Swift River - Med-Surg – Scenarios Exam Questions with Correct Answers 100% Verified|
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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:
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?
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
Place an N-95 on the client when visitors enter the client's room
Calvin Umbyuma Correct:
Once you have 3 consecutive negative sputum cultures you are no longer considered
contagious.
It will not be necessary to maintain airborne precautions once you are discharged home.
You'll have to have sputum cultures done every 4 weeks
Incorrect:
It is important to take your medications first thing in the morning.
You'll need to take your prescribed medications for at least 3 months
You will need to go to your provider's office to take your daily medication after you are
discharged.
Calvin Umbyuma
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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:
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?
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
Place an N-95 on the client when visitors enter the client's room
Calvin Umbyuma Correct:
Once you have 3 consecutive negative sputum cultures you are no longer considered
contagious.
It will not be necessary to maintain airborne precautions once you are discharged home.
You'll have to have sputum cultures done every 4 weeks
Incorrect:
It is important to take your medications first thing in the morning.
You'll need to take your prescribed medications for at least 3 months
You will need to go to your provider's office to take your daily medication after you are
discharged.
Calvin Umbyuma
