swift river (Arthur Thomason, Charlie
Raymond,Dotty Hamilton,Hildegard
Lowe,Wight Goodman,Ramona
Stukes) Exam Questions & Answers
(Grade A+)
Arthur Thomason
Arthur Thomason is a 56-year-old client who was involved in a
motor vehicle crash (MVC). The client is four days post-operative for
splenectomy and femur repair. Arthur is experiencing new onset of
shortness of breath and is on oxygen at 2 L/min via nasal cannula
with SpO2 at 89%. The client is restless with slight confusion but
easily orientated x 3. Temperature spiked during the night to 39.1°
C (102.4° F) and last temperature check was 38° C (101° F); BP now
146/94 mm Hg, which is slightly elevated from the client's baseline;
respirations at 30/min and slightly labored; heart rate 102/min
versus 84/min from last night's shift. Skin cool to touch and appears
pale. Unproductive coughing to clear their airway. Recent chest X-
ray shows diffuse bilateral interstitial infiltrates in all lobes. Recent
blood gases demonstrate falling PaO2 (hypoxemia) and increasing
CO2 (hypercapnia). The client appears anx -
correct answer ✅Maslow's Hierarchy of Needs
Your response: High Priority
Airway, Breathing, Circulation
Your response: High Priority
,swift river (Arthur Thomason, Charlie
Raymond,Dotty Hamilton,Hildegard
Lowe,Wight Goodman,Ramona
Stukes) Exam Questions & Answers
(Grade A+)
Safety and Risk Reduction
Your response: High Priority
Urgent vs Nonurgent; high
Chronic vs Acute/Stable vs Unstable- high
Initial Nursing Assessment
Arthur Thomason is a 56-year-old client who was involved in a
motor vehicle accident (MVA). The client is four days post-operative
for splenectomy and femur repair. Arthur is experiencing new onset
of shortness of breath and is on oxygen at 2 L/min via nasal cannula
with SpO2 at 89%. The client is restless with slight confusion but
easily orientated x 3. Temperature spiked during the night to 39.1°
C (102.4° F) and last temperature check was 38° C (101°F); BP now
146/94 mm Hg, which is slightly elevated from the client's baseline;
respirations at 30/min and slightly labored; heart rate 102/min
,swift river (Arthur Thomason, Charlie
Raymond,Dotty Hamilton,Hildegard
Lowe,Wight Goodman,Ramona
Stukes) Exam Questions & Answers
(Grade A+)
versus 84/min from last night's shift. Skin cool to touch and appears
pale. Unproductive coughing to clear their airway. Recent chest X-
ray shows diffuse bilateral interstitial infiltrates in all lobes. Recent
blood gases demonstrate falling PaO2 (hypoxemia) and increasing
CO2 (hypercapnia). The clie -
correct answer ✅Physiological: Gas Exchang,
Physiological: Acid Base
Physiological: Thermoregulation
Psychosocial: Cognition
Physiological: Comfort
Psychosocial: Stress and Coping
Physiological: Perfusion
, swift river (Arthur Thomason, Charlie
Raymond,Dotty Hamilton,Hildegard
Lowe,Wight Goodman,Ramona
Stukes) Exam Questions & Answers
(Grade A+)
Arthur Thomason
After receiving hand-off report, the nurse enters the client's room
and observes the client talking to self. The nurse greets the client
and introduces self but notices the client appears confused. The
nurse provides reorientation to the client who is lying in supine
position with their nasal cannula not on properly. The client is
dyspneic at rest and appears restless.
Which of the following actions should the nurse take? (Select all
that apply.) -
correct answer ✅Check the client's oxygen saturation level.
Place the nasal cannula on the client properly.
Assist client to high-Fowler's position
Arthur Thomason
The nursing assessment reveals lungs sounds with crackles
auscultated bilaterally; respirations 29/min on oxygen at 4 L/min. IV
Raymond,Dotty Hamilton,Hildegard
Lowe,Wight Goodman,Ramona
Stukes) Exam Questions & Answers
(Grade A+)
Arthur Thomason
Arthur Thomason is a 56-year-old client who was involved in a
motor vehicle crash (MVC). The client is four days post-operative for
splenectomy and femur repair. Arthur is experiencing new onset of
shortness of breath and is on oxygen at 2 L/min via nasal cannula
with SpO2 at 89%. The client is restless with slight confusion but
easily orientated x 3. Temperature spiked during the night to 39.1°
C (102.4° F) and last temperature check was 38° C (101° F); BP now
146/94 mm Hg, which is slightly elevated from the client's baseline;
respirations at 30/min and slightly labored; heart rate 102/min
versus 84/min from last night's shift. Skin cool to touch and appears
pale. Unproductive coughing to clear their airway. Recent chest X-
ray shows diffuse bilateral interstitial infiltrates in all lobes. Recent
blood gases demonstrate falling PaO2 (hypoxemia) and increasing
CO2 (hypercapnia). The client appears anx -
correct answer ✅Maslow's Hierarchy of Needs
Your response: High Priority
Airway, Breathing, Circulation
Your response: High Priority
,swift river (Arthur Thomason, Charlie
Raymond,Dotty Hamilton,Hildegard
Lowe,Wight Goodman,Ramona
Stukes) Exam Questions & Answers
(Grade A+)
Safety and Risk Reduction
Your response: High Priority
Urgent vs Nonurgent; high
Chronic vs Acute/Stable vs Unstable- high
Initial Nursing Assessment
Arthur Thomason is a 56-year-old client who was involved in a
motor vehicle accident (MVA). The client is four days post-operative
for splenectomy and femur repair. Arthur is experiencing new onset
of shortness of breath and is on oxygen at 2 L/min via nasal cannula
with SpO2 at 89%. The client is restless with slight confusion but
easily orientated x 3. Temperature spiked during the night to 39.1°
C (102.4° F) and last temperature check was 38° C (101°F); BP now
146/94 mm Hg, which is slightly elevated from the client's baseline;
respirations at 30/min and slightly labored; heart rate 102/min
,swift river (Arthur Thomason, Charlie
Raymond,Dotty Hamilton,Hildegard
Lowe,Wight Goodman,Ramona
Stukes) Exam Questions & Answers
(Grade A+)
versus 84/min from last night's shift. Skin cool to touch and appears
pale. Unproductive coughing to clear their airway. Recent chest X-
ray shows diffuse bilateral interstitial infiltrates in all lobes. Recent
blood gases demonstrate falling PaO2 (hypoxemia) and increasing
CO2 (hypercapnia). The clie -
correct answer ✅Physiological: Gas Exchang,
Physiological: Acid Base
Physiological: Thermoregulation
Psychosocial: Cognition
Physiological: Comfort
Psychosocial: Stress and Coping
Physiological: Perfusion
, swift river (Arthur Thomason, Charlie
Raymond,Dotty Hamilton,Hildegard
Lowe,Wight Goodman,Ramona
Stukes) Exam Questions & Answers
(Grade A+)
Arthur Thomason
After receiving hand-off report, the nurse enters the client's room
and observes the client talking to self. The nurse greets the client
and introduces self but notices the client appears confused. The
nurse provides reorientation to the client who is lying in supine
position with their nasal cannula not on properly. The client is
dyspneic at rest and appears restless.
Which of the following actions should the nurse take? (Select all
that apply.) -
correct answer ✅Check the client's oxygen saturation level.
Place the nasal cannula on the client properly.
Assist client to high-Fowler's position
Arthur Thomason
The nursing assessment reveals lungs sounds with crackles
auscultated bilaterally; respirations 29/min on oxygen at 4 L/min. IV
