Swift River Med Surg (92%) Exam Guide Already Passed

Swift River Med Surg (92%) Exam Guide Already Passed Estelle Hatcher | Room 301 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 f luids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Ambulates with minimal assistance. Family at beside. Dr. Sangerstien - Educational Needs INCREASED Fall Risk INCREASED Health Change INCREASED Pain Level NORMAL Psychological Needs NORMAL Sensorium NORMAL Hannah Knox | Room 302 is a 62 y/o patient who has been receiving hospice care for metastatic lung cancer. She continued to smoke until recently. The plan was for her to die at home, but her daughter couldn't handle having her in her home after 2 weeks of hospice care. The daugh ter was complaining that her mother was in an extreme amount of pain, and her family could not cope. Ms. Knox is frail, weak, and apprehensive about her care. Her lung sounds are diminished in her lower lobes bilaterally, and she has crackles in her upper lobes. She is on 4L O2 nasal canula. She has a pic -line in her right arm. Vital signs BP: 98/52, P: 92, R: 30, SpO2: 91, T:100.2F, 37.8 C - Educational Needs INCREASED Fall Risk INCREASED Health Change INCREASED Pain Level INCREASED Psychological Needs INCREASED Neurological NORMAL Hildegard Lowe | Room 303 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. Patient is alert and cooperative, on Oxygen at 2L. She has an IV 0.9 normal saline, 125 an hour. Chest x -ray upon admission showed right middle lobe pneumonia . Vital signs are BP: 128/86, P: 105, R: 32, T: 99.8 F, 37.7 C, SaO2: 93%.. Plan of care is antibiotic therapy, incentive spirometry, O2 supplementation, and pending labs and blood cultures from the ER. Patient is receiving Rocephin and received Zithromax in the ER. Patient does have a history of Granulomatosis with Polyangiitis, but has been stable for 5 years w/o treatment. She is widowed, and came to us from the retirement community. She has one daughter who is on her way from out of state; she will be arriving sometime today. Patient states she is allergic to mangos. - Educational Needs INCREASED Fall Risk INCREASED Health Change INCREASED Neurological NORMAL Pain Level NORMAL Psychological Needs NORMAL Jose Martinez | Room 304 43-year-old male experiencing chest pain while watching a state rival football game earlier in the evening. Chest pain became progressively worse, so he called for an ambulance to bring him to the Emergency Department. Once the ambulance arrived, he report ed his pain as 10/10. The 12 -lead EKG showed Sinus Tachycardia. Vital signs