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