Swift River 2.0: Fundamentals Exam
Questions and Answers 100% Pass
Linda Yu (Patient 1)
Step 1: Linda Yu is an 85-year-old who was admitted to the unit after left hip surgery
from a fall and is 2 days postoperative. The client is alert and oriented to person and
place with reorientation to time provided. The client appears anxious since having
surgery and reports that they are concerned about who will care for them once they are
discharged.
Step 2: Scenario Actions
When making rounds at 10pm, you enter Ms. Yu's room and she is sleeping. Her VS
have been stable since surgery.
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,Step 3: The client calls the nurse's station at midnight to request assistance to the
bedside commode. The nurse has not been assigned to this client before and is not sure
how well the client can transfer to the bedside commode. - ✔✔Step 1:
-Psychosocial: Stress and Coping
-Safety: Injury prevention
-Physiological: Mobility
-Health Promotion: Self Care
-Physiological: Sensory
-Physiological: Pain
Step 2:
-Enter the client's room quietly.
-Clear a pathway to the client's bed before bedtime.
-Ensure the call light is in reach.
Step 3:
-Assess to determine if nurse requires additional assistance for the transfer
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, -Place bed in the lowest position w/ bedside commode next to bed
-Assist client to sit on side of bed for a few minutes
-Provide privacy for the client
-Position self in front of client
Linda Yu (continued)
Step 4: The nurse receives provider's prescriptions to obtain lab specimens, another set
of VS, administer an antimicrobial, and turn client Q2h. The nurse orders labs to be
drawn at 0500, but the phlebotomist comes at 0400, and the client is still sleeping.
Step 5: The client has been sleeping several hours during the day after receiving pain
meds. The client reports being tired in the mornings and that pain meds help them
sleep at night. The nurse is concerned about the client's sleep pattern and is performing
a sleep assessment
Step 6: The client informed the nurse they get up several times during the night to void
while at home. The client also reports that while in the hospital, they are awakened by
pain. The nurse notes that the client must get up several times during the night to void
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Questions and Answers 100% Pass
Linda Yu (Patient 1)
Step 1: Linda Yu is an 85-year-old who was admitted to the unit after left hip surgery
from a fall and is 2 days postoperative. The client is alert and oriented to person and
place with reorientation to time provided. The client appears anxious since having
surgery and reports that they are concerned about who will care for them once they are
discharged.
Step 2: Scenario Actions
When making rounds at 10pm, you enter Ms. Yu's room and she is sleeping. Her VS
have been stable since surgery.
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,Step 3: The client calls the nurse's station at midnight to request assistance to the
bedside commode. The nurse has not been assigned to this client before and is not sure
how well the client can transfer to the bedside commode. - ✔✔Step 1:
-Psychosocial: Stress and Coping
-Safety: Injury prevention
-Physiological: Mobility
-Health Promotion: Self Care
-Physiological: Sensory
-Physiological: Pain
Step 2:
-Enter the client's room quietly.
-Clear a pathway to the client's bed before bedtime.
-Ensure the call light is in reach.
Step 3:
-Assess to determine if nurse requires additional assistance for the transfer
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, -Place bed in the lowest position w/ bedside commode next to bed
-Assist client to sit on side of bed for a few minutes
-Provide privacy for the client
-Position self in front of client
Linda Yu (continued)
Step 4: The nurse receives provider's prescriptions to obtain lab specimens, another set
of VS, administer an antimicrobial, and turn client Q2h. The nurse orders labs to be
drawn at 0500, but the phlebotomist comes at 0400, and the client is still sleeping.
Step 5: The client has been sleeping several hours during the day after receiving pain
meds. The client reports being tired in the mornings and that pain meds help them
sleep at night. The nurse is concerned about the client's sleep pattern and is performing
a sleep assessment
Step 6: The client informed the nurse they get up several times during the night to void
while at home. The client also reports that while in the hospital, they are awakened by
pain. The nurse notes that the client must get up several times during the night to void
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