Swift River Exam Questions and
Answers 100% Pass
Charlie Raymond, 65-year-old male who was admitted to a negative pressure room on
Med-Surg for COVID precautions.. He has a history of COPD, hypertension, diabetes
type II, and a recent myocardial infarction. He is a retired postal worker who lives at
home with his wife. He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin.
Initially this cardiologist was concerned about congestive heart failure and Mr.
Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema.
Vital Signs: BP is 145/78, Pulse 89 Respirations 24 and slightly labored, Temperature
100.2 SaO2 94% on 2L nasal cannula. The patient/family is fearing the worst due to
COVID-19 Pandemic.
Scene 2: Select Nursing Concerns:
Scene 3
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,The next day, he tests positive for COVID 19 and his condition has deteriorated as he is
now in respiratory distress. Mr. Raymond weighs 260 lbs. Vital Signs: BP is 92/58, Pulse
102, Respiratio - ✔✔Educational need increased
fall risk increased
Health change increased
neuro normal
pain level normal
patient needs increased
Scene 2: Nursing concerns:
Physiological FALSE
Bleeding False
Death anxiety TRUE
Disturbed Body Image FALSE
Esteem FALSE
Impaired Acute Confusion FALSE
Impaired Gas Exchange TRUE
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,Ineffective breathing pattern TRUE
Knowledge deficit TRUE
Pain, Acute FALSE
Physical Mobility, Impaired
Skin Integrity FALSE
Scene 3
Don appropriate PPE.
Change to simple O2 face mask per Healthcare provider
Perform focused respiratory assessment.
Notify respiratory therapist to begin treatment.
Notify family to self-isolate for 14 days
Scene 4
Reorient patient to setting using therapeutic communication.
Obtain a sitter/UAP.
Restart the IV.
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, Begin strict I&O.
Obtain an order to insert a foley catheter.
Scene 5
Use therapeutic communication to explain necessary procedure.
Position the patient properly.
Create sterile field with foley kit on the bedside table and don sterile gloves.
Instruct Lucy to assist in maintaining patient position and field sterility
Insert foley catheter according to hospital recommended guidelines,to ensure sterility of
catheter.
Scene 6
Make sure O2 mask is secure and free of sputum.
Ensure patient is in fowlers position.
Check the foley catheter to make sure it is not obstructed.
Notify Rapid Response team (RRT).
Provide initial report and assist RRT.
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Answers 100% Pass
Charlie Raymond, 65-year-old male who was admitted to a negative pressure room on
Med-Surg for COVID precautions.. He has a history of COPD, hypertension, diabetes
type II, and a recent myocardial infarction. He is a retired postal worker who lives at
home with his wife. He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin.
Initially this cardiologist was concerned about congestive heart failure and Mr.
Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema.
Vital Signs: BP is 145/78, Pulse 89 Respirations 24 and slightly labored, Temperature
100.2 SaO2 94% on 2L nasal cannula. The patient/family is fearing the worst due to
COVID-19 Pandemic.
Scene 2: Select Nursing Concerns:
Scene 3
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,The next day, he tests positive for COVID 19 and his condition has deteriorated as he is
now in respiratory distress. Mr. Raymond weighs 260 lbs. Vital Signs: BP is 92/58, Pulse
102, Respiratio - ✔✔Educational need increased
fall risk increased
Health change increased
neuro normal
pain level normal
patient needs increased
Scene 2: Nursing concerns:
Physiological FALSE
Bleeding False
Death anxiety TRUE
Disturbed Body Image FALSE
Esteem FALSE
Impaired Acute Confusion FALSE
Impaired Gas Exchange TRUE
100% Pass Guarantee Emilly Charlotte, All Rights Reserved © 2025 2
,Ineffective breathing pattern TRUE
Knowledge deficit TRUE
Pain, Acute FALSE
Physical Mobility, Impaired
Skin Integrity FALSE
Scene 3
Don appropriate PPE.
Change to simple O2 face mask per Healthcare provider
Perform focused respiratory assessment.
Notify respiratory therapist to begin treatment.
Notify family to self-isolate for 14 days
Scene 4
Reorient patient to setting using therapeutic communication.
Obtain a sitter/UAP.
Restart the IV.
100% Pass Guarantee Emilly Charlotte, All Rights Reserved © 2025 3
, Begin strict I&O.
Obtain an order to insert a foley catheter.
Scene 5
Use therapeutic communication to explain necessary procedure.
Position the patient properly.
Create sterile field with foley kit on the bedside table and don sterile gloves.
Instruct Lucy to assist in maintaining patient position and field sterility
Insert foley catheter according to hospital recommended guidelines,to ensure sterility of
catheter.
Scene 6
Make sure O2 mask is secure and free of sputum.
Ensure patient is in fowlers position.
Check the foley catheter to make sure it is not obstructed.
Notify Rapid Response team (RRT).
Provide initial report and assist RRT.
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