Root Cause Leap

Froggy Jumps

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Finding the Root Cause

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RNPRPEPBESTIE

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Root Cause Leap


Froggy Jumps Root Cause LeapVersión en línea Finding the Root Cause por RNPRPEPBESTIE 1 A client arrives to the ER with worsening pneumonia after several days of fever and cough. Now restless and unable to finish sentences. RR 34, HR 122, SpO2 84% on 4L oxygen. Cyanosis and accessory muscle use noted. a Reduced hemoglobin concentration b Increased left ventricular preload c Impaired alveolar gas exchange from inflammatory fluid accumulation 2 A client receiving insulin infusion for DKA reports sudden weakness and palpitations. HR 128, BP 104/62. Cardiac monitor shows ectopy. Potassium decreased from 5.5 to 2.9. a Hepatic glucose overproduction b Rapid intracellular potassium movement after insulin administration c Increased renal sodium loss 3 On postoperative day one, a client avoids deep breathing due to pain. Now fatigued with mild dyspnea. RR 26, temp 100.6°F, SpO2 90% on room air. Breath sounds diminished at lung bases. a Increased pulmonary capillary pressure b Bronchial smooth muscle constriction c Alveolar collapse from sustained hypoventilation 4 Twenty four hours after a femur fracture, a client becomes anxious and confused. HR 126, RR 30, SpO2 87%. Petechiae appear across the chest. Mental status worsens. a Obstruction of pulmonary microcirculation b Decreased circulating red blood cell volume c Systemic inflammatory response to infection 5 A client with extensive burns presents with severe thirst and weakness. HR 134, BP 82/46. Urine output minimal. Skin cool with delayed capillary refill despite IV fluids started. a Peripheral vasodilation from neurogenic disruption b Increased capillary permeability causing intravascular fluid loss c Reduced myocardial contractility from electrolyte imbalance 6 A COPD client receives increased oxygen overnight. In the morning the client is difficult to arouse. RR 9, HR 94, SpO2 98%. ABG shows rising PaCO2. a Sudden pulmonary vascular obstruction b Acute metabolic acid accumulation c Decreased respiratory stimulation leading to hypoventilation and CO2 retention 7 A client stopped long term corticosteroids one week ago and now presents with dizziness and vomiting. HR 122, BP 80/48, blood glucose 58. Skin cool and pulses weak. a Loss of cortisol support for vascular tone and glucose regulation b Excess thyroid hormone activity c Renal sodium wasting from diuretic effect 8 Two days postpartum, a client reports sudden dyspnea and chest pressure while walking. HR 132, RR 28, SpO2 89%. Client appears anxious and diaphoretic. a Obstruction of pulmonary blood flow by thrombus formation b Acute decrease in uterine tone c Sudden drop in circulating progesterone 9 A child arrives to the ER with fever and sore throat. Now drooling and sitting forward. HR 138, RR 30, SpO2 92%. Inspiratory stridor noted. a Pulmonary surfactant deficiency b Upper airway narrowing from supraglottic tissue inflammation ✓ c Increased mucus production in bronchioles 10 An adolescent with type 1 diabetes presents with vomiting and abdominal pain after missing insulin doses. HR 124, RR 32, BP 98/60. Breath fruity and skin dry. a Excess sodium retention b Increased ketone production causing metabolic acidosis and osmotic dehydration c Sudden pancreatic insulin overrelease 11 A client with severe depression has refused food and fluids for several days. Now dizzy on standing. HR 118, BP 84/52. Mucous membranes dry and skin cool. a Acute sympathetic nervous system surge b Serotonin excess causing autonomic instability c Reduced circulating volume from prolonged inadequate intake

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Root Cause Leap

Froggy Jumps

Sobre esta actividad

Creada por

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Froggy Jumps

OPEN UP 6 UNIT 1 VOCABULARY

Froggy Jumps

Root Cause LeapVersión en línea

por RNPRPEPBESTIE

A client arrives to the ER with worsening pneumonia after several days of fever and cough. Now restless and unable to finish sentences. RR 34, HR 122, SpO2 84% on 4L oxygen. Cyanosis and accessory muscle use noted.

A client receiving insulin infusion for DKA reports sudden weakness and palpitations. HR 128, BP 104/62. Cardiac monitor shows ectopy. Potassium decreased from 5.5 to 2.9.

On postoperative day one, a client avoids deep breathing due to pain. Now fatigued with mild dyspnea. RR 26, temp 100.6°F, SpO2 90% on room air. Breath sounds diminished at lung bases.

Twenty four hours after a femur fracture, a client becomes anxious and confused. HR 126, RR 30, SpO2 87%. Petechiae appear across the chest. Mental status worsens.

A client with extensive burns presents with severe thirst and weakness. HR 134, BP 82/46. Urine output minimal. Skin cool with delayed capillary refill despite IV fluids started.

A COPD client receives increased oxygen overnight. In the morning the client is difficult to arouse. RR 9, HR 94, SpO2 98%. ABG shows rising PaCO2.

A client stopped long term corticosteroids one week ago and now presents with dizziness and vomiting. HR 122, BP 80/48, blood glucose 58. Skin cool and pulses weak.

Two days postpartum, a client reports sudden dyspnea and chest pressure while walking. HR 132, RR 28, SpO2 89%. Client appears anxious and diaphoretic.

A child arrives to the ER with fever and sore throat. Now drooling and sitting forward. HR 138, RR 30, SpO2 92%. Inspiratory stridor noted.

An adolescent with type 1 diabetes presents with vomiting and abdominal pain after missing insulin doses. HR 124, RR 32, BP 98/60. Breath fruity and skin dry.

A client with severe depression has refused food and fluids for several days. Now dizzy on standing. HR 118, BP 84/52. Mucous membranes dry and skin cool.