Hasabnia Flores
Arizona College
Prioritization of Care Specialty Series - Activity Report
Adult Surgical Care
Module Progress Time Module Level of Patient Intervention Intervention Total
Spent Attempts Care Prioritization Selection Prioritization Score
Selection
Adult 1 hr 87 /
Surgical 35 0 100
Care mins
Level of Care Selections
Candace Russell
Learner Answer: Inpatient Surgical Care
Correct Answer: Inpatient Surgical Care Correct
Learner Rationale: I chose inpatient surgical care because the patient had a really elevated
blood pressure and her oxygen was low. She needs to be stabilized prior
to the surgery
Feedback: Candice Russell should receive care next. Assessment findings including
a report of a severe headache, facial numbness, double vision, a slightly
elevated heart rate, and blood pressure along with an MRI scan indicate
she has a cerebral aneurysm. At this time the aneurysm is intact, but she
is at risk for rupture and a hemorrhagic stroke. This is a life-threatening
situation that requires rapid intervention to restore and preserve tissue
perfusion and neurological function (Badash,2019; Berman & Snyder,
2021; Hinkle & Cheever, 201; Rebar, 2018; Schub & Heering, 2018).
Kobe Sanger
Learner Answer: Outpatient Surgical Care
Correct Answer: Inpatient Surgical Care Incorrect
Learner Rationale: i chose out patient because patient is stable and is only going under a
minimally invasive valve replacement
Feedback: The patient’s pulse is weak and irregular, diastolic heart mummer heard
at the apex of the heart. He underwent an echocardiogram and ECG
which reveals mitral stenosis. The patient will undergo a percutaneous
minimally invasive procedure for mitral valve replacement.
Etsu Ji
Learner Answer: Inpatient Surgical Care
Correct Answer: Inpatient Surgical Care Correct
Learner Rationale: i chose inpatient surgical care due to the tingling and numbing of her foot
as well as how pale the toes were.
Feedback: Etsu Ji should receive care next. Her history of recent tibial fracture with a
closed reduction and cast, along with excruciating pain with stretching
indicate that she is experiencing compartment syndrome. While not life-
threatening, compartment syndrome can rapidly become limb-threatening
and requires prompt intervention (Hinkle & Cheever, 2018).
Dong Sonn
Learner Answer: Inpatient Surgical Care
Correct Answer: Inpatient Surgical Care Correct
Page 1 of 12
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Arizona College
Prioritization of Care Specialty Series - Activity Report
Adult Surgical Care (continued)
Learner Rationale: i chose inpatient as the patient has a perforation of his intestine and runs
the risk of sepsis. NG tube was place during procedure
Feedback: Dong Sonn should receive care next. A history of peptic ulcer disease
and diverticulosis, abdominal pain radiating to his chest and shoulder,
rigid distended abdomen indicate he likely has a perforated bowel. X-ray
and CT scan confirmed perforation and fluid in the peritoneal space.
Even though these findings place him at high risk for peritonitis which can
be life-threatening he has received IV antibiotic therapy while awaiting
surgical intervention (Berman & Snyder, 2021; Hinkle & Cheever, 2018).
Jose Pena
Learner Answer: Inpatient Surgical Care
Correct Answer: Inpatient Surgical Care Correct
Learner Rationale: inpatient due to the tingly of leg, the deformity of patient's ankle
Feedback: Jose Pena should receive care first as he has the highest risk for injury.
He is brought to the ED following a motor vehicle crash (MVC).
Assessment findings indicate he has an ankle fracture and cervical
fracture of C4 and C5 and signs of impending shock. A patient with a
spinal cord injury can quickly deteriorate and lose neurological function,
which can become permanent if not managed immediately by a
specialized team.
Melvin Cherry
Learner Answer: Outpatient Surgical Care
Correct Answer: Outpatient Surgical Care Correct
Learner Rationale: i chose outpatient surgical care because the patient's vitals are in the
normal range other than some mild pain and nervousness. He can be
prescribed medication for pain and a relaxant prior to the procedure
Feedback: Melvin Cherry should receive care next. He is currently not in any distress
but is nervous about the upcoming surgery and his return home. He
should receive reassurance during the pre-operative period along with
patient and family teaching to manage his post-operative care at home
and follow up appointments (Berman & Snyder, 2021; Hinkle & Cheever,
2018).
Jacqueline Elvy
Learner Answer: Inpatient Surgical Care
Correct Answer: Outpatient Surgical Care Incorrect
Learner Rationale: I chose inpatient surgical care because the patient seemed to be having
a reaction after the anesthesia
Feedback: Jacqueline Elvy should receive care first. Following the procedure for wire
removal from her sternum, she is vomiting. While post-operative nausea
and vomiting isn’t uncommon, vomiting may result in post-operative
bleeding and increase pain. Monitoring for signs of hemorrhage, while
managing fluid balance, nausea and pain, indicates the need for urgent
intervention to prevent life threatening complications.
Madison Michelle
Learner Answer: Outpatient Surgical Care
Correct Answer: Outpatient Surgical Care Correct
Page 2 of 12
Arizona College
Prioritization of Care Specialty Series - Activity Report
Adult Surgical Care
Module Progress Time Module Level of Patient Intervention Intervention Total
Spent Attempts Care Prioritization Selection Prioritization Score
Selection
Adult 1 hr 87 /
Surgical 35 0 100
Care mins
Level of Care Selections
Candace Russell
Learner Answer: Inpatient Surgical Care
Correct Answer: Inpatient Surgical Care Correct
Learner Rationale: I chose inpatient surgical care because the patient had a really elevated
blood pressure and her oxygen was low. She needs to be stabilized prior
to the surgery
Feedback: Candice Russell should receive care next. Assessment findings including
a report of a severe headache, facial numbness, double vision, a slightly
elevated heart rate, and blood pressure along with an MRI scan indicate
she has a cerebral aneurysm. At this time the aneurysm is intact, but she
is at risk for rupture and a hemorrhagic stroke. This is a life-threatening
situation that requires rapid intervention to restore and preserve tissue
perfusion and neurological function (Badash,2019; Berman & Snyder,
2021; Hinkle & Cheever, 201; Rebar, 2018; Schub & Heering, 2018).
Kobe Sanger
Learner Answer: Outpatient Surgical Care
Correct Answer: Inpatient Surgical Care Incorrect
Learner Rationale: i chose out patient because patient is stable and is only going under a
minimally invasive valve replacement
Feedback: The patient’s pulse is weak and irregular, diastolic heart mummer heard
at the apex of the heart. He underwent an echocardiogram and ECG
which reveals mitral stenosis. The patient will undergo a percutaneous
minimally invasive procedure for mitral valve replacement.
Etsu Ji
Learner Answer: Inpatient Surgical Care
Correct Answer: Inpatient Surgical Care Correct
Learner Rationale: i chose inpatient surgical care due to the tingling and numbing of her foot
as well as how pale the toes were.
Feedback: Etsu Ji should receive care next. Her history of recent tibial fracture with a
closed reduction and cast, along with excruciating pain with stretching
indicate that she is experiencing compartment syndrome. While not life-
threatening, compartment syndrome can rapidly become limb-threatening
and requires prompt intervention (Hinkle & Cheever, 2018).
Dong Sonn
Learner Answer: Inpatient Surgical Care
Correct Answer: Inpatient Surgical Care Correct
Page 1 of 12
,
Arizona College
Prioritization of Care Specialty Series - Activity Report
Adult Surgical Care (continued)
Learner Rationale: i chose inpatient as the patient has a perforation of his intestine and runs
the risk of sepsis. NG tube was place during procedure
Feedback: Dong Sonn should receive care next. A history of peptic ulcer disease
and diverticulosis, abdominal pain radiating to his chest and shoulder,
rigid distended abdomen indicate he likely has a perforated bowel. X-ray
and CT scan confirmed perforation and fluid in the peritoneal space.
Even though these findings place him at high risk for peritonitis which can
be life-threatening he has received IV antibiotic therapy while awaiting
surgical intervention (Berman & Snyder, 2021; Hinkle & Cheever, 2018).
Jose Pena
Learner Answer: Inpatient Surgical Care
Correct Answer: Inpatient Surgical Care Correct
Learner Rationale: inpatient due to the tingly of leg, the deformity of patient's ankle
Feedback: Jose Pena should receive care first as he has the highest risk for injury.
He is brought to the ED following a motor vehicle crash (MVC).
Assessment findings indicate he has an ankle fracture and cervical
fracture of C4 and C5 and signs of impending shock. A patient with a
spinal cord injury can quickly deteriorate and lose neurological function,
which can become permanent if not managed immediately by a
specialized team.
Melvin Cherry
Learner Answer: Outpatient Surgical Care
Correct Answer: Outpatient Surgical Care Correct
Learner Rationale: i chose outpatient surgical care because the patient's vitals are in the
normal range other than some mild pain and nervousness. He can be
prescribed medication for pain and a relaxant prior to the procedure
Feedback: Melvin Cherry should receive care next. He is currently not in any distress
but is nervous about the upcoming surgery and his return home. He
should receive reassurance during the pre-operative period along with
patient and family teaching to manage his post-operative care at home
and follow up appointments (Berman & Snyder, 2021; Hinkle & Cheever,
2018).
Jacqueline Elvy
Learner Answer: Inpatient Surgical Care
Correct Answer: Outpatient Surgical Care Incorrect
Learner Rationale: I chose inpatient surgical care because the patient seemed to be having
a reaction after the anesthesia
Feedback: Jacqueline Elvy should receive care first. Following the procedure for wire
removal from her sternum, she is vomiting. While post-operative nausea
and vomiting isn’t uncommon, vomiting may result in post-operative
bleeding and increase pain. Monitoring for signs of hemorrhage, while
managing fluid balance, nausea and pain, indicates the need for urgent
intervention to prevent life threatening complications.
Madison Michelle
Learner Answer: Outpatient Surgical Care
Correct Answer: Outpatient Surgical Care Correct
Page 2 of 12
