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Medicine LibreTexts

6.17: Case Study 1- Adult Client (continued)

  • Page ID
    16879
  • 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.