iHuman VLE #1 Eunice Black
Questions and Answers
Index of exercises: "what are your primary concerns for this patient & what assessments
/ interventions would be associated with your concerns? why?" - answer- primary
concerns for this patient are hypotension, tachycardia, & dehydration (acute vs. chronic
priority framework)
- hypotension: keep pt hydrated & monitor electrolyte balances
- tachycardia: ask for a medication list of what the patient has been taking & monitor the
heart rate. provide quiet & calming environment bc pt is experiencing confusion,
agitation, or anxiety (can be caused by being in the hospital)
during your review of the EHR, which of the findings did you judge as key? - answer-
elevated hct
- hypotension
- elevated urine sg
- hypernatremic
- tachycardia
- 1:1 assistance w feeding
- uses lift for the bed to chair transfers
what findings after asking 25 questions? - answer- a/o to self
what findings after physical assessment? - answer- tenting
- dry mucous membranes
- hypotension
- tachycardia
- dry, cracked lips
exercise 1 - answerno meds due at this time
does the pt qualify for sirs? - answerno
characterize findings - answer- all acute except
- no change: uses lift for bed transfer, tachycardia, hypotension, 1:1 assistance w
feeding
identify pt problems - answer- fluids & electrolytes: elevated urine sg, elevated hct,
hypernatremic, dry mucous, tenting, dry lips
- perfusion: tachycardia, hypotension (EHR & px)
- safety: lift for transfers & 1:1
- cognition: ao self
Questions and Answers
Index of exercises: "what are your primary concerns for this patient & what assessments
/ interventions would be associated with your concerns? why?" - answer- primary
concerns for this patient are hypotension, tachycardia, & dehydration (acute vs. chronic
priority framework)
- hypotension: keep pt hydrated & monitor electrolyte balances
- tachycardia: ask for a medication list of what the patient has been taking & monitor the
heart rate. provide quiet & calming environment bc pt is experiencing confusion,
agitation, or anxiety (can be caused by being in the hospital)
during your review of the EHR, which of the findings did you judge as key? - answer-
elevated hct
- hypotension
- elevated urine sg
- hypernatremic
- tachycardia
- 1:1 assistance w feeding
- uses lift for the bed to chair transfers
what findings after asking 25 questions? - answer- a/o to self
what findings after physical assessment? - answer- tenting
- dry mucous membranes
- hypotension
- tachycardia
- dry, cracked lips
exercise 1 - answerno meds due at this time
does the pt qualify for sirs? - answerno
characterize findings - answer- all acute except
- no change: uses lift for bed transfer, tachycardia, hypotension, 1:1 assistance w
feeding
identify pt problems - answer- fluids & electrolytes: elevated urine sg, elevated hct,
hypernatremic, dry mucous, tenting, dry lips
- perfusion: tachycardia, hypotension (EHR & px)
- safety: lift for transfers & 1:1
- cognition: ao self
