Swift River Med-Surg Exam Test with 100% Verified
Answers Graded A+
Roger Clinton 57-year-old male construction worker arrives at 0600 to be prepared for a
partial thyroidectomy to determine if he has cancer. His past symptoms for three months
have been that he noticed a slight hoarseness in speaking, a slight dry cough not related to
a cold, and upon examination had a "pea-size lump on the center of his neck". His
Endocrinologist had a radioiodine scan performed that showed a suspicious area. The plan
is to obtain a biopsy from several areas of the thyroid gland, and hopefully to leave as much
as possible in place. Roger knows that it will take three days after surgery to determine if he
has cancer, but does not understand the implications resulting from a thyroidectomy.
(Lifetime thyroid replacement medication.) - - Educational Needs: Increased
Fall Risk: Normal
Health Change: Increased
Neurological: Normal
Pain Level: Normal
Psychological Needs: Normal
Jody Rush 20 y/o female, admitted for right femur fracture status post skiing accident. She
is in a traction splint, and will be going for surgical repair today. Vital signs are BP 120/62 P
88 R 20 T 98.9 F, 37.2 C, PaO2 99. She has been in a lot of pain, and has been receiving 25
mcg IVP, q2 hours Fentanyl for pain. She was nauseated after her last Fentanyl dose, and
the Dr. Ordered an additional 4mg IVP, Zofran. She has a history of exercise induced
asthma, and uses a rescue inhaler, Albuterol. Her parents are on their way; they are flying in
today. She was on a ski trip with some of her friends from college; her best friend has been
camped out with her. We were able to get her on a fracture bed pan earlier, but it took a lot
of work. We just received an order for a foley catheter. There was some concern that she
may have sustained a head injury as she has an abrasion to her forehead, but she denies
ever losing con - - Educational Needs: Increased
@MercyTrishia docs
, Swift River Med-Surg Exam Test with 100% Verified
Answers Graded A+
Fall Risk: Increased
Health Change: Increased
Neurological: Normal
Pain Level: Increased
Psychological Needs: Normal
John Duncan 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o
intractable diarrhea, weak, pale, and refusing to eat. No known allergies (NKA). Non-
significant past medical Hx. Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%.
Neuro WNL's, alert and cooperative. IV maintenance fluids with D5 1/2 NS at 125ml per
hour in left forearm. c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil
10ml PRN q 4 hours last dose at 0834. Stools are decreasing but patient remains very
weak. Wife at bedside. Diet as tolerated. Dr. Jones. - - Educational Needs: Increased
Fall Risk: Increased
Health Change: Increased
Pain Level: Increased
Psychological Needs: Normal
Sensorium: Normal
Roger Clinton 57-year-old male construction worker arrives at 0600 to be prepared for a
partial thyroidectomy to determine if he has cancer. His past symptoms for three months
have been that he noticed a slight hoarseness in speaking, a slight dry cough not related to
a cold, and upon examination had a "pea-size lump on the center of his neck". His
Endocrinologist had a radioiodine scan performed that showed a suspicious area. The plan
@MercyTrishia docs
Answers Graded A+
Roger Clinton 57-year-old male construction worker arrives at 0600 to be prepared for a
partial thyroidectomy to determine if he has cancer. His past symptoms for three months
have been that he noticed a slight hoarseness in speaking, a slight dry cough not related to
a cold, and upon examination had a "pea-size lump on the center of his neck". His
Endocrinologist had a radioiodine scan performed that showed a suspicious area. The plan
is to obtain a biopsy from several areas of the thyroid gland, and hopefully to leave as much
as possible in place. Roger knows that it will take three days after surgery to determine if he
has cancer, but does not understand the implications resulting from a thyroidectomy.
(Lifetime thyroid replacement medication.) - - Educational Needs: Increased
Fall Risk: Normal
Health Change: Increased
Neurological: Normal
Pain Level: Normal
Psychological Needs: Normal
Jody Rush 20 y/o female, admitted for right femur fracture status post skiing accident. She
is in a traction splint, and will be going for surgical repair today. Vital signs are BP 120/62 P
88 R 20 T 98.9 F, 37.2 C, PaO2 99. She has been in a lot of pain, and has been receiving 25
mcg IVP, q2 hours Fentanyl for pain. She was nauseated after her last Fentanyl dose, and
the Dr. Ordered an additional 4mg IVP, Zofran. She has a history of exercise induced
asthma, and uses a rescue inhaler, Albuterol. Her parents are on their way; they are flying in
today. She was on a ski trip with some of her friends from college; her best friend has been
camped out with her. We were able to get her on a fracture bed pan earlier, but it took a lot
of work. We just received an order for a foley catheter. There was some concern that she
may have sustained a head injury as she has an abrasion to her forehead, but she denies
ever losing con - - Educational Needs: Increased
@MercyTrishia docs
, Swift River Med-Surg Exam Test with 100% Verified
Answers Graded A+
Fall Risk: Increased
Health Change: Increased
Neurological: Normal
Pain Level: Increased
Psychological Needs: Normal
John Duncan 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o
intractable diarrhea, weak, pale, and refusing to eat. No known allergies (NKA). Non-
significant past medical Hx. Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%.
Neuro WNL's, alert and cooperative. IV maintenance fluids with D5 1/2 NS at 125ml per
hour in left forearm. c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil
10ml PRN q 4 hours last dose at 0834. Stools are decreasing but patient remains very
weak. Wife at bedside. Diet as tolerated. Dr. Jones. - - Educational Needs: Increased
Fall Risk: Increased
Health Change: Increased
Pain Level: Increased
Psychological Needs: Normal
Sensorium: Normal
Roger Clinton 57-year-old male construction worker arrives at 0600 to be prepared for a
partial thyroidectomy to determine if he has cancer. His past symptoms for three months
have been that he noticed a slight hoarseness in speaking, a slight dry cough not related to
a cold, and upon examination had a "pea-size lump on the center of his neck". His
Endocrinologist had a radioiodine scan performed that showed a suspicious area. The plan
@MercyTrishia docs
