SWIFT RIVER MEDICAL SURGICAL CLINICAL EXAM 2024 LATEST
UPDATE |ACTUAL COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS ) ALREADY GRADED A+.
Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op
appendectomy; No known allergies (NKA); Vital signs - Temp 101.2,
BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Wound site
clean, dry and intact NPO, NG-tube to low continuous suction. IV
maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left
forearm. Ambulates with minimal assistance. Family at beside. Dr.
Sangerstien - ANSWER -Educational Needs Increased
Fall Risk Increased
Health Change Increased
Pain Level Increased
Psychological Needs Normal
Sensorium Normal
Ann Rails, 38 years old, c/o back pain, non-significant past medical
history. No known allergies (NKA). Vital signs -BP 124/82, Temp 98.2,
P 84, RR 22, SaO2 96%. Pain and numbness in legs for one week.
Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain
scale. Neuro WNL, except leg pain upon movement. Activity as
tolerated with assistance. D/C plan- decrease pain and restore normal
gait. Regular diet. Dr. Suculo - ANSWER -Educational Needs
Increased
Fall Risk Increased
,Health Change Increased
Pain Level Increased
Psychological Needs Normal
Sensorium Normal
Virginia Smith, 57-year-old who has elected to have a total
mastectomy based on consultation with her surgeon, a total
mastectomy removes all breast tissue but leaves all or most of
axillary lymph nodes and chest muscles intact. She is also to receive
radiation, chemotherapy, and hormone therapy post operatively. She
is with her physician. She is also investigating bone marrow
transplantation. She has arrived in pre-op and about to have surgery
this morning. Her husband and two grown children are also with her
as she is prepared with gown and head cap awaiting transport to the
operating room. She has IV access and has received a small dose of
Valium to reduce apprehension. Temperature is 98.3, HR is 87, RR
is16, BP is 121/74, PaO2 is 98%. - ANSWER -Educational Needs
Increased
Health Change Increased
LOC Normal
Pain Level Normal
Psychological Needs Normal
Safety Increased
Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma.
Hx of dementia, from nursing home, fall one day ago. No known
allergies (NKA). Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2
, 97%. Neuro- confusion to time and place, but oriented to self, speech
clear, poor historian, did not recognize son today which is new for
her; Neuro assessment and vital signs q1 hr. Skin warm dry, bruises
on forehead with small laceration. Increased fall risk. DSD (dry sterile
dressing), forehead laceration clean and dry intact. 20ga. Hep-Lock in
place left AC. GI WNL. Cardiovascular has pacer with rate of 82bpm
on demand. Strict I&O, regular diet, intake 50%. Waist belt restraint
PRN; family sitter at bedside, assist with bath. Dr. Altace - ANSWER -
Educational Needs Increased
Fall Risk Increased
Health Change Increased
Pain Level Increased
Psychological Needs Increased
Sensorium Increased
Linda Pittmon, a 74 -year old female patient who is a noncompliant
diabetic, and frequently stays at the local homeless shelter. She has
been admitted to the floor with complaints of numbness in her right
foot and ankle. Mrs. Pittmon states she has had numbness for years
but "now I can't feel it at all, and my toes don't look the right color.". -
ANSWER -Educational Needs Increased
Fall Risk Increased
Health Change Increased
Neurological Increased
Pain Level Normal
Psychological Needs Normal
