Case Soluons For Perry

Case Solu�ons For Perry & Poter's Canadian Clinical Nursing Skills and Techniques 2e Shelley Cobbet (100% Original Verified, A+ Grade) (Case Solu�ons For Selec�ve Chapters) Check Table Of Content 1 / 4

Table Of Content Chapter 7 Chapter 9 Chapter 14 Chapter 16 Chapter 22 Chapter 24 Chapter 25 Chapter 28 Chapter 31 Chapter 32 Chapter 34 Chapter 35 2 / 4

Copyright © 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

ANSWER KEY: NGN-Style Trend Case Study for use with

Perry & Potter’s Canadian Clinical Nursing Skills and Techniques, 2nd Edition Topic: Chapter 7: Vital Signs

Focus: Temperature Hyperthermia

ANSWER:

Question type: Trend

Answer: The nurse should recognize that the client is potentially experiencing hyperthermia and hypotension, as evidenced by the client’s temperature and blood pressure.Rationale: The client narrative indicates the client presents with hyperthermia (heat exhaustion) as evidenced by the temperature greater than 39.7 o

• There are neurological

considerations when a client’s temperature is measured greater than 40 o C, with steps to prevent it moving beyond 43 o

• Hyperthermia can lead to increased intracranial pressure,

seizure activity, and even coma. The client presents with confusion, fatigue, nausea, vomiting, tachypnea, hypotension (as a result of the dehydration), tachycardia, elevated body temperature, dilated pupils, pallor, and diaphoresis. Treatment begins by placing the client in a cool area and removing constrictive and wet clothing. The client is closely monitored for airway, breathing, and circulation complications, including cardiac dysrhythmias as a result of the extreme loss of fluid through diaphoresis. Fluid replacement is typically 0.9% sodium chloride solution via a peripheral venous access device until the client is able to take oral fluids as tolerated. An initial fluid bolus may be used to correct hypotension. Admission may be considered if the client’s condition does not improve within 4 hours.

NCJMM Skill: Analyze Cues

References:

Cobbett, S. L. (Ed.) (2025). Perry & Potter’s Canadian Clinical Nursing Skills and Techniques (2 nd

ed., p. 112-122). Elsevier.Astle, B. J., & Duggleby, W. (Eds.). (2024). Potter and Perry’s Canadian Fundamentals of Nursing (7 th ed., pp. 524-545). Elsevier.Tyerman, J., & Cobbett, S. (Eds.). (2023). Lewis’s Medical-Surgical Nursing in Canada (5 th ed., pp.1457, 1783-1785). Elsevier. 3 / 4

Copyright © 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

ANSWER KEY: NGN-Style Trend Case Study for use with

Perry & Potter’s Canadian Clinical Nursing Skills and Techniques, 2nd Edition Topic: Chapter 9: Specimen Collection

Focus: Cystitis  Pyelonephritis

ANSWER:

Question type: Trend

□ Provide the client with antibiotic samples to treat infection.□ X Initiate social work support for the client.□ Consult mental health resources.□ X Instruct the client to go directly to the hospital for further assessment.□ X Assess the client if they are experiencing any uterine cramping/preterm labour.□ Provide education to the client about how to avoid reoccurrence of an infection.Rationale: The client is experiencing a urinary tract infection (cystitis) that has progressed to pyelonephritis based on the extension of symptoms noted at the Week 21 visit. The client requires further assessment beyond the clinic. The primary nursing actions in this clinical presentation would be to instruct the client to go directly to the hospital for further assessment, which would include additional lab work such as a complete blood count, electrolytes, and urine for culture and sensitivity. The outpatient low-risk clinic is not equipped to provide additional care to the client at this time given the complications of the pyelonephritis. The client should be assessed for preterm labour clinical manifestations, which would include determining if there have been cervical changes and any regular uterine contractions. Complications related to preterm birth contribute to high morbidity and mortality rates in newborns and infants. A final nursing action step would be to initiate social work support for the client in the event the client is discharged home and not to receive further tertiary care support. If the client is unable to afford the antibiotics, then the client may need additional financial and nutritional supports.Providing antibiotic samples is not appropriate as the client’s clinical manifestations have worsened and the client requires further assessment and possible treatment. The client does not present with any mental health concerns despite a difficult situation for which the social work consult may be beneficial for the client. The client will require additional education about how to prevent further cystitis infections, but that is not the most immediate nursing action at this time.

NCJMM Skill: Take Action

References:

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