1
Swift river ( Jody Rush, John
Duncan, Kathy gestalt, Mary Barkley,
Robert sturgess,Trey Johnson)
Questions and Answers (100%
Correct Answers) Already Graded A+
© 2026 Assignment
Jody Rush
Guru01 - Stuvia
1600 - The client presented to the emergency department via
Expert
ambulance early this morning with a right femur fracture
following a skiing incident with no reported loss of
consciousness. They were on a ski trip with friends from
college, and one of their friends accompanied them to the
hospital. Their parents arrived at the hospital an hour ago and
are waiting in the operating suite waiting room. The client
reports having a history of asthma and uses an inhaler as
needed. Preoperative vital signs were: temperature 37.5˚C
(99.5˚F), heart rate 89/min, respirations 18/min, blood
pressure 128/89 mm Hg, and SpO₂ 98% on room air. They
reported pain as a 10 on a scale of 0 to 10 on arrival and have
been receiving morphine for pain. They also received a dose of
ondansetron for nausea prior to going to the operating suite.
The client had difficulty voiding on a bed pan, so a urinary
catheter was prescribed and inserte Ans: Maslow's Hierarchy
of Needs- high
Abc-high
Safety - high
Urgent vs nonurgent-high
, 2
Chronic-high
John Duncan, 56yr-old male, Dx- Gastroenteritis, returned
yesterday from Cancun, c/o intractable diarrhea, weak, pale,
and refusing to eat. No known allergies (NKA). Non-significant
past medical Hx. Vital signs Temp 99.4, BP 106/72, P 96, RR
20, SaO2 91%. Neuro WNL's, alert and cooperative. IV
maintenance fluids with D5 1/2 NS at 125ml per hour in left
forearm. c/o headache- medicated with Lortab 5mg PO at 0900,
takes Lomotil 10ml PRN q 4 hours last dose at 0834. Stools are
decreasing but patient remains very weak. Wife at bedside.
© 2026 Assignment
Diet as tolerated. Dr. Jones. Ans: Maslow's Hierarchy of
Needs-high
Guru01 - Stuvia
Expert
Abc-high
Safety -low
Urgent vs nonurgent-highly
Chronic-high
Kathy Gestalt, 33yr-old, Dx- second day post-op open right
Tibia/Fibula fracture, plaster cast in place on right lower leg.
No known allergies. Vital signs -Temp 98.4, BP 116/76, P 96,
RR 20, SaO2 99%. Neuro WNL, alert, and cooperative but
worried about scarring and is reluctance regarding walking on
leg. Diet as tolerated, up ad lib after gait training. Crutches at
bedside adjusted for height. Dr. Anderson Ans: Maslow's
Hierarchy of Needs-high
Abc-high
Safety -high
, 3
Urgent vs nonurgent-low
Chronic-low
Mary Barkley
Mary Barkley was admitted early this morning with a
respiratory infection and tested positive for COVID-19. The
client resides in an assisted living facility where four Covid-19
related deaths have been reported and is exhibiting the same
© 2026 Assignment
initial signs and symptoms as those residents. The client has a
history of Systemic Lupus Erythematous (SLE), currently in
remission, and takes hydroxychloroquine daily. Current vital
Guru01 - Stuvia
signs are Temperature 39.0˚C (102.3˚F), Pulse 108/min,
Expert
Respirations 24/min, BP 139/96 mm Hg, and SpO2 93% on 2
Lpm humidified oxygen via nasal cannula. The client reports
experiencing chills, muscle pain, headache, loss of taste and
smell, a scratchy, sore throat, and cough. On assessment,
crackles were heard in the lower lobes bilaterally, and the
client has a dry, unproductive cough. S1 and S2 noted on
auscultation, regular rhythm. Abdomen is soft, non-tender,
and non-distended with nor Ans: Maslow's Hierarchy of
Needs-high
Abc-high
Safety -high
Urgent vs nonurgent-low
Chronic-high
Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx
of diabetes. Palliative care. No Known allergies (NKA). Vital
signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Neuro
Swift river ( Jody Rush, John
Duncan, Kathy gestalt, Mary Barkley,
Robert sturgess,Trey Johnson)
Questions and Answers (100%
Correct Answers) Already Graded A+
© 2026 Assignment
Jody Rush
Guru01 - Stuvia
1600 - The client presented to the emergency department via
Expert
ambulance early this morning with a right femur fracture
following a skiing incident with no reported loss of
consciousness. They were on a ski trip with friends from
college, and one of their friends accompanied them to the
hospital. Their parents arrived at the hospital an hour ago and
are waiting in the operating suite waiting room. The client
reports having a history of asthma and uses an inhaler as
needed. Preoperative vital signs were: temperature 37.5˚C
(99.5˚F), heart rate 89/min, respirations 18/min, blood
pressure 128/89 mm Hg, and SpO₂ 98% on room air. They
reported pain as a 10 on a scale of 0 to 10 on arrival and have
been receiving morphine for pain. They also received a dose of
ondansetron for nausea prior to going to the operating suite.
The client had difficulty voiding on a bed pan, so a urinary
catheter was prescribed and inserte Ans: Maslow's Hierarchy
of Needs- high
Abc-high
Safety - high
Urgent vs nonurgent-high
, 2
Chronic-high
John Duncan, 56yr-old male, Dx- Gastroenteritis, returned
yesterday from Cancun, c/o intractable diarrhea, weak, pale,
and refusing to eat. No known allergies (NKA). Non-significant
past medical Hx. Vital signs Temp 99.4, BP 106/72, P 96, RR
20, SaO2 91%. Neuro WNL's, alert and cooperative. IV
maintenance fluids with D5 1/2 NS at 125ml per hour in left
forearm. c/o headache- medicated with Lortab 5mg PO at 0900,
takes Lomotil 10ml PRN q 4 hours last dose at 0834. Stools are
decreasing but patient remains very weak. Wife at bedside.
© 2026 Assignment
Diet as tolerated. Dr. Jones. Ans: Maslow's Hierarchy of
Needs-high
Guru01 - Stuvia
Expert
Abc-high
Safety -low
Urgent vs nonurgent-highly
Chronic-high
Kathy Gestalt, 33yr-old, Dx- second day post-op open right
Tibia/Fibula fracture, plaster cast in place on right lower leg.
No known allergies. Vital signs -Temp 98.4, BP 116/76, P 96,
RR 20, SaO2 99%. Neuro WNL, alert, and cooperative but
worried about scarring and is reluctance regarding walking on
leg. Diet as tolerated, up ad lib after gait training. Crutches at
bedside adjusted for height. Dr. Anderson Ans: Maslow's
Hierarchy of Needs-high
Abc-high
Safety -high
, 3
Urgent vs nonurgent-low
Chronic-low
Mary Barkley
Mary Barkley was admitted early this morning with a
respiratory infection and tested positive for COVID-19. The
client resides in an assisted living facility where four Covid-19
related deaths have been reported and is exhibiting the same
© 2026 Assignment
initial signs and symptoms as those residents. The client has a
history of Systemic Lupus Erythematous (SLE), currently in
remission, and takes hydroxychloroquine daily. Current vital
Guru01 - Stuvia
signs are Temperature 39.0˚C (102.3˚F), Pulse 108/min,
Expert
Respirations 24/min, BP 139/96 mm Hg, and SpO2 93% on 2
Lpm humidified oxygen via nasal cannula. The client reports
experiencing chills, muscle pain, headache, loss of taste and
smell, a scratchy, sore throat, and cough. On assessment,
crackles were heard in the lower lobes bilaterally, and the
client has a dry, unproductive cough. S1 and S2 noted on
auscultation, regular rhythm. Abdomen is soft, non-tender,
and non-distended with nor Ans: Maslow's Hierarchy of
Needs-high
Abc-high
Safety -high
Urgent vs nonurgent-low
Chronic-high
Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx
of diabetes. Palliative care. No Known allergies (NKA). Vital
signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Neuro
