Patient Deterioration and Clinical Reasoning in BN Program

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13 Questions

What is the significance of a systolic blood pressure (SBP) of 180-240mmHg in terms of patient deterioration?

Indicates abnormal findings

Which of the following findings would NOT be considered an early warning sign of clinical deterioration in the cardiovascular system?

SBP 120-140mmHg

What is the significance of a respiratory rate (RR) of 5-9 breaths/min in terms of patient assessment?

Low RR indicating distress

Which of the following is NOT an early warning sign of clinical deterioration in the renal system?

HR 40-49bpm

What should be the expected SpO2 levels in a patient showing early signs of clinical deterioration?

90-95%

Why is a drop of more than 2 points in Glasgow Coma Scale (GCS) considered an early warning sign of clinical deterioration?

Indicates worsening neurological function

What does a blood glucose level (BGL) of 1-2.6 mmol/L indicate in terms of patient assessment?

Low blood sugar level

What is the significance of a Glasgow Coma Scale (GCS) of 9-11 in terms of patient assessment?

Indicates a warning sign of clinical deterioration

Why is a systolic blood pressure (SBP) of 80-100mmHg considered a warning sign of clinical deterioration?

It suggests poor peripheral circulation

What is the implication of a seizure in terms of patient assessment?

It points towards a potential emergency situation

Why is an SpO2 level of 90-95% concerning for patient assessment?

It suggests potential respiratory distress

What does an altered mentation signify in terms of patient assessment?

Suggests potential clinical deterioration

Why is a urine output less than 200mls/8 hours considered a concerning finding?

It suggests possible renal impairment or dehydration

Learn to differentiate normal and abnormal findings in patient assessments and use clinical judgment effectively. Develop skills to guide clinical decision-making and understand implications of abnormal findings. Relevant for students in NUR10001 & NUR10005 or similar nursing programs.

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