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Froggy Jumps

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Clinical reasoning

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RNPRPEPBESTIE

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Froggy Jumps See Before You LeapVersión en línea Clinical reasoning por RNPRPEPBESTIE 1 A client with pneumonia becomes more restless. SpO2 drops from 95% to 90%. Respiratory rate increases to 28/min. How should the nurse interpret these findings? a early respiratory compromise b expected infection progression c increasing oxygen demand 2 A client with an NG tube to suction has had continuous output. The client is now weak and reports muscle cramps. Laboratory results show an elevated pH and increased bicarbonate level. How should the nurse interpret these findings? a respiratory alkalosis b metabolic acidosis c metabolic alkalosis 3 A client who was calm earlier is now pacing the hallway, speaking rapidly, and interrupting staff. The client reports sleeping only two hours and refuses meals. Which assessment indicates a change in behavior requiring further evaluation? a escalating impulsive behavior b increased verbal activity c decreased sleep pattern 4 A client with heart failure is receiving packed red blood cells. During the transfusion, the client develops increasing shortness of breath, crackles are heard bilaterally, and oxygen saturation drops from 96% to 90%. How should the nurse interpret t a transfusion reaction b worsening heart failure c circulatory fluid overload 5 A client with a recent brain injury becomes increasingly confused and lethargic. The nurse notes mild swelling. The client reports headache and nausea. Laboratory results show decreased sodium levels. How should the nurse interpret these findings? a increased intracranial pressure b fluid volume deficit c hyponatremia 6 A client receiving peritoneal dialysis reports abdominal discomfort and nausea. The dialysate appears cloudy on drainage, and the client has a low grade fever. How should the nurse interpret these findings? a fluid imbalance b peritoneal infection c electrolyte shift 7 A client with a history of anorexia has recently begun nutritional rehabilitation. The client now reports weakness and muscle discomfort. Laboratory results show decreased phosphorus levels. Which finding is most concerning? a metabolic adjustment b electrolyte imbalance c nutritional deficiency 8 A child with cystic fibrosis is not receiving pancreatic enzymes with meals. The nurse notes frequent bulky, foul smelling stools and poor weight gain. Which assessment indicates a developing complication? a impaired nutrient absorption b increased metabolic demand c altered bowel pattern

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Froggy Jumps

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Froggy Jumps

See Before You LeapVersión en línea

por RNPRPEPBESTIE

A client with pneumonia becomes more restless. SpO2 drops from 95% to 90%. Respiratory rate increases to 28/min. How should the nurse interpret these findings?

A client with an NG tube to suction has had continuous output. The client is now weak and reports muscle cramps. Laboratory results show an elevated pH and increased bicarbonate level. How should the nurse interpret these findings?

A client who was calm earlier is now pacing the hallway, speaking rapidly, and interrupting staff. The client reports sleeping only two hours and refuses meals. Which assessment indicates a change in behavior requiring further evaluation?

A client with heart failure is receiving packed red blood cells. During the transfusion, the client develops increasing shortness of breath, crackles are heard bilaterally, and oxygen saturation drops from 96% to 90%. How should the nurse interpret t

A client with a recent brain injury becomes increasingly confused and lethargic. The nurse notes mild swelling. The client reports headache and nausea. Laboratory results show decreased sodium levels. How should the nurse interpret these findings?

A client receiving peritoneal dialysis reports abdominal discomfort and nausea. The dialysate appears cloudy on drainage, and the client has a low grade fever. How should the nurse interpret these findings?

A client with a history of anorexia has recently begun nutritional rehabilitation. The client now reports weakness and muscle discomfort. Laboratory results show decreased phosphorus levels. Which finding is most concerning?

A child with cystic fibrosis is not receiving pancreatic enzymes with meals. The nurse notes frequent bulky, foul smelling stools and poor weight gain. Which assessment indicates a developing complication?