Basic Patient Case Results

Basic Patient Case Results Patient Assessment Finding: Asked for patient identification (Found) Pro Tip: Proper identification is critical for the protection of your patient. It is recommended to check two identifiers before interacting with the patient. Example Question: Can you confirm your name? Finding: Checked vitals before giving medication (Found) Pro Tip: Assessing the patient's vitals may impact your care plan and the safe administration of ordered medications. Example Question: Finding: Asked current breathing status (Available) Pro Tip: Difficulty breathing is one of the adverse effects of enoxaparin, a medication the patient received prior to this assessment. Example Question: How is your breathing? Finding: Asked about medication allergies (Found) Pro Tip: Patients may have allergies that are not included in their documentation, so asking for verbal confirmation can prevent serious adverse events. Example Question: Do you have any allergies to medications? Finding: Asked about current pain (Found) Pro Tip: This patient has been ordered pain medication. Assessing for pain is vital to determining the efficacy of prior treatment and the need for further analgesic intervention. Example Question: Are you having pain right now? Finding: Ask about allergic reaction to codeine (Available) Pro Tip: Assessing the reaction type and severity of a stated allergy may help inform your care plan and determine which medications are appropriate to administer. Example Question: What is your reaction to codeine? Finding: Asked about general experience with side effects (Available) Pro Tip: When administering routine medications, understanding the side effects that the patient generally experiences can shape your care plan to ensure patient safety and comfort. Example Question: Have you experienced medication side effects before? Finding: Asked about thirst (Available) Pro Tip: Thirst can be an important indicator of the patient's general comfort and recent intake. Excessive thirst may be an indicator of dehydration, which is a symptom of rhabdomyolysis, a potentially life-threatening adverse effect associated with atorvastatin. Example Question: Are you thirsty? Finding: Checked intake and output before giving medication (Found) Pro Tip: Assessing the patient's intake and output may impact your care plan and the safe administration of ordered medications. Example Question: Finding: Asked about management of prescribed medications (Available) Pro Tip: Managing multiple home medications can a difficult routine adjustment for some patients. It is important to assess the patient's likelihood to miss doses of new prescriptions to better shape your care plan. Example Question: How do you manage your medication? Finding: Asked current nausea status (Available) Pro Tip: Nausea is a symptom that may be an indicator of rhabdomyolysis, which is a potentially life-threatening adverse effect associated with atorvastatin. Example Question: Are you feeling nauseated? Patient Monitoring Finding: Checked vitals after giving medication (Found) Pro Tip: Assessing the patient's vitals may impact your care plan and the safe administration of ordered medications. Example Question: Finding: Asked about muscle pain and soreness (Found) Pro Tip: Muscle pain is a symptom that may be an indicator of rhabdomyolysis, which is a potentially life-threatening adverse effect associated with atorvastatin. Example Question: Do you have muscle pain? Finding: Ask about pain worsening (Found) Pro Tip: This patient has been ordered pain medication. Assessing for pain is vital to determining the efficacy of prior treatment and the need for further analgesic intervention. Example Question: Have you had an increase in pain? Finding: Asked about rash (Available) Pro Tip: Rashes are one of the most common adverse effects associated with atorvastatin. Example Question: Have you noticed a rash? Finding: Checked intake and output after giving medication (Found) Pro Tip: Assessing the patient's intake and output may impact your care plan and the safe administration of ordered medications. Example Question: Finding: Asked about heart palpitations (Available) Pro Tip: An increased heart rate, resulting in heart palpitations, is a symptom of agranulocytosis and rhabdomyolysis, which is a potentially life-threatening adverse effect associated with lisinopril. Example Question: Have you felt your heart beating abnormally? Finding: Asked about weakness (Available) Pro Tip: Weakness is an adverse effect associated with atorvastatin. Example Question: Do you feel weak? Finding: Asked about vomiting (Available) Pro Tip: Vomiting is a symptom that may be an indicator of rhabdomyolysis, which is a potentially life-threatening adverse effect associated with atorvastatin. Example Question: Have you been vomiting? Finding: Asked about taste disturbances (Available) Pro Tip: Taste disturbance, especially bitter taste, is one of the most common adverse effects associated with lisinopril. Example Question: Have you had changes in taste? Finding: Asked about constipation (Available) Pro Tip: Constipation is one of the most common adverse effects associated with atorvastatin. Example Question: Are you feeling constipated? Finding: Asked about cough (Available) Pro Tip: Cough is one of the most common adverse effects associated with lisinopril. Example Question: Have you been coughing? Finding: Asked about dizziness (Available) Pro Tip: Dizziness is a common symptom of hypotension, which is one of the most common adverse effects associated with lisinopril. Example Question: Are you dizzy right now? Finding: Asked about fatigue (Available) Pro Tip: Fatigue is a common symptom of hypotension, which is one of the most common adverse effects associated with lisinopril. Example Question: Do you feel tired? Finding: Asked about diarrhea (Available) Pro Tip: Diarrhea is one of the most common adverse effects associated with atorvastatin. Example Question: Do you have diarrhea? Finding: Asked about general swelling (Available) Pro Tip: Swelling, especially facial swelling, can be an indicator of angioedema, a potentially life-threatening condition and adverse effect associated with lisinopril. Example Question: Do you have swelling? Finding: Asked about abdominal cramps