Skip to main content
Medicine LibreTexts

6.17: Case Study 1- Adult Client (continued)

  • Page ID
  • \( \newcommand{\vecs}[1]{\overset { \scriptstyle \rightharpoonup} {\mathbf{#1}} } \) \( \newcommand{\vecd}[1]{\overset{-\!-\!\rightharpoonup}{\vphantom{a}\smash {#1}}} \)\(\newcommand{\id}{\mathrm{id}}\) \( \newcommand{\Span}{\mathrm{span}}\) \( \newcommand{\kernel}{\mathrm{null}\,}\) \( \newcommand{\range}{\mathrm{range}\,}\) \( \newcommand{\RealPart}{\mathrm{Re}}\) \( \newcommand{\ImaginaryPart}{\mathrm{Im}}\) \( \newcommand{\Argument}{\mathrm{Arg}}\) \( \newcommand{\norm}[1]{\| #1 \|}\) \( \newcommand{\inner}[2]{\langle #1, #2 \rangle}\) \( \newcommand{\Span}{\mathrm{span}}\) \(\newcommand{\id}{\mathrm{id}}\) \( \newcommand{\Span}{\mathrm{span}}\) \( \newcommand{\kernel}{\mathrm{null}\,}\) \( \newcommand{\range}{\mathrm{range}\,}\) \( \newcommand{\RealPart}{\mathrm{Re}}\) \( \newcommand{\ImaginaryPart}{\mathrm{Im}}\) \( \newcommand{\Argument}{\mathrm{Arg}}\) \( \newcommand{\norm}[1]{\| #1 \|}\) \( \newcommand{\inner}[2]{\langle #1, #2 \rangle}\) \( \newcommand{\Span}{\mathrm{span}}\)\(\newcommand{\AA}{\unicode[.8,0]{x212B}}\)

    1. Which findings are considered abnormal for this adult client? What medical terminology is used to define/label these findings?

    • The temperature is higher than expected: hyperthermia/febrile (> 37.3°C)
    • 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 (> than 100 bpm)
    • 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
    • The pulse is weak and thready at 1+ force, which is abnormal
    • The respiration rate is high: tachypnea (> 20 bpm)
    • The oxygen saturations are slightly low (< 97%)

    2. What further assessment should the healthcare provider do based on this adult client’s findings?

    Continue to assess for signs of dehydration:

    • Dry mucous membranes
    • Poor skin turgor
    • Decreased and concentrated urine output

    3. What actions should the healthcare provider take based on this adult client’s findings?

    • Notify the most responsible provider such as the physician or nurse practitioner.
    • If you are the most responsible provider, discuss and initiate treatments such as fluid rehydration.
    Go to the next page to start Case Study 2.

    This page titled 6.17: Case Study 1- Adult Client (continued) is shared under a CC BY 4.0 license and was authored, remixed, and/or curated by Lapum et al. (Ryerson University Library) via source content that was edited to the style and standards of the LibreTexts platform; a detailed edit history is available upon request.