Exam (elaborations)
SWIFT RIVER: Medical Surgical (92% Score) Newest With complete solution 2024/25
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SWIFT RIVER: Medical Surgical (92% Score) Newest With complete solution 2024/25
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SWIFT RIVER: Medical Surgical (92%Score) Newest With complete solution
2024/25
Ann Rails | Room 301
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Patient Overview ii
38 years old, c/o back pain, non-significant past medical history. No known allergies
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(NKA). Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Pain and numbness
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in legs for one week. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain
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scale. Neuro WNL, except leg pain upon movement. Activity as tolerated with
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assistance. D/C plan- decrease pain and restore normal gait. Regular diet. Dr. Suculo
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________________________________________________________
Assign acuities of "normal" or "increased" based on report.
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Educational Needs ii
Normal/ Increased ii
Fall Risk ii
Normal/ Increased ii
Health Change ii
Normal/ Increased ii
Pain Level ii
Normal/ Increased ii
Safety
Normal/ Increased - Educational Needsii ii ii ii ii ii
INCREASED
Fall Risk ii
INCREASED
Health Change ii
INCREASED
Pain Level ii
INCREASED
Psychological Needs ii
INCREASED
, ii Arthur Thomason | Room 302
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Patient Overview ii
56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. He is
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experiencing new onset of shortness of breath and has a nasal cannula with 2L of
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Oxygen in place. He is restless with slight confusion but is easily orientated with attempts
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from nurse. Temperature spiked during the night to 102.4, BP now 146/94 which is
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slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84
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from last night shift. Skin cool to touch and appears pale. His coughing, to clear his
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airway, appears ineffective. Recent chest X-ray shows diffuse bilateral interstitial
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infiltrates in all lobes. Recent blood gases demonstrate falling PaO2 (hypoxemia) and
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increasing CO2 (Hypercapnia). Mr. Thomason is anxious and is obviously worsened
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from the shift before in overall condition.
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________________________________________________________
Assign acuities - Educational
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INCREASED
Health Change ii
INCREASED
LOC
INCREASED
Pain Level ii
INCREASED
Psychological Needs ii
INCREASED
Safety
INCREASED
ii Calvin Umbyuma | Room 303
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Patient Overview ii
Mr. Umbyuma is a 42 y/o male who has been admitted for complaints of shortness of
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breath with pleuritic chest pain. He was diagnosed with HIV positive antibodies over a
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year ago. He has recently been traveling back to his home country of Kenya to visit his
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sick mother. He received traditional medical treatment at his village. His temp is 100.9 F,
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38.3 C, R 22, P92, BP 152/89 PaO2 91%. Inflammatory markers - Erythrocyte
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Sedimentation Rate (ESR) and C-Reactive Protein (CRP) are elevated at 78.9 mm/h and
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67.2 mg/L. He has been placed in a room at the end of the hall.
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________________________________________________________
, Assign acuities of "normal" or "increased" based on report.
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Educational
Normal/ Increased ii
Health Change ii
Normal/ Increased ii
Neurological
Normal/ Increased ii
Pain level ii
Normal/ Increased ii
Psychological Needs ii
Normal/ Increased ii
Safety
Normal/ Increased - Educational ii ii ii ii ii
INCREASED
Fall Risk ii
NORMAL
Health Change ii
INCREASED
Neurological
NORMAL
Pain Level ii
INCREASED
Psychological Needs ii
NORMAL
ii Cameron Daniels | Room 304 ii ii ii ii
Patient Overview ii
Ms Daniels just turned 18 y/o. She is being admitted from the ER with a diagnosis of
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pelvic inflammatory disease (PID). She has heavy vaginal discharge with an unpleasant
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odor. She is complaining of abdominal pain and looks pale. She was seen by OBGYN in
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the ER and a culture was sent to the lab for Chlamydia and Neisseria Gonorrhea. She
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was a very difficult IV start and has a 23g saline lock (SL) in her right hand. They have
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ordered a liter bolus of LR, but it is running very slowly and the IV is positional. VS BP
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96/58, P 116, R 18, T 101.2 PaO2 98%.
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