Swift River - Med-Surg - Scenarios South College NSG 1020
Questions with 100% Verified Answers Latest Update
Question: Answer:
Calvin Umbyuma, a 42-year-old male, has been admitted for Maslow's Hierarchy of Needs - High Priority
shortness of breath and pleuritic chest pain. He was ABCs - High Priority
diagnosed with HIV over a year ago. He recently traveled Safety and Risk Reduction - High Priority
Kenya, to visit his mother, who is ill. While visiting his mother, Urgent vs Nonurgent - High Priority
he received herbal therapies to help with the manifestations Chronic vs Acute/Stable vs Unstable - High Priority
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.
Question: Answer:
Which of the following concerns should the nurse address while Calvin Umbyuma
providing client care? The nurse reviews the information received in the report and
(Select all that apply.) enters the client's room to perform a physical assessment.
Correct Options: Upon assessment, the client is alert and oriented to person,
Physiological: Comfort place, time, and event. Pupils are equal, round, reactive to
Health Promotion: Education light, and accommodation. Lung sounds reveal crackles in
Physiological: Immunity right upper lobe. Client is expectorating blood-tinged
Physiological: Infection mucopurulent sputum and reports pain during coughing
Incorrect Options: episodes rated as a 5 on a 0 to 10 pain scale. S1S2 heart tones
Physiological: Nutrition noted, All pulses palpable. Abdomen is soft and non-tender.
Physiological: Mobility Bowel sounds active in all 4 quadrants. Client is lying in semi-
Physiological: Clotting Fowler's position. Call light is within reach.
Physiological: Grief
, Question: Answer:
When planning client care, which of the following actions should the Calvin Umbyuma
nurse take? The nurse is planning client care and reviewing information in
Correct: the electronic medical record (EMR). During episodes of
Prepare to obtain a sputum specimen culture coughing, the client expectorates sputum that is blood-tinged
Place the client on airborne isolation precautions and greenish yellow in color. The client reports that the pain
Review client's immunization record for bacillus Calmette-Guerin increases during episodes of coughing. When examining the
vaccine client's previous chest x-ray, the nurse identifies an area of
Incorrect: patchy shadowing in the right upper lobe. The client reports
Prepare to administer client's herbal therapies having night sweats and waking up through the night for the
Preform venipuncture on client's right hand to obtain blood for past 4 weeks being drenched in sweat. The client stated that
culture 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
Question: Answer:
Which of the following actions should the nurse take? Calvin Umbyuma
Correct: The client calls the nurse to report severe pain when coughing
Listen to the client's lung sounds and a worsening of shortness of breath. When entering the
Preform a medication reconciliation with the client's medications and client's room to administer a PRN pain medication, the nurse
therapies. notices the client has a visitor in the room who has delivered
Monitor the client's lymphocyte count the client's herbal therapy, echinacea and St. John's wort, from
Incorrect: home.
Wear a surgical face mask when entering the client's room
Place an N-95 on the client when visitors enter the client's room
Questions with 100% Verified Answers Latest Update
Question: Answer:
Calvin Umbyuma, a 42-year-old male, has been admitted for Maslow's Hierarchy of Needs - High Priority
shortness of breath and pleuritic chest pain. He was ABCs - High Priority
diagnosed with HIV over a year ago. He recently traveled Safety and Risk Reduction - High Priority
Kenya, to visit his mother, who is ill. While visiting his mother, Urgent vs Nonurgent - High Priority
he received herbal therapies to help with the manifestations Chronic vs Acute/Stable vs Unstable - High Priority
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.
Question: Answer:
Which of the following concerns should the nurse address while Calvin Umbyuma
providing client care? The nurse reviews the information received in the report and
(Select all that apply.) enters the client's room to perform a physical assessment.
Correct Options: Upon assessment, the client is alert and oriented to person,
Physiological: Comfort place, time, and event. Pupils are equal, round, reactive to
Health Promotion: Education light, and accommodation. Lung sounds reveal crackles in
Physiological: Immunity right upper lobe. Client is expectorating blood-tinged
Physiological: Infection mucopurulent sputum and reports pain during coughing
Incorrect Options: episodes rated as a 5 on a 0 to 10 pain scale. S1S2 heart tones
Physiological: Nutrition noted, All pulses palpable. Abdomen is soft and non-tender.
Physiological: Mobility Bowel sounds active in all 4 quadrants. Client is lying in semi-
Physiological: Clotting Fowler's position. Call light is within reach.
Physiological: Grief
, Question: Answer:
When planning client care, which of the following actions should the Calvin Umbyuma
nurse take? The nurse is planning client care and reviewing information in
Correct: the electronic medical record (EMR). During episodes of
Prepare to obtain a sputum specimen culture coughing, the client expectorates sputum that is blood-tinged
Place the client on airborne isolation precautions and greenish yellow in color. The client reports that the pain
Review client's immunization record for bacillus Calmette-Guerin increases during episodes of coughing. When examining the
vaccine client's previous chest x-ray, the nurse identifies an area of
Incorrect: patchy shadowing in the right upper lobe. The client reports
Prepare to administer client's herbal therapies having night sweats and waking up through the night for the
Preform venipuncture on client's right hand to obtain blood for past 4 weeks being drenched in sweat. The client stated that
culture 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
Question: Answer:
Which of the following actions should the nurse take? Calvin Umbyuma
Correct: The client calls the nurse to report severe pain when coughing
Listen to the client's lung sounds and a worsening of shortness of breath. When entering the
Preform a medication reconciliation with the client's medications and client's room to administer a PRN pain medication, the nurse
therapies. notices the client has a visitor in the room who has delivered
Monitor the client's lymphocyte count the client's herbal therapy, echinacea and St. John's wort, from
Incorrect: home.
Wear a surgical face mask when entering the client's room
Place an N-95 on the client when visitors enter the client's room
