You measure an adult patient’s vital signs. The pulse is 110. The respiratory system is 24. The oral temperature is 38C. You think you heard the BP at 86/52. You are unsure of the measurement. Which of any of the vital signs were abnormal? Any possible subjective data? What must you do?

You measure an adult patient’s vital signs. The pulse is 110. The respiratory system is 24. The oral temperature is 38C. You think you heard the BP at 86/52. You are unsure of the measurement. Which of any of the vital signs were abnormal? Any possible subjective data? What must you do?

Case Studies In Health Information Management

3rd Edition

ISBN:9781337676908

Author:SCHNERING

Publisher:SCHNERING

Chapter1: Data Content, Structure, And Standards

Section: Chapter Questions

Problem 1.2.2C

See similar textbooks

Similar questions

What is the main purpose in taking an individual's vital signs? to achieve a balance in tachycardia to see that body systems are stimulated to determine if the patient is conscious to assess the conditions of the various body systems
A 75-year-old woman is admitted to your unit for evaluation after being found in herapartment unconscious on the floor. She is now awake but moving slowly. Her vital signs arewithin normal limits. 1. In the hospital, it is unrealistic to expect to be able to spend an uninterrupted 30 to 60 minuteswith a single client performing an admission assessment. Which three system would have toppriority for her initial assessment? Discuss why. 2. While gathering relevant history data, what should you do if the client answers with simpleone-word answer or gestures? 3. Because the client may be in significant discomfort from her fall, it is not easy for her to moveabout for the examination. How might you organize your assessment to minimize here need tochange positions frequently? 4. If the client is unable to provide a detailed recent history, what other sources of these datacould you consider?
A young woman is brought to the emergency department by ambulance after a severe motor vehicle accident. She is unconscious. Her blood pressure is 64/40 mm Hg; heart rate is 150 bpm. She is intubated and is being hand-ventilated. There is no evidence of head trauma. The pupils are 2 mm and reactive. She withdraws to pain. Cardiac examination reveals no murmurs, gallops, or rubs. The lungs are clear to auscultation. The abdomen is tense, with decreased bowel sounds. The extremities are cool and clammy, with thready pulses. Despite aggressive blood and fluid resuscitation, the patient dies. Questions A. What are the four major pathophysiologic causes of shock? Which was likely in this patient? B. What pathogenetic mechanism accounts for this patient’s unresponsiveness? For the cool, paleextremities? C. What forms of hypovolemic shock may have been present in this patient? Why?
A young woman is brought to the emergency department by ambulance after a severe motor vehicle accident. She is unconscious. Her blood pressure is 64/40 mm Hg; heart rate is 150 bpm. She is intubated and is being hand-ventilated. There is no evidence of head trauma. The pupils are 2 mm and reactive. She withdraws to pain. Cardiac examination reveals no murmurs, gallops, or rubs. The lungs are clear to auscultation. The abdomen is tense, with decreased bowel sounds. The extremities are cool and clammy, with thready pulses. Despite aggressive blood and fluid resuscitation, the patient dies. Questions A. What are the four major pathophysiologic causes of shock? Which was likely in this patient? B. What pathogenetic mechanism accounts for this patient’s unresponsiveness? For the cool, pale extremities? C. What forms of hypovolemic shock may have been present in this patient? Why?
A young woman is brought to the emergency department by ambulance after a severe motor vehicle accident. She is unconscious. Her blood pressure is 64/40 mm Hg; heart rate is 150 bpm. She is intubated and is being hand-ventilated. There is no evidence of head trauma. The pupils are 2 mm and reactive. She withdraws to pain. Cardiac examination reveals no murmurs, gallops, or rubs. The lungs are clear to auscultation. The abdomen is tense, with decreased bowel sounds. The extremities are cool and clammy, with thready pulses. Despite aggressive blood and fluid resuscitation, the patient dies. Questions B. What pathogenetic mechanism accounts for this patient’s unresponsiveness? For the cool, pale extremities? C. What forms of hypovolemic shock may have been present in this patient? Why?
A 40-year-old patient comes to the ER complaining of severe pain in his left thigh which started three days prior. On physical examination, his thigh is red, warm, and swollen. His vitals were: Temperature 101F, Pulse 95 beats per minute, regular, 2+, Blood pressure left arm sitting 129/85 mm Hg, Respiratory rate 20 breaths per minute. Which of the following is the best interpretation of the vitals? Answers A - E A All the vital are elevated B Tachycardia, tachypnoea, and fever. Blood pressure is normal. C D All the vitals are normal. Normal pulse, respiratory rate and blood pressure. Temperature reflects a fever. E Blood pressure is elevated and the temperature reflects a fever. Other vitals are normal.
Radial, brachial, femoral, temporal, facial and common carotid arteries are the ones usually used to measure Blank 1. Fill in the blank, read surrounding text. . Korotkoff sounds occur due to Blank 2. Fill in the blank, read surrounding text. flow of blood while the blood vessel is constricted (but not completely closed) by the sphygmomanometer. Bleeding, vomiting and dehydration can lead to Blank 3. Fill in the blank, read surrounding text. , while heart failure, liver cirrhosis and some kidney diseases can cause Blank 4. Fill in the blank, read surrounding text. . Arterioles are the most important vessels for the control of Blank 5. Fill in the blank, read surrounding text. . Pressure within the veins can be increased by Blank 6. Fill in the blank, read surrounding text. . The first three arteries to branch off the Blank 7. Fill in the blank, read surrounding text. in most people are brachiocephalic trunk, left common carotid and left Blank 8. Fill in the blank, read…
8. You obtain a set of vitals on the patient above once your establish her ABC's are in tact. The patient has a heart rate of 120, a blood pressure of 80/60, and a respiratory rate of 28. The neighbor says the patient lives alone but hasn't had any problems. She usually is alert, oriented and highly functional. The patient right now is unable to get up on her own and she tells you she is fine, just needs a hand to get up and that. Which of the following are true about your initial management and impression of this patient? Choose all that apply If she has a DNR form (not a MOST or MOLST form) you can leave her at home She likely doesn't have a heat related problem because she has been down on the floor for a while and hasn't been exerting herself Finding out if there are any medication bottles or other evidence of medical problems or medical wishes prior to leaving the house is a good use of time even though the patient is sick One indication for placing her on oxygen would be her fast…
Mrs. Frances arrives in the emergency department with her son George. She cannot speak and there is weakness and numbness on her right side. She is seen by Victoria, the nurse practitioner, who also notices a drooping on the right side of Mrs. Frances’s face. George states that his mother was fine, eating her breakfast when this occurred. Victoria checks the woman’s BP and it is 200/100. The emergency department physician and Victoria examine the patient, and the physician makes the diagnosis of a cerebral vascular accident (CVA). What other body systems will be affected because of the CVA?
Mrs. Frances arrives in the emergency department with her son George. She cannot speak and there is weakness and numbness on her right side. She is seen by Victoria, the nurse practitioner, who also notices a drooping on the right side of Mrs. Frances’s face. George states that his mother was fine, eating her breakfast when this occurred. Victoria checks the woman’s BP and it is 200/100. The emergency department physician and Victoria examine the patient, and the physician makes the diagnosis of a cerebral vascular accident (CVA). Describe what a CVA is. What is the other name given to a CVA?
Mrs. Frances arrives in the emergency department with her son George. She cannot speak and there is weakness and numbness on her right side. She is seen by Victoria, the nurse practitioner, who also notices a drooping on the right side of Mrs. Frances’s face. George states that his mother was fine, eating her breakfast when this occurred. Victoria checks the woman’s BP and it is 200/100. The emergency department physician and Victoria examine the patient, and the physician makes the diagnosis of a cerebral vascular accident (CVA). What is the correlation between Mrs. Frances’s BP and her CVA?
Mrs. Frances arrives in the emergency department with her son George. She cannot speak and there is weakness and numbness on her right side. She is seen by Victoria, the nurse practitioner, who also notices a drooping on the right side of Mrs. Frances’s face. George states that his mother was fine, eating her breakfast when this occurred. Victoria checks the woman’s BP and it is 200/100. The emergency department physician and Victoria examine the patient, and the physician makes the diagnosis of a cerebral vascular accident (CVA). What is the major cause of strokes?