SWIFT RIVER MED SURG
CLINICAL EXAM 2024\2025
,SWIFT RIVER MED SURG CLINICAL EXAM 2024\2025
|GUARANTEED PASS!!
Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op
appendectomy; No known allergies (NKA); Vital signs - Temp 101.2,
BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Wound site
clean, dry and intact NPO, NG-tube to low continuous suction. IV
maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left
forearm. Ambulates with minimal assistance. Family at beside. Dr.
Sangerstien - ACCURATE ANSWERS✔✔ Educational Needs Increased
Fall Risk Increased
Health Change Increased
Pain Level Increased
Psychological Needs Normal
Sensorium Normal
Ann Rails, 38 years old, c/o back pain, non-significant past medical
history. No known allergies (NKA). Vital signs -BP 124/82, Temp 98.2,
P 84, RR 22, SaO2 96%. Pain and numbness in legs for one week.
Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale.
Neuro WNL, except leg pain upon movement. Activity as tolerated with
assistance. D/C plan- decrease pain and restore normal gait. Regular
diet. Dr. Suculo - ACCURATE ANSWERS✔✔ Educational Needs
Increased
Fall Risk Increased
Health Change Increased
Pain Level Increased
, Psychological Needs Normal
Sensorium Normal
Virginia Smith, 57-year-old who has elected to have a total mastectomy
based on consultation with her surgeon, a total mastectomy removes all
breast tissue but leaves all or most of axillary lymph nodes and chest
muscles intact. She is also to receive radiation, chemotherapy, and
hormone therapy post operatively. She is with her physician. She is also
investigating bone marrow transplantation. She has arrived in pre-op and
about to have surgery this morning. Her husband and two grown
children are also with her as she is prepared with gown and head cap
awaiting transport to the operating room. She has IV access and has
received a small dose of Valium to reduce apprehension. Temperature is
98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. - ACCURATE
ANSWERS✔✔ Educational Needs Increased
Health Change Increased
LOC Normal
Pain Level Normal
Psychological Needs Normal
Safety Increased
Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Hx
of dementia, from nursing home, fall one day ago. No known allergies
(NKA). Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%.
Neuro- confusion to time and place, but oriented to self, speech clear,
poor historian, did not recognize son today which is new for her; Neuro
assessment and vital signs q1 hr. Skin warm dry, bruises on forehead
with small laceration. Increased fall risk. DSD (dry sterile dressing),
CLINICAL EXAM 2024\2025
,SWIFT RIVER MED SURG CLINICAL EXAM 2024\2025
|GUARANTEED PASS!!
Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op
appendectomy; No known allergies (NKA); Vital signs - Temp 101.2,
BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Wound site
clean, dry and intact NPO, NG-tube to low continuous suction. IV
maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left
forearm. Ambulates with minimal assistance. Family at beside. Dr.
Sangerstien - ACCURATE ANSWERS✔✔ Educational Needs Increased
Fall Risk Increased
Health Change Increased
Pain Level Increased
Psychological Needs Normal
Sensorium Normal
Ann Rails, 38 years old, c/o back pain, non-significant past medical
history. No known allergies (NKA). Vital signs -BP 124/82, Temp 98.2,
P 84, RR 22, SaO2 96%. Pain and numbness in legs for one week.
Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale.
Neuro WNL, except leg pain upon movement. Activity as tolerated with
assistance. D/C plan- decrease pain and restore normal gait. Regular
diet. Dr. Suculo - ACCURATE ANSWERS✔✔ Educational Needs
Increased
Fall Risk Increased
Health Change Increased
Pain Level Increased
, Psychological Needs Normal
Sensorium Normal
Virginia Smith, 57-year-old who has elected to have a total mastectomy
based on consultation with her surgeon, a total mastectomy removes all
breast tissue but leaves all or most of axillary lymph nodes and chest
muscles intact. She is also to receive radiation, chemotherapy, and
hormone therapy post operatively. She is with her physician. She is also
investigating bone marrow transplantation. She has arrived in pre-op and
about to have surgery this morning. Her husband and two grown
children are also with her as she is prepared with gown and head cap
awaiting transport to the operating room. She has IV access and has
received a small dose of Valium to reduce apprehension. Temperature is
98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. - ACCURATE
ANSWERS✔✔ Educational Needs Increased
Health Change Increased
LOC Normal
Pain Level Normal
Psychological Needs Normal
Safety Increased
Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Hx
of dementia, from nursing home, fall one day ago. No known allergies
(NKA). Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%.
Neuro- confusion to time and place, but oriented to self, speech clear,
poor historian, did not recognize son today which is new for her; Neuro
assessment and vital signs q1 hr. Skin warm dry, bruises on forehead
with small laceration. Increased fall risk. DSD (dry sterile dressing),
