{"id":498,"date":"2018-01-01T23:52:14","date_gmt":"2018-01-01T23:52:14","guid":{"rendered":"http:\/\/pressbooks.library.ryerson.ca\/vitalsign\/?post_type=chapter&#038;p=498"},"modified":"2020-01-26T01:24:45","modified_gmt":"2020-01-26T01:24:45","slug":"case-study-1-adult-case-continued","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/chapter\/case-study-1-adult-case-continued\/","title":{"raw":"Case Study 1: Adult Client (continued)","rendered":"Case Study 1: Adult Client (continued)"},"content":{"raw":"<strong>1. Which findings are considered abnormal for this adult client? What medical terminology is used to define\/label these findings?<\/strong>\r\n<ul>\r\n \t<li>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 (&gt; than 100 bpm)<\/li>\r\n \t<li>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<\/li>\r\n \t<li>The pulse is weak and thready at 1+ force, which is abnormal<\/li>\r\n \t<li>The respiration rate is high: tachypnea (&gt; 20 bpm)<\/li>\r\n \t<li>The oxygen saturations are slightly low (&lt; 97%)<\/li>\r\n<\/ul>\r\n<strong>2. What further assessment should the healthcare provider do based on this adult client\u2019s findings? <\/strong>\r\n\r\nContinue to assess for signs of dehydration:\r\n<ul>\r\n \t<li>Dry mucous membranes<\/li>\r\n \t<li>Poor skin turgor<\/li>\r\n \t<li>Decreased and concentrated urine output<\/li>\r\n<\/ul>\r\n<strong>3. What actions should the healthcare provider take based on this adult client\u2019s findings?<\/strong>\r\n<ul>\r\n \t<li>Notify the most responsible provider such as the physician or nurse practitioner.<\/li>\r\n \t<li>If you are the most responsible provider, discuss and initiate treatments such as fluid rehydration.<\/li>\r\n<\/ul>\r\n<div class=\"textbox shaded\">Go to the next page to start Case Study 2.<\/div>","rendered":"<p><strong>1. Which findings are considered abnormal for this adult client? What medical terminology is used to define\/label these findings?<\/strong><\/p>\n<ul>\n<li>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 (&gt; than 100 bpm)<\/li>\n<li>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<\/li>\n<li>The pulse is weak and thready at 1+ force, which is abnormal<\/li>\n<li>The respiration rate is high: tachypnea (&gt; 20 bpm)<\/li>\n<li>The oxygen saturations are slightly low (&lt; 97%)<\/li>\n<\/ul>\n<p><strong>2. What further assessment should the healthcare provider do based on this adult client\u2019s findings? <\/strong><\/p>\n<p>Continue to assess for signs of dehydration:<\/p>\n<ul>\n<li>Dry mucous membranes<\/li>\n<li>Poor skin turgor<\/li>\n<li>Decreased and concentrated urine output<\/li>\n<\/ul>\n<p><strong>3. What actions should the healthcare provider take based on this adult client\u2019s findings?<\/strong><\/p>\n<ul>\n<li>Notify the most responsible provider such as the physician or nurse practitioner.<\/li>\n<li>If you are the most responsible provider, discuss and initiate treatments such as fluid rehydration.<\/li>\n<\/ul>\n<div class=\"textbox shaded\">Go to the next page to start Case Study 2.<\/div>\n","protected":false},"author":36,"menu_order":6,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-498","chapter","type-chapter","status-publish","hentry"],"part":487,"_links":{"self":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapters\/498","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/wp\/v2\/users\/36"}],"version-history":[{"count":8,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapters\/498\/revisions"}],"predecessor-version":[{"id":1839,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapters\/498\/revisions\/1839"}],"part":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/parts\/487"}],"metadata":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapters\/498\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/wp\/v2\/media?parent=498"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapter-type?post=498"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/wp\/v2\/contributor?post=498"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/wp\/v2\/license?post=498"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}