EXAM WEEK 1: SWIFT RIVER -
MEDICAL-SURGICAL, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
Kathy Gestalt | Room 303
Patient Overview
Kathy Gestalt, 33yr-old, Dx-second day post-op open right
Tibia/Fibula fracture, plaster cast in place on right lower leg. No
known allergies. Vital signs-Temp98.4, BP 116/76, P 96, RR 20,
SaO2 99%. Neuro WNL, alert, and cooperative but worried about
scarring and is reluctant regarding walking on leg. Diet as
tolerated, up ad lib after gait training. Crutches at bedside
adjusted for height. She is a a patient of Dr.Anderson.
Educational - increased
Fall Risk - increased
Health Change - increased
Pain - normal
Psychological Needs - increased
Sensorium - normal
Kathy Gestalt Scenario 1
Kathy GestaltMs. Gestalt is second day post-op and has requested
to get out of bed and to ambulate to bathroom.
1- Check pedal capillary refill
2- Educate patient
3- Evaluate understanding
4- Adjust crutches
5- Assist patient out of bed
, Kathy Gestalt Scenario 2
Kathy GestaltMs. Gestalt is now complaining of fever and chills.
1- Wash and glove hands
2- Vital sign assessment
3- Administer antipyretic meds
4- Verify call light/bed safety precautions
5- Document results/findings
Kathy Gestalt Scenario 3
Kathy GestaltAfter 24 hours, Ms. Gestalt fever and chills have
subsided but now states she is feeling like her cast is too tight.
1- Inspect cast site
2- Assess toe movement and capillary refilling
3- Notify doctor if condition is abnormal
4- Document Results/Findings
Kathy Gestalt Scenario 4
Kathy GestaltMs. Gestalt capillary refilling is now 6 secs below
cast site. The extremity is swollen and cold to the touch.
1- Assess pain
2- Elevate extremity
3- Educate patient regarding condition
4- Notify lead nurse/doctor
5- Retrieve cast removal tool
Kathy Gestalt Scenario 5
You enter room and find Ms. Gestalt crying because she has just
learned her medical insurance has lapsed and she is already two
months behind on her car payments.
1- Use therapeutic communication/Active Listening
2- Notify lead nurse/doctor
3- Consult Social Service
4- Evaluation patient after consult
5- Document Results
MEDICAL-SURGICAL, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
Kathy Gestalt | Room 303
Patient Overview
Kathy Gestalt, 33yr-old, Dx-second day post-op open right
Tibia/Fibula fracture, plaster cast in place on right lower leg. No
known allergies. Vital signs-Temp98.4, BP 116/76, P 96, RR 20,
SaO2 99%. Neuro WNL, alert, and cooperative but worried about
scarring and is reluctant regarding walking on leg. Diet as
tolerated, up ad lib after gait training. Crutches at bedside
adjusted for height. She is a a patient of Dr.Anderson.
Educational - increased
Fall Risk - increased
Health Change - increased
Pain - normal
Psychological Needs - increased
Sensorium - normal
Kathy Gestalt Scenario 1
Kathy GestaltMs. Gestalt is second day post-op and has requested
to get out of bed and to ambulate to bathroom.
1- Check pedal capillary refill
2- Educate patient
3- Evaluate understanding
4- Adjust crutches
5- Assist patient out of bed
, Kathy Gestalt Scenario 2
Kathy GestaltMs. Gestalt is now complaining of fever and chills.
1- Wash and glove hands
2- Vital sign assessment
3- Administer antipyretic meds
4- Verify call light/bed safety precautions
5- Document results/findings
Kathy Gestalt Scenario 3
Kathy GestaltAfter 24 hours, Ms. Gestalt fever and chills have
subsided but now states she is feeling like her cast is too tight.
1- Inspect cast site
2- Assess toe movement and capillary refilling
3- Notify doctor if condition is abnormal
4- Document Results/Findings
Kathy Gestalt Scenario 4
Kathy GestaltMs. Gestalt capillary refilling is now 6 secs below
cast site. The extremity is swollen and cold to the touch.
1- Assess pain
2- Elevate extremity
3- Educate patient regarding condition
4- Notify lead nurse/doctor
5- Retrieve cast removal tool
Kathy Gestalt Scenario 5
You enter room and find Ms. Gestalt crying because she has just
learned her medical insurance has lapsed and she is already two
months behind on her car payments.
1- Use therapeutic communication/Active Listening
2- Notify lead nurse/doctor
3- Consult Social Service
4- Evaluation patient after consult
5- Document Results
