Med Surg Swift River Correct Questions
& Answers(GRADED A)
Trey Johnson admitted for abdominal pain, HIV positive, returned from trip to Asia -
ANSWER Education - Increased
Fall Risk - Normal
Health Change - Increased
Pain Level - Increased
Psychological Needs - Increased
Sensorium - Normal
Physiological - Acute pain, nausea
Safety - Deficient knowledge
Trey Johnson - ANSWER Scenario 1 - Vital signs, collect stool, IV, I&O, Teach
Scenario 2 - Resp. isolation, re-locate, contact HCP, PRN meds, continue strict I&O
Scenario 3 - Notify infection control, educate, initiate meds, continue meds, discuss
coping strategies
Scenario 4 -Express feelings, educate on prognosis, evaluate understanding, notify
HCP, document
Scenario 5 - Educate on protocols, educate on transmission, evaluate potential barriers,
30 day labs, evaluate understanding
Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9,
Eq/L)/hyponatremia (128mEq/L). No known allergies (NKA). Vital signs -Temp 98.8, BP
102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus
irregular rhythm. Disoriented to time and place, speech slurred. Pupils PERRLA, eyes
clear. 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with
recent weight loss. 50% intake. High fall risk. Renal diet. Family in room with patient
very concerned. Dr. Brown - ANSWER Education - Increased
Fall Risk - Increased
Health Change - Increased
Pain Level - Normal
Psychological Needs - Increased
Sensorium - Increased
Physiological - Deficient knowledge, risk for imbalanced Fluid Volume, risk for
Ineffective Renal Perfusion
Safety - Acute Confusion, Risk for fall
Love and belonging - Failure to Thrive
Sarah Getts - ANSWER Scenario 1 - was hands, assessment, monitor, educate,
document
Scenario 2 - was hands, assessment, apply fall bracelet, document