NGN case study · Free sample
Neutropenic Fever Progressing to Septic Shock
Client record
Item 1 of 6
A 45-year-old female is admitted to the oncology unit 10 days after receiving her second cycle of chemotherapy for breast cancer. She reports chills, profound fatigue and a productive cough. An implanted port is present in the right upper chest without redness or drainage.
0800 — Admission
Admission note
- 0800:
Admission assessment
Client reports chills, profound fatigue for the past 24 hours and a productive cough with yellow sputum. Mucous membranes are dry. An implanted port is present in the right upper chest without redness, warmth, swelling or drainage.
0800 — Admission
0800 vital signs
| Item | 0800 |
|---|---|
| Blood pressure | 105/65 mmHg |
| Heart rate | 112/min |
| Respiratory rate | 22/min |
| Temperature | 102.1°F (38.9°C) |
| Oxygen saturation | 95% on room air |
Item 1 of 6
Which findings require immediate follow-up by the nurse? Select all that apply.
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