Next GenerationPlus / minus scoring
Trend questions
Serial data across several time points. The question is the direction of travel, not any single value.
Strategy
Read columns left to right and label each parameter improving, worsening or unchanged before answering.
Measures which step
- 6. Evaluate OutcomesDid it help?
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Trend example
Item 1 of 1 · Trend · Evaluate Outcomes
A client admitted with heart failure was started on IV furosemide 36 hours ago. The nurse reviews the flow sheet.
Which findings indicate that the client is now at risk from the diuretic therapy? Select all that apply.
| Parameter | Admission | 12 hours | 24 hours | 36 hours |
|---|---|---|---|---|
| Weight (kg) | 84.2 | 83.1 | 81.9 | 80.8 |
| Blood pressure (mmHg) | 148/88 | 136/82 | 124/76 | 104/62 |
| Heart rate (bpm) | 96 | 92 | 94 | 108 |
| Potassium (mmol/L) | 4.1 | 3.8 | 3.4 | 3.0 |
| Creatinine (µmol/L) | 92 | 98 | 116 | 142 |
| Crackles | Bilateral to mid-zones | Bilateral bases | Scattered bases | Clear |