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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?

2. What further assessment should the healthcare provider do based on this adult client’s findings?

Continue to assess for signs of dehydration:

3. What actions should the healthcare provider take based on this adult client’s findings?

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.

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Case Study VITAL SIGNS [Critical Thinking Skills]

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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.


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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.

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.

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nursing case study vital signs

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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...

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