Clinical Scenarios
A patient with hypertension has no symptoms but consistent high readings. This explains why HTN is called: (nickname)
What is the “silent killer”?
Interventions for hypertension:
What are reduce sodium, increase activity, weight loss?
A blister with partial-thickness skin loss is:
What is Stage 2 pressure injury?
First cardiovascular change with immobility:
What is orthostatic hypotension?
Which is priority?
What is O2 sat 88%?
A patient with HTN also has CKD. This type of hypertension is:
What is secondary hypertension?
Pressure injury prevention includes:
What are repositioning, moisture control, nutrition?
This wound type is painless due to nerve damage.
What is a neuropathic ulcer?
Scale for measuring activity intolerance measured as:
•6 — Resting, effortless
•12–14 — Target zone (somewhat hard)
•20 — Maximal effort
What is Borg RPE Scale?
Which requires immediate action?
What is sudden leg swelling (DVT risk)?
A patient reports morning headaches and obesity. What underlying mechanism is contributing most?
What is increased vascular resistance from excess volume/weight?
Signs of DVT:
What are unilateral swelling, warmth, pain?
Best intervention for moist, macerated skin from incontinence:
What is barrier cream / moisture protection?
A patient develops hard, dry stool due to:
What is increased water reabsorption in colon?
Priority after applying a cast:
What is neurovascular assessment (CMST)?
A patient develops a pressure injury despite turning. The MOST likely missing factor:
What is nutrition/protein deficiency?
Complications of immobility:
What are atelectasis, pneumonia, DVT?
A wound exposing tendon is:
What is Stage 4 pressure injury?
A patient lying supine develops reflux because:
What is pressure on lower esophageal sphincter?
Which patient first?
What is DVT symptoms?
A bedridden patient suddenly becomes confused and tachycardic with low O2
What is pulmonary embolism?
Fracture complications:
What are compartment syndrome, fat embolism, hemorrhage?
A dry, intact eschar covering a wound should:
What is NOT be removed (stable eschar)?
Immobility leads to renal calculi due to:
What is urinary stasis?
Which intervention is highest priority for immobile patient?
What is repositioning?