Swift River Med-Surg Exam Questions with Correct Answers 100% Verified|
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Carlos Mancia
Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. r/o
Tuberculosis. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Airborne Isolation.
Neuro WNL. Skin moist, respiratory bilateral wheezes and rhonchi. Blood-tinged mucous,
productive cough. Diet as tolerated. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then
reduce rate to 75 ml/hr. Expresses fatigue, fear, concern, and desire for recovery. Need
frequent reminder to stay in room and maintain mask precautions. If family/visitors come, will
need education to airborne precautions. Spanish interpreter available at extension 61178. Dr.
Rondeau Educational Needs: Increased
Fall Risk: Increased
Health Change: Increased
Pain Level: Normal
Psychological Needs: Increased
Sensorium: Normal
Physiological-
Dysfunctional Gastrointestinal Motility: False
Electrolyte Imbalance: False
Fatigue: True
Impaired Gas Exchange: True
Impaired Mobility: False
Ineffective Airway Clearance: True
Esteem-
Decisional Conflict: False
,Noncompliance: True
Safety-
Anxiety: True
Deficient Knowledge: True
Fall, Risk for: True
Fear: True
Hypothermia: False
Impaired Home Maintenance Management: False
Self-Actualization-
Readiness for Self-Care Enhancement: True
Spiritual Distress: False
Love and Belonging-
Chronic Sorrow: False
Social Isolation, Risk for: True
Jody Rush
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 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 Educational Needs: Increased
Fall Risk: Increased
Health Change: Increased
Neurological: Increased
Pain Level: Normal
Psychological Needs: Normal
Physiological-
Acute Pain: True
Bleeding, Risk for: True
Impaired Mobility, Risk for: True
Nausea: True
Safety-
Deficient Knowledge: True
Grieving: False
Peripheral Neurovascular Dysfunction: False
Mary Barkley
Mary Barkley, 74y/o female has been admitted to your floor with a respiratory infection and
she has tested positive for COVID19. She resides in an assisted living facility which has seen four
deaths related to COVID19. She is exhibiting the same initial signs and symptoms as the other
patients and her primary care provider would like to start aggressively treating her. She is
running a low-grade fever 99.8 and has a sore scratchy throat which is causing an unproductive
cough. She also is complaining of chills, muscle pain and headache. She is an at-risk patient
because of her age. She also suffers from Lupus and is already taking Hydroxychloroquine, a
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Carlos Mancia
Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. r/o
Tuberculosis. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Airborne Isolation.
Neuro WNL. Skin moist, respiratory bilateral wheezes and rhonchi. Blood-tinged mucous,
productive cough. Diet as tolerated. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then
reduce rate to 75 ml/hr. Expresses fatigue, fear, concern, and desire for recovery. Need
frequent reminder to stay in room and maintain mask precautions. If family/visitors come, will
need education to airborne precautions. Spanish interpreter available at extension 61178. Dr.
Rondeau Educational Needs: Increased
Fall Risk: Increased
Health Change: Increased
Pain Level: Normal
Psychological Needs: Increased
Sensorium: Normal
Physiological-
Dysfunctional Gastrointestinal Motility: False
Electrolyte Imbalance: False
Fatigue: True
Impaired Gas Exchange: True
Impaired Mobility: False
Ineffective Airway Clearance: True
Esteem-
Decisional Conflict: False
,Noncompliance: True
Safety-
Anxiety: True
Deficient Knowledge: True
Fall, Risk for: True
Fear: True
Hypothermia: False
Impaired Home Maintenance Management: False
Self-Actualization-
Readiness for Self-Care Enhancement: True
Spiritual Distress: False
Love and Belonging-
Chronic Sorrow: False
Social Isolation, Risk for: True
Jody Rush
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 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 Educational Needs: Increased
Fall Risk: Increased
Health Change: Increased
Neurological: Increased
Pain Level: Normal
Psychological Needs: Normal
Physiological-
Acute Pain: True
Bleeding, Risk for: True
Impaired Mobility, Risk for: True
Nausea: True
Safety-
Deficient Knowledge: True
Grieving: False
Peripheral Neurovascular Dysfunction: False
Mary Barkley
Mary Barkley, 74y/o female has been admitted to your floor with a respiratory infection and
she has tested positive for COVID19. She resides in an assisted living facility which has seen four
deaths related to COVID19. She is exhibiting the same initial signs and symptoms as the other
patients and her primary care provider would like to start aggressively treating her. She is
running a low-grade fever 99.8 and has a sore scratchy throat which is causing an unproductive
cough. She also is complaining of chills, muscle pain and headache. She is an at-risk patient
because of her age. She also suffers from Lupus and is already taking Hydroxychloroquine, a
