Swift River 2.0: Julia Monroe Exam
Questions and Answers 100% Pass
Julia Monroe
Diagnosis: heart failure
DOB: 2/10/1950
MRN: 64911090
Room: 111
Julia Monroe is a 74-year-old client who is being directly admitted from their primary
care provider's office. Julia presented to the office today reporting increased dyspnea
with excretion. The client also reports fatigue, dizziness, and palpitations. The 12-lead
echocardiogram that was performed in the clinic showed new onset atrial fibrillation
and is also tachypneic. The client has a history of hypertension and hypothyroidism.
The client's provider suspects that Julia is experiencing heart failure and would like
them admitted for further treatment.
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, After receiving 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 Priority
Airway, Breathing, Circulation: High Priority
Safety and Risk Reduction: High Priority
Urgent vs Nonurgent: High Priority
Chronic vs Acute/Stable vs Unstable: Low Priority
Initial Nursing Assessment
The client is alert and orientated x4, but anxious. The client appears dyspneic when
moving from the wheelchair to the bed. The client appears pale and states they are "just
so tired and this is all so scary, am I going to be okay?" S3 gallop noted while listening
to heart sounds. Crackles heard throughout bilateral lungs. Generalized edema present
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Questions and Answers 100% Pass
Julia Monroe
Diagnosis: heart failure
DOB: 2/10/1950
MRN: 64911090
Room: 111
Julia Monroe is a 74-year-old client who is being directly admitted from their primary
care provider's office. Julia presented to the office today reporting increased dyspnea
with excretion. The client also reports fatigue, dizziness, and palpitations. The 12-lead
echocardiogram that was performed in the clinic showed new onset atrial fibrillation
and is also tachypneic. The client has a history of hypertension and hypothyroidism.
The client's provider suspects that Julia is experiencing heart failure and would like
them admitted for further treatment.
100% Pass Guarantee Emilly Charlotte, All Rights Reserved © 2025 1
, After receiving 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 Priority
Airway, Breathing, Circulation: High Priority
Safety and Risk Reduction: High Priority
Urgent vs Nonurgent: High Priority
Chronic vs Acute/Stable vs Unstable: Low Priority
Initial Nursing Assessment
The client is alert and orientated x4, but anxious. The client appears dyspneic when
moving from the wheelchair to the bed. The client appears pale and states they are "just
so tired and this is all so scary, am I going to be okay?" S3 gallop noted while listening
to heart sounds. Crackles heard throughout bilateral lungs. Generalized edema present
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