Bow-Tie Test Item

Bow-Tie Test Item

A 42-year-old female is admitted with acute shortness of breath and chest pain that worsens with breathing. Client states that she just arrived from New York and when she got home she started to have these symptoms.

Medical history: DM type 2, GERD, and oral birth control pills.

Vital Signs: Temp 98.3 °F, BP 145/ 69, HR 102, RR 24, Pulse Oximeter 90% on room air,  Blood Sugar 218.

The nurse is reviewing the client’s admission note to prepare the plan of care.

Complete the diagram below by dragging from the choices below:

  1.  What condition the client is most likely experiencing
  2. Two actions to take
  3. Two parameters to monitor
Drag the green labels below to the appropriate boxes:

Let’s look at the cues that point to a pulmonary embolism.

    1. Chest pain and shortness of breath
    2. Oral contraceptives
    3. Sitting down for a long time on an airplane.
    4. Hypoxia: Low Oxygen Saturations
Take a minute to think why not GERD, MI, or DKA.  Is there any evidence of those problems?  Here is where knowledge is required.  Do not spend your time doing only questions.  Acquire Knowledge!
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