Fundamentals of Nursing Practice
NCM 103 - Practice Test
Instructor: Rene S. Real, RN
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Clinical Rationale:
Test II: Clinical Scenario
Nursing Care Plan (ADPIE)
Case Study: High-Grade Fever & UTI Management
Patient Profile: Mr. Santos, 35-year-old male, admitted with high-grade fever, body weakness, and chills for 2 days. Reports dysuria, urgency, and lower abdominal pain.
Vital Signs: Temp: 39.2°C | PR: 102 bpm | RR: 20 cpm | BP: 110/70 mmHg | SpO2: 98% on room air.
Physical Exam: Flushed skin, dry lips/oral mucosa, discomfort on lower abdomen palpation. Verbalizes: “I feel so hot and weak. I just want to lie down.”
Labs & Orders: Elevated WBC & urinalysis positive for bacteria (UTI). Prescribed D5 0.3 NaCl at 500 mL q8h, Paracetamol 500mg PO q6h PRN, Cefuroxime 750mg IV q8h.