Swift River - Med-Surg - Scenarios
Exam Questions & Answers (Grade
A+)
Calvin Umbyuma, a 42-year-old male, has been admitted for
shortness of breath and pleuritic chest pain. He was diagnosed with
HIV over a year ago. He recently traveled Kenya, to visit his mother,
who is ill. While visiting his mother, he received herbal therapies to
help with the manifestations he was experiencing. Vital signs are
temperature 100.9°F (38.3° C), respirations 22/min, heart rate
92/min, blood pressure 152/89 mmHg, oxygen saturation 91% on
room air. Inflammatory markers including erythrocyte
sedimentation rate (ESR) and c-reactive protein (CRP) are elevated
at 78.9 mmh and 67.2 mg/L. The client has been placed in a
negative pressure room at the end of the hallway. -
correct answer ✅Maslow's Hierarchy of Needs - High Priority
ABCs - High Priority
Safety and Risk Reduction - High Priority
Urgent vs Nonurgent - High Priority
Chronic vs Acute/Stable vs Unstable - High Priority
Calvin Umbyuma
The nurse reviews the information received in the report and enters
the client's room to perform a physical assessment. Upon
assessment, the client is alert and oriented to person, place, time,
and event. Pupils are equal, round, reactive to light, and
,Swift River - Med-Surg - Scenarios
Exam Questions & Answers (Grade
A+)
accommodation. Lung sounds reveal crackles in right upper lobe.
Client is expectorating blood-tinged mucopurulent sputum and
reports pain during coughing episodes rated as a 5 on a 0 to 10 pain
scale. S1S2 heart tones noted, All pulses palpable. Abdomen is soft
and non-tender. Bowel sounds active in all 4 quadrants. Client is
lying in semi-Fowler's position. Call light is within reach. -
correct answer ✅Which of the following concerns should the
nurse address while providing client care? (Select all that apply.)
Correct Options:
Physiological: Comfort
Health Promotion: Education
Physiological: Immunity
Physiological: Infection
Incorrect Options:
Physiological: Nutrition
Physiological: Mobility
Physiological: Clotting
Physiological: Grief
,Swift River - Med-Surg - Scenarios
Exam Questions & Answers (Grade
A+)
Calvin Umbyuma
The nurse is planning client care and reviewing information in the
electronic medical record (EMR). During episodes of coughing, the
client expectorates sputum that is blood-tinged and greenish yellow
in color. The client reports that the pain increases during episodes
of coughing. When examining the client's previous chest x-ray, the
nurse identifies an area of patchy shadowing in the right upper
lobe. The client reports having night sweats and waking up through
the night for the past 4 weeks being drenched in sweat. The client
stated that they have traveled to Kenya twice this year to care for
their ill parent. The client reports that their parent has not received
treatment for their illness at a medical facility but does practice
naturopathic medicine. The client reports using provider prescribed
medications, darunavir 800 mg with ritonavir 100 mg, ...etc -
correct answer ✅When planning client care, which of the
following actions should the nurse take?
Correct:
Prepare to obtain a sputum specimen culture
Place the client on airborne isolation precautions
Review client's immunization record for bacillus Calmette-Guerin
vaccine
, Swift River - Med-Surg - Scenarios
Exam Questions & Answers (Grade
A+)
Incorrect:
Prepare to administer client's herbal therapies
Preform venipuncture on client's right hand to obtain blood for
culture
Calvin Umbyuma
The client calls the nurse to report severe pain when coughing and
a worsening of shortness of breath. When entering the client's
room to administer a PRN pain medication, the nurse notices the
client has a visitor in the room who has delivered the client's herbal
therapy, echinacea and St. John's wort, from home. -
correct answer ✅Which of the following actions should the nurse
take?
Correct:
Listen to the client's lung sounds
Preform a medication reconciliation with the client's medications
and therapies.
Monitor the client's lymphocyte count
Incorrect:
Exam Questions & Answers (Grade
A+)
Calvin Umbyuma, a 42-year-old male, has been admitted for
shortness of breath and pleuritic chest pain. He was diagnosed with
HIV over a year ago. He recently traveled Kenya, to visit his mother,
who is ill. While visiting his mother, he received herbal therapies to
help with the manifestations he was experiencing. Vital signs are
temperature 100.9°F (38.3° C), respirations 22/min, heart rate
92/min, blood pressure 152/89 mmHg, oxygen saturation 91% on
room air. Inflammatory markers including erythrocyte
sedimentation rate (ESR) and c-reactive protein (CRP) are elevated
at 78.9 mmh and 67.2 mg/L. The client has been placed in a
negative pressure room at the end of the hallway. -
correct answer ✅Maslow's Hierarchy of Needs - High Priority
ABCs - High Priority
Safety and Risk Reduction - High Priority
Urgent vs Nonurgent - High Priority
Chronic vs Acute/Stable vs Unstable - High Priority
Calvin Umbyuma
The nurse reviews the information received in the report and enters
the client's room to perform a physical assessment. Upon
assessment, the client is alert and oriented to person, place, time,
and event. Pupils are equal, round, reactive to light, and
,Swift River - Med-Surg - Scenarios
Exam Questions & Answers (Grade
A+)
accommodation. Lung sounds reveal crackles in right upper lobe.
Client is expectorating blood-tinged mucopurulent sputum and
reports pain during coughing episodes rated as a 5 on a 0 to 10 pain
scale. S1S2 heart tones noted, All pulses palpable. Abdomen is soft
and non-tender. Bowel sounds active in all 4 quadrants. Client is
lying in semi-Fowler's position. Call light is within reach. -
correct answer ✅Which of the following concerns should the
nurse address while providing client care? (Select all that apply.)
Correct Options:
Physiological: Comfort
Health Promotion: Education
Physiological: Immunity
Physiological: Infection
Incorrect Options:
Physiological: Nutrition
Physiological: Mobility
Physiological: Clotting
Physiological: Grief
,Swift River - Med-Surg - Scenarios
Exam Questions & Answers (Grade
A+)
Calvin Umbyuma
The nurse is planning client care and reviewing information in the
electronic medical record (EMR). During episodes of coughing, the
client expectorates sputum that is blood-tinged and greenish yellow
in color. The client reports that the pain increases during episodes
of coughing. When examining the client's previous chest x-ray, the
nurse identifies an area of patchy shadowing in the right upper
lobe. The client reports having night sweats and waking up through
the night for the past 4 weeks being drenched in sweat. The client
stated that they have traveled to Kenya twice this year to care for
their ill parent. The client reports that their parent has not received
treatment for their illness at a medical facility but does practice
naturopathic medicine. The client reports using provider prescribed
medications, darunavir 800 mg with ritonavir 100 mg, ...etc -
correct answer ✅When planning client care, which of the
following actions should the nurse take?
Correct:
Prepare to obtain a sputum specimen culture
Place the client on airborne isolation precautions
Review client's immunization record for bacillus Calmette-Guerin
vaccine
, Swift River - Med-Surg - Scenarios
Exam Questions & Answers (Grade
A+)
Incorrect:
Prepare to administer client's herbal therapies
Preform venipuncture on client's right hand to obtain blood for
culture
Calvin Umbyuma
The client calls the nurse to report severe pain when coughing and
a worsening of shortness of breath. When entering the client's
room to administer a PRN pain medication, the nurse notices the
client has a visitor in the room who has delivered the client's herbal
therapy, echinacea and St. John's wort, from home. -
correct answer ✅Which of the following actions should the nurse
take?
Correct:
Listen to the client's lung sounds
Preform a medication reconciliation with the client's medications
and therapies.
Monitor the client's lymphocyte count
Incorrect:
