SWIFT RIVER MED-SURG EXAM WITH CORRECT
ACTUAL QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST ALREADY GRADED
A+
Save
Terms in this set (18)
,Carlos Mancia Educational Needs: Increased
Fall Risk: Increased
Carlos Mancia, 48yr-old, Spanish Health Change: Increased
speaking migrant worker with no Pain Level: Normal
known past medical Hx. r/o Psychological Needs: Increased
Tuberculosis. Vital signs -Temp 99.1, Sensorium: Normal
BP 124/62, P 77, RR 20, SaO2 91%.
Airborne Isolation. Neuro WNL. Physiological-
Skin moist, respiratory bilateral Dysfunctional Gastrointestinal Motility: False
wheezes and rhonchi. Blood-tinged Electrolyte Imbalance: False
mucous, productive cough. Diet as Fatigue: True
tolerated. IV maintenance fluids Impaired Gas Exchange: True
with D5 1/4 NS @ 150 ml/hr X 3 then Impaired Mobility: False
reduce rate to 75 ml/hr. Expresses Ineffective Airway Clearance: True
fatigue, fear, concern, and desire
for recovery. Need frequent Esteem-
reminder to stay in room and Decisional Conflict: False
maintain mask precautions. If Noncompliance: True
family/visitors come, will need
education to airborne precautions. Safety-
Spanish interpreter available at Anxiety: True
extension 61178. Dr. Rondeau 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 Educational Needs: Increased
Fall Risk: Increased
Jody Rush, 20 y/o female, admitted Health Change: Increased
for right femur fracture status post Neurological: Increased
skiing accident. She is in a traction Pain Level: Normal
splint, and will be going for surgical Psychological Needs: Normal
repair today. Vital signs are BP
120/62 P 88 R 20 T 98.9 F, 37.2 C, Physiological-
PaO2 99. She has been in a lot of Acute Pain: True
pain, and has been receiving 25 Bleeding, Risk for: True
mcg IVP, q2 hours Fentanyl for pain. Impaired Mobility, Risk for: True
She was nauseated after her last Nausea: True
Fentanyl dose, and the Dr. Ordered
an additional 4mg IVP, Zofran. She Safety-
has a history of exercise induced Deficient Knowledge: True
asthma, and uses a rescue inhaler, Grieving: False
Albuterol. Her parents are on their Peripheral Neurovascular Dysfunction: False
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
ACTUAL QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST ALREADY GRADED
A+
Save
Terms in this set (18)
,Carlos Mancia Educational Needs: Increased
Fall Risk: Increased
Carlos Mancia, 48yr-old, Spanish Health Change: Increased
speaking migrant worker with no Pain Level: Normal
known past medical Hx. r/o Psychological Needs: Increased
Tuberculosis. Vital signs -Temp 99.1, Sensorium: Normal
BP 124/62, P 77, RR 20, SaO2 91%.
Airborne Isolation. Neuro WNL. Physiological-
Skin moist, respiratory bilateral Dysfunctional Gastrointestinal Motility: False
wheezes and rhonchi. Blood-tinged Electrolyte Imbalance: False
mucous, productive cough. Diet as Fatigue: True
tolerated. IV maintenance fluids Impaired Gas Exchange: True
with D5 1/4 NS @ 150 ml/hr X 3 then Impaired Mobility: False
reduce rate to 75 ml/hr. Expresses Ineffective Airway Clearance: True
fatigue, fear, concern, and desire
for recovery. Need frequent Esteem-
reminder to stay in room and Decisional Conflict: False
maintain mask precautions. If Noncompliance: True
family/visitors come, will need
education to airborne precautions. Safety-
Spanish interpreter available at Anxiety: True
extension 61178. Dr. Rondeau 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 Educational Needs: Increased
Fall Risk: Increased
Jody Rush, 20 y/o female, admitted Health Change: Increased
for right femur fracture status post Neurological: Increased
skiing accident. She is in a traction Pain Level: Normal
splint, and will be going for surgical Psychological Needs: Normal
repair today. Vital signs are BP
120/62 P 88 R 20 T 98.9 F, 37.2 C, Physiological-
PaO2 99. She has been in a lot of Acute Pain: True
pain, and has been receiving 25 Bleeding, Risk for: True
mcg IVP, q2 hours Fentanyl for pain. Impaired Mobility, Risk for: True
She was nauseated after her last Nausea: True
Fentanyl dose, and the Dr. Ordered
an additional 4mg IVP, Zofran. She Safety-
has a history of exercise induced Deficient Knowledge: True
asthma, and uses a rescue inhaler, Grieving: False
Albuterol. Her parents are on their Peripheral Neurovascular Dysfunction: False
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
