NGN Case Study 3: Failure to Rescue with Verified Answers

NGN Case Study 3: Failure to Rescue with Verified Answers

Question
Recognizing Cues
Select the four findings that are most concerning Select the findings below that would indicate the
to the nurse and require immediate follow-up - client is not progressing as expected. -
ANSWERS - -Extreme nausea and ANSWERS - - client became still, quit
uncontrolled vomiting talking to their spouse
-Client is hot to the touch and diaphoretic - Snoring
-Morphine is no longer controlling the pain - Client unresponsive
-Client's medical history and previous reactions -RAPID response team was called


Question
Analyzing Cues - ANSWERS - - Medication
reaction
- Pharmacology administration


Question
Prioritizing Hypotheses - ANSWERS --
Respiratory status
- Neurological status


Question
Generating Solutions
For each potential order, click to specify whether
the intervention is anticipated or contraindicated.
- ANSWERS - Anticipated:
-Discontinue the PCA morphine
-Administer an antiemetic

Contraindicated:
-Discontinue continuous vital sign monitoring
-Discontinue supplemental oxygen


Question
Taking Action
The provider has entered the following
prescriptions. Select the three orders that the
nurse should perform right away. -
ANSWERS - -Administer 4 mg ondansetron
IV q4h for nausea and vomiting
-Discontinue the PCA STAT
-Start continuous vital sign monitoring STAT
1/1