Swift River Med-Surg Exam Questions and Answers | 100% Verified and Updated 2024 | Graded A

Swift River Med-Surg Exam Questions and Answers | 100% Verified and Updated 2024 | Graded A Carlos Mancia Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. r/o Tuberculosis. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Airborne Isolation. Neuro WNL. Skin moist, respiratory bilateral wheezes and rhonchi. Blood-tinged mucous, productive cough. Diet as tolerated. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Expresses fatigue, fear, concern, and desire for recovery. Need frequent reminder to stay in room and maintain mask precautions. If family/visitors come, will need education to airborne precautions. Spanish interpreter available at extension 61178. Dr. Rondeau - Answer-Educational Needs: Increased Fall Risk: Increased Health Change: Increased Pain Level: Normal Psychological Needs: Increased Sensorium: Normal Physiological- Dysfunctional Gastrointestinal Motility: False Electrolyte Imbalance: False Fatigue: True Impaired Gas Exchange: True Impaired Mobility: False Ineffective Airway Clearance: True Esteem- Decisional Conflict: False Noncompliance: True Safety- Anxiety: True Deficient Knowledge: True Fall, Risk for: True Fear: True Hypothermia: False Impaired Home Maintenance Management: False Self-Actualization- Readiness for Self-Care Enhancement: True Spiritual Distress: False Love and Belonging- Chronic Sorrow: False Social Isolation, Risk for: True Jody Rush Jody Rush, 20 y/o female, admitted for right femur fracture status post skiing accident. She is in a traction splint, and will be going for surgical repair today. Vital signs are BP 120/62 P 88 R 20 T 98.9 F, 37.2 C, PaO2 99. She has been in a lot of pain, and has been receiving 25 mcg IVP, q2 hours Fentanyl for pain. She was nauseated after her last Fentanyl dose, and the Dr. Ordered an additional 4mg IVP, Zofran. She has a history of exercise induced asthma, and uses a rescue inhaler, Albuterol. Her parents are on their way; they are flying in today. She was on a ski trip with some of her friends from college; her best friend has been camped out with her. We were able to get her on a bed pan earlier, but it took a lot of work. We just received an order for a foley catheter. There was some concern that she may have sustained a head injury as she has an abrasion to her forehead, but she denies ever losing - Answer-Educational Needs: Increased Fall Risk: Increased Health Change: Increased Neurological: Increased Pain Level: Normal Psychological Needs: Normal