NGN Case Study 3: Failure to Rescue Latest Update Graded A+

NGN Case Study 3: Failure to Rescue Latest Update Graded A+ Question 1 / 5 Recognizing Cues Select the four findings that are most concerning to the nurse and require immediate follow-up -Extreme nausea and uncontrolled vomiting -Client is hot to the touch and diaphoretic -Morphine is no longer controlling the pain -Client's medical history and previous reactions Question 2 / 5 Analyzing Cues - Medication reaction - Pharmacology administration Question 3 / 5 Prioritizing Hypotheses - Respiratory status - Neurological status Question 4 / 5 Generating Solutions For each potential order, click to specify whether the intervention is anticipated or contraindicated. Anticipated: -Discontinue the PCA morphine -Administer an antiemetic Contraindicated: -Discontinue continuous vital sign monitoring -Discontinue supplemental oxygen Question 5 / 5 Taking Action The provider has entered the following prescriptions. Select the three orders that the nurse should perform right away. -Administer 4 mg ondansetron IV q4h for nausea and vomiting -Discontinue the PCA STAT -Start continuous vital sign monitoring STAT Select the findings below that would indicate the client is not progressing as expected. - client became still, quit talking to their spouse - Snoring - Client unresponsive -RAPID response team was called