Swift River – MS Questions and Answers
100% Correct
Arthur Thomason
Diagnosis: pulmonary edema
DOB: 5/19/1968
MRN: 54910270
Room: 112 - ANSWER-After receiving the handoff report, the nurse should determine the client's
priority needs. Indicate if the client is a high priority or low priority using each of the priority
frameworks below.
Maslow's Hierarchy of Needs
High
Airway, Breathing, Circulation
High
Safety and Risk Reduction
High
Urgent vs Nonurgent
High
Chronic vs Acute/Stable vs Unstable
High
Arthur Thomason
Diagnosis: pulmonary edema
DOB: 5/19/1968
MRN: 54910270
Room: 112
Part 2 - ANSWER-Which of the following nursing actions should the nurse take for the administration
of furosemide? (Select all that apply.)
Assess client's blood pressure before administration of furosemide.
Ask client if they have allergies to sulfonamides.
, Instruct client to change positions slowly.
The nurse suspects the client is experiencing a pulmonary embolism. Which of the following actions
should the nurse take? (Select all that apply.)
Place the simple face mask back on the client.
Prepare the client for transfer to the intensive care unit (ICU).
Remain with client and reassure them.
Assess capillary refill.
Which of the following nursing interventions should the nurse include in the plan of care for the
client recovering from a pulmonary embolism? (Select all that apply.)
Monitor the client's PTT.
Inform the client to report bleeding mouth or gums.
Assess vital signs frequently.
Monitor the client's platelet count.
Hildegard Lowe
Diagnosis: pneumonia
DOB: 5/22/1956
MRN: 52919120
Room: 102 - ANSWER-After receiving the handoff report, the nurse should determine the client's
priority needs. Indicate if the client is a high priority or low priority using each of the priority
frameworks below.
Maslow's Hierarchy of Needs
High
Airway, Breathing, Circulation
High
Safety and Risk Reduction
High
Urgent vs Nonurgent
High
Chronic vs Acute/Stable vs Unstable
100% Correct
Arthur Thomason
Diagnosis: pulmonary edema
DOB: 5/19/1968
MRN: 54910270
Room: 112 - ANSWER-After receiving the handoff report, the nurse should determine the client's
priority needs. Indicate if the client is a high priority or low priority using each of the priority
frameworks below.
Maslow's Hierarchy of Needs
High
Airway, Breathing, Circulation
High
Safety and Risk Reduction
High
Urgent vs Nonurgent
High
Chronic vs Acute/Stable vs Unstable
High
Arthur Thomason
Diagnosis: pulmonary edema
DOB: 5/19/1968
MRN: 54910270
Room: 112
Part 2 - ANSWER-Which of the following nursing actions should the nurse take for the administration
of furosemide? (Select all that apply.)
Assess client's blood pressure before administration of furosemide.
Ask client if they have allergies to sulfonamides.
, Instruct client to change positions slowly.
The nurse suspects the client is experiencing a pulmonary embolism. Which of the following actions
should the nurse take? (Select all that apply.)
Place the simple face mask back on the client.
Prepare the client for transfer to the intensive care unit (ICU).
Remain with client and reassure them.
Assess capillary refill.
Which of the following nursing interventions should the nurse include in the plan of care for the
client recovering from a pulmonary embolism? (Select all that apply.)
Monitor the client's PTT.
Inform the client to report bleeding mouth or gums.
Assess vital signs frequently.
Monitor the client's platelet count.
Hildegard Lowe
Diagnosis: pneumonia
DOB: 5/22/1956
MRN: 52919120
Room: 102 - ANSWER-After receiving the handoff report, the nurse should determine the client's
priority needs. Indicate if the client is a high priority or low priority using each of the priority
frameworks below.
Maslow's Hierarchy of Needs
High
Airway, Breathing, Circulation
High
Safety and Risk Reduction
High
Urgent vs Nonurgent
High
Chronic vs Acute/Stable vs Unstable
