{"id":222,"date":"2018-01-01T23:52:14","date_gmt":"2018-01-01T23:52:14","guid":{"rendered":"https:\/\/www.publiconsulting.com\/wordpress\/vitalsign\/chapter\/case-study-1-adult-case-continued\/"},"modified":"2018-07-03T11:57:26","modified_gmt":"2018-07-03T11:57:26","slug":"case-study-1-adult-case-continued","status":"publish","type":"chapter","link":"https:\/\/www.publiconsulting.com\/wordpress\/vitalsign\/chapter\/case-study-1-adult-case-continued\/","title":{"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>\n\n<ul><li>The temperature is higher than expected: hyperthermia\/febrile (&gt; 37.3\u00b0C)<\/li><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><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><li>The pulse is weak and thready at 1+ force, which is abnormal<\/li><li>The respiration rate is high: tachypnea (&gt; 20 bpm)<\/li><li>The oxygen saturations are slightly low (&lt; 97%)<\/li><\/ul><strong>2. What further assessment should the healthcare provider do based on this adult client\u2019s findings? <\/strong>\n\nContinue to assess for signs of dehydration:\n\n<ul><li>Dry mucous membranes<\/li><li>Poor skin turgor<\/li><li>Decreased and concentrated urine output<\/li><\/ul><strong>3. What actions should the healthcare provider take based on this adult client\u2019s findings?<\/strong>\n\n<ul><li>Notify the most responsible provider such as the physician or nurse practitioner.<\/li><li>If you are the most responsible provider, discuss and initiate treatments such as fluid rehydration.<\/li><\/ul><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 temperature is higher than expected: hyperthermia\/febrile (&gt; 37.3\u00b0C)<\/li>\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":1,"menu_order":1,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-222","chapter","type-chapter","status-publish","hentry"],"part":212,"_links":{"self":[{"href":"https:\/\/www.publiconsulting.com\/wordpress\/vitalsign\/wp-json\/pressbooks\/v2\/chapters\/222","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.publiconsulting.com\/wordpress\/vitalsign\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/www.publiconsulting.com\/wordpress\/vitalsign\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/www.publiconsulting.com\/wordpress\/vitalsign\/wp-json\/wp\/v2\/users\/1"}],"version-history":[{"count":1,"href":"https:\/\/www.publiconsulting.com\/wordpress\/vitalsign\/wp-json\/pressbooks\/v2\/chapters\/222\/revisions"}],"predecessor-version":[{"id":223,"href":"https:\/\/www.publiconsulting.com\/wordpress\/vitalsign\/wp-json\/pressbooks\/v2\/chapters\/222\/revisions\/223"}],"part":[{"href":"https:\/\/www.publiconsulting.com\/wordpress\/vitalsign\/wp-json\/pressbooks\/v2\/parts\/212"}],"metadata":[{"href":"https:\/\/www.publiconsulting.com\/wordpress\/vitalsign\/wp-json\/pressbooks\/v2\/chapters\/222\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/www.publiconsulting.com\/wordpress\/vitalsign\/wp-json\/wp\/v2\/media?parent=222"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/www.publiconsulting.com\/wordpress\/vitalsign\/wp-json\/pressbooks\/v2\/chapter-type?post=222"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/www.publiconsulting.com\/wordpress\/vitalsign\/wp-json\/wp\/v2\/contributor?post=222"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/www.publiconsulting.com\/wordpress\/vitalsign\/wp-json\/wp\/v2\/license?post=222"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}