38 38.5 39 4.00 a.m 8.00 a.m 12.00 p.m 4.00 p.m 8.00 p.m 12.00 a.m Temperature[°C] Time [12 hours]
- 9. From the above chart, it shows that the client’s temperature is increased gradually from 36.3°C to 38.4°C. There are several types of fever patterns but this client has constant fever pattern which also called continuous or sustained fever. Constant fever : body temperature remains consistently elevated and fluctuates less than 2°C. Examples of constant fever are : Lobar pneumonia, typhoid, urinary tract infection, brucellosis.
- 10. There are several factors which affecting the body temperature which are : Age and gender Exercise Hormones Diurnal variations [Circadian rhythm] Environmental temperature
- 11. BODY TEMPERATURE BODY TEMPERATURE Types Core Temperature • temperature of deep tissues of the body [abdominal cavity, pelvic cavity]. Surface Temperature • temperature of the skin, subcutaneous tissue and fat. Temperature Relatively constant [36°C to 37.5°C] Rises and falls in response to the environment. Measurement site i. Rectum ii. Tympanic membrane iii. Pulmonary artery iv. Urinary bladder i. Skin ii. Oral iii. Axilla
- 12. VARIATIONS IN TEMPERATURE BY AGE Source : Lippincott 2011 Kozier&Erb 2008 AGE TEMPERATURE (°C) Newborn 36.8 (axillary) 1-3 year 37.7 (rectal) 6-8 year 37 (oral) 10 year 37 (oral) Teens 37 (oral) Adults 37 (oral) >70 year 36 (oral)
- 13. It is varies among individuals with range of 0.3°C-0.6°C Source : Lippincott 2011 AVERAGE NORMAL TEMPERATURE FOR HEALTHY ADULTS Site Temperature (°C) Oral 37.0 Rectal 37.5 Axillary 36.5 Tympanic 37.5 Forehead 34.4
- 14. NURSING CARE PLAN NURSING DIAGNOSIS GOAL NURSING INTERVENTION EVALUATION Hyperthermia related to dehydration Client body temperature will be reduced from 38.4°C to normal range (36.5°C - 37.4°C) within 24 hours during hospitalization • Assess client general condition [general condition : skin warm to touch, flushed face, mild shivering, temperature 38.4°C] ® It is taken as a baseline data Client body temperature reduced from 38.4°C to normal range (36.5°C - 37.4°C) within 24 hours during hospitalization • Monitor client vital sign every two hours ® To detect any changes or deteriorate • Provide cold compress if client temperature is higher than 37.5°C ® Heat loss through conduction
- 15. NURSING CARE PLAN NURSING DIAGNOSIS GOAL NURSING INTERVENTION EVALUATION Hyperthermia related to dehydration. Client body temperature will be reduced from 38.4°C to normal range (36.5°C - 37.4°C) within 24 hours during hospitalization. • Encourage client to drink more than 2L per day ® To encourage hydration Client body temperature reduced from 38.4°C to normal range (36.5°C - 37.4°C) within 24 hours during hospitalization. • Encourage client to wear thin clothes, do not wear sweater ® To release heat from the body • Record all sources of fluid loss such as urine, vomiting and diarrhea ® To monitor or potentiates fluid and electrolyte loses • Administer antipyretic (paracetamol) 1000mg orally as prescribed by the doctor ® Help to reduce fever
- 16. NURSING CARE PLAN NURSING DIAGNOSIS GOAL NURSING INTERVENTION EVALUATION Hyperthermia related to dehydration Client body temperature will be reduced from 38.4°C to normal range (36.5°C - 37.4°C) within 24 hours during hospitalization • Turn on the air conditioner or the fan ® Heat loss through convection Client body temperature reduced from 38.4°C to normal range (36.5°C - 37.4°C) within 24 hours during hospitalization • Inform the client condition to the doctor ® For further intervention
Share Clipboard
Public clipboards featuring this slide, select another clipboard.
Looks like you’ve clipped this slide to already.
You just clipped your first slide!
Create a clipboard
Get slideshare without ads, special offer to slideshare readers, just for you: free 60-day trial to the world’s largest digital library..
The SlideShare family just got bigger. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd.
You have now unlocked unlimited access to 20M+ documents!
Unlimited Reading
Learn faster and smarter from top experts
Unlimited Downloading
Download to take your learnings offline and on the go
Instant access to millions of ebooks, audiobooks, magazines, podcasts and more.
Read and listen offline with any device.
Free access to premium services like Tuneln, Mubi and more.
Help us keep SlideShare free
It appears that you have an ad-blocker running. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators.
We've updated our privacy policy.
We’ve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data.
You can read the details below. By accepting, you agree to the updated privacy policy.
Want to create or adapt books like this? Learn more about how Pressbooks supports open publishing practices.
Jamaica Amurao, Kenny Dadacay and Josh Perez
Sean is a 21-year-old male who was admitted to the emergency department after being involved in a motor vehicle accident with his sister Anna. Anna was pronounced dead on scene and Sean suffered mild loss of consciousness. Upon arrival to the emergency department, Sean was confused and complained of left upper quadrant pain, which radiated to his left arm. During physical examination, Sean’s vital signs were: BP 123/85 mmHg, HR 95 beats/min., RR 22 breaths/min, Temp, 98.6°F, and an Oxygen Saturation of 97%. Sean’s orders included strict spinal immobilization protocols, EKG, IV fluid bolus, morphine and zofran, ultrasound (FAST), and a CT scan. After the CT scan, Sean lost consciousness and vital signs significantly changed from baseline. Sean’s vital signs were: BP 93/56 mmHg, HR 132 beats/ min, RR 34 breaths/min. Temp, 95.6°F, and an Oxygen Saturation of 89%. The trauma team performed resuscitation interventions and then the patient was transferred to the operating room to treat the cause of bleeding. Sean was hemodynamically stabilized and transferred to the intensive care unit for further monitoring.
- which patient characteristics indicate altered hemodynamic stability and why?
- based on the signs/symptoms what organ might’ve been affected that led to the bleeding and why?
- What is the role of case management in this scenario?
Nursing Case Studies by and for Student Nurses by jaimehannans is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License , except where otherwise noted.
Share This Book
- RESEARCH PAPERS AND ESSAYS
- ESSAY TOPICS
- PRESIDENTS OF THE UNITED STATES
- Joseph Robinette Biden
- Donald Trump
- Barack Obama
- States Ranked by Size & Population
- States Ranked by Date
Vital Signs Case Study
Wrongful death case: the hill v. ohio county.
The Hill v. Ohio County involves a wrongful death case in which the hospital refused to admit Juanita Monroe. She thought she was in labor. As a result, she delivered her child at home without medical attention and died shortly after giving birth. The plaintiff was Lorene Hill, administer of Monroe’s estate, against Ohio Country Hospital. The question arises whether there was a breach of duty by the hospital in accordance to the institution’s admission policy. The staff nurse followed all protocols defined by the hospital. When Monroe arrived at the hospital there was no apparent emergency. Moreover, the nurse went above and beyond to provide for her, she gave Monroe information where to get OB services and even offered an ambulance
The Tell Tale Heart Case Analysis
Your Honor and Ladies and Gentlemen of the jury, the defendant in Edgar Allen Poe’s “The tell-Tale Heart” is insane; using the McNaughton rule it will be proven that the Caretaker should be placed in a state hospital for the criminally insane. The McNaughton rule states that one has a mental disorder or disease that compels them to commit the crime, the accused can not resist the urge to commit the crime, and that he or she did not know what he/she was doing, and the Defendant did not understand that what he/she was doing was wrong/illegal.
Nursing Ethical Dilemma Paper
Ethical dilemmas, also known as a moral dilemma, is a situation in which there is a choice between two options, neither of which resolves the situation completely. In other words, both options will result in negative results based on society and/or personal guidelines. Labor and delivery nurses are often confronted with ethical dilemmas in practice. To help student nurses prepare for this eventuality, nursing programs do their best to incorporate education about ethics and professionalism into courses. This introduction to ethics in nursing school also assists future nurses to begin recognizing and managing their own personal values in a way that can help guide them in resolving ethical conflicts they will encounter throughout their professional careers.
Becoming A Nicu Nurse Essay
In the world of college, there are many majors or professions to choose from. Whatever career I choose to take, I know that there are many doors open for me to walk through. Planning for life after high school, I am considering going into the medical field to become a Neonatal Intensive Care Unit Nurse (NICU).
Positive And Negative Communication In Nursing
Neuroscience tells that each human being have a different and unique way of communicating, speaking, and interacting, and that humans have different experiences of conflicts that allows one human to connect with the other (Teitelbum, 2016). Having the power to communicate with one another is a privilege, but being able to connect and speak from the heart is a gift. Nursing is a profession that allows a person to give comfort and care through an effective communication which bridges in healing a person’s body. Being unable to positively communicate with the patient causes an enormous struggle in building a relationship between the patient and the nurse. This paper will point out the positive and negative communication a nurse used to interact with her patient and will offer alternatives to improve the nurse-patient relationship.
Nr 602: Nurse Practitioner Core Competencies
The last past eight weeks have provided an opportunity to achieve several program outcomes that will prepare me as my role of nurse practitioner. This course NR 602 has provided me with an opportunity to meet the MSN program outcome #6, the MSN Essential VII, and the Nurse Practitioner Core Competencies # 8. These program outcomes will institute a base upon which care can be delivered with quality.
Jamaica Kincaid's Girl: Journal Analysis
At the start of our class, I was deeply inspired with the TED video that we watched in week1. I was thinking about how do we often just assume something with our own perspective and own experiences. Also, me and my psychology professor were discussing about this problem or should I say, this tendency. This was very interesting project for me to study. I’m glad that I have encounter to this similar topic.
Ethical Issues In Human Services
Using a structured technique can bring about moderation and gets rid of extremism (Miller, n.d.). Internal conflict can be worked with my mediation. Domenici and Littlejohn (2001) feel that mediation works because of collaboration. The mediation model takes after a transformative way to deal with conflict. The thought is to change the groups or individuals of contention through a procedure of intervention that utilizes empowerment and acknowledgment (Domenici & Littlejohn, 2001). Wronka (2008) mentions that using human right approach affects services. Human service professionals understand human rights ensure equal treatment, fair conduct and allows both sides to be heard. Reamer (2015) writes about self-regulation helping the human service professional to avoid roles that will lead to problems. Knowing weakness, strengths and bias thoughts will bring about more ethical practices and helps the professional work through any conflict that may
Registered Nurse Bratcher
The article, “Registered Nurse” by Emily H. Bratcher discusses information about registered nursing. As I plan to become a nurse, this article has caused my desire for nursing to grow increasingly. In the article it states, “They look at the entire person and their situation, not just what medical concerns they have.” (Bratcher) This quote displays how great of an impact a nurse can have on one’s life. I would like to make that difference. From the article, I learned that registered nurses can specialize in specific areas; those nurses are called APRNS. One APRN job is midwifery. Nursing along with midwifery is a career that I would now definitely like to pursue. I am in agreement with the article because it says how nursing is not limited
Nursing Sensitive Indicators Case Study
Nursing-sensitive indicators (NSIs), particularly those listed in the National Database of Nursing Quality Indicators (NDNQI), identify care structures and processes that are influential to patient care outcomes (Montalvo, 2007). A robustly prepared indicator can accurately measure the structure or process it is designed to measure at a desired level of quality. Any deviation from this clearly defined outcome will hint on interfering issues in patient care.
Culver's Classroom Observation
The group that I chose to observe consisted of four members. Three of the members were part of a family, including the mother, the older sister, and the younger brother. The fourth member I soon noted was the older sister’s friend who had tagged along. They had all come to Culver 's later in the evening to get ice cream a little after dinner time. As soon as they had found their table and sat down the mother had asked the three children what they would like to have. The three gave their answers and the mother got up to take the orders. Before she left, the younger brother had asked if he could go talk to his friends who he had seen sitting at a different booth. The mother said he could and so he too ran off, leaving the two teenagers by themselves
Integrative Practicum Placement Analysis
It was difficult to read Carmen’s post about how she became burnt out during her first Integrative Practicum placement. My interpretation of her story was that moral distress was a large contributor to her burn out (Carmen, you can correct me if I am wrong). Moral distress occurs when a person knows the right action to take but is not able to carry out this action as a result of one or more barriers (Wagner, 2015). When Carmen asked the Personal Support Worker (PSW) on her floor for assistance with feeding one of her three full feed patients, she likely did so to ensure that each of them would be able to eat their meal in a timely manner from when it arrived to the floor. Sadly, the PSW rejected her request. If I was in her position, I would have felt quite distressed because although it is the morally right to feed each of these three patients when their food arrives, it is apparent that there were barriers in doing so. In particular, the barriers that stuck out to
Evidence-Based Model: Implications For Practice
Findings showed that for a proper care planning, vital stability factors as well as specific identified in the study must be dully addressed and considered. On this premise, the relevance and importance of our principal framework (Figure 3) transcends risk identification and elimination but provide an explanation on how the challenges each factor pose at different times and situations.
Women's Equality In The United States
In any age, women are classified as minority group, and they had been fighting against the society to assert their rights and equality. Especially, American women were earlier than women in other country to stand up for their social equality. At first, women were not allowed to have the right of education in the United States in the binning of 18th century. Young women and girls could not go to school, and help housekeeping with their mother. They did not have right to study how to read and write. Women were classified as property of husband after they got married. Then, during the 18th century, the US government gradually made some facility for women’s education. The government started educating women to teach nationalism, and the women educated
Tell-Tale Heart Insane Analysis
We hear about unbelievable murders in the news quite frequently. Some of them are mentally insane and get let off because, “It’s not their fault.” Or, “They were born like that”. The narrator in The Tell-Tale Heart was insane before he murdered the old man. But was he responsible for his actions?
More about Vital Signs Case Study
Related topics.
- Blood pressure
- Myocardial infarction
- Written for
- Document information
- Related courses
- College Of New Rochelle
- NURSING 217
Exam (elaborations)
Nursing 217 - vital signs case study..
- Institution
NURSING 217 - Vital Signs Case Study/NURSING 217 - Vital Signs Case Study. Mr. Charles Lamont is a 64-year-old patient who is visiting his primary care physician with complaints of vomiting x 3 days and inability to keep anything down. His wife is waiting for him in the lobby. She is hoping tha...
Preview 1 out of 4 pages
- Report Copyright Violation
Preview 1 out of 4 pages
Reviews received
The benefits of buying summaries with stuvia:.
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do i get when i buy this document.
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Money-back guarantee: how does it work?
You can get your money back within 14 days without reason. You fill in a form and our customer service team will take care of the rest.
Who am I buying this summary from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller bestnurse. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy this summary for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72580 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy summaries for 13 years now
IMAGES
VIDEO
COMMENTS
Susie is a nurse who works in a busy clinic in Philadelphia where a patient named Mr. Jones was added onto the schedule last minute because he
Monitoring vital signs for changes is important in nursing intervention to ensure safe patient care and improve patient outcomes. Vital signs
case study of vital sign case studies, chapter: vital signs you are nurse caring for ironworker who has been admitted to your unit with acute hypertension.
3. What actions should the healthcare provider take based on this adult client's findings? Notify the most responsible provider such as the physician or nurse
A new graduate nurse takes Mr. Coburn's admitting vital signs as: pulse 122 and regular, RR 22 and non-labored, BP 88/50 RA, tympanic temperature 38°
CASE STUDY You are working in the night shift and noticed the following ... List the normal temperature in the normal person Develop nursing care plan
During physical examination, Sean's vital signs were: BP 123/85 mmHg, HR 95 beats/min., RR 22 breaths/min, Temp, 98.6°F, and an Oxygen Saturation of 97%. Sean's
It measures how effective the circulatory, neural, endocrine, and respiratory systems are functioning. The vital signs include taking of temperature, counting
NURSING 217 - Vital Signs Case Study/NURSING 217 - Vital Signs Case Study. Mr. Charles Lamont is a 64-year-old patient who is visiting his
Lamont calls Laura, the nurse, and tells Laura that as he attempted to get up and go tothe bathroom he felt dizzy and had to sit down. Laura also observed that