Exam (elaborations)
SWIFT RIVER MEDICAL SURGICAL QUESTIONS AND ANSWERS
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SWIFT RIVER MEDICAL SURGICAL QUESTIONS AND ANSWERS
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Name: Score:46 Multiple choice questions
Term 1 of 46
Assistance Requested:
You hear a patient complain, "Can you order me a better meal than this stuff?"
Available Staff:
RNs: 3
LPNs: 2
CNAs: 1
Request an RN
Request a CNA
Request an LPN
Request LPN
,Term 2 of 46
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
Educational needs
Health change
Pain level
1. Wash and glove hands
2. Assess
3. Provide comfort measures
4. Notify doctor
5. Document results and findings
Fall risk
Health change
Pain level
Educational Needs Psychological Needs
1. Use therapeutic communication/Active Listening
2. Educate patient regarding patient care
3. Evaluate patient learning
4. Place call light and check bed for safety
5. Document results and findings
,Term 3 of 46
Cameron Daniels Scenario 5
The nurse is preparing to discharge Cameron the next day. The mother and father want to hear
the discharge instructions. Cameron asks to be allowed to speak with her parents privately.
After a few minutes there are shouts heard from the room with the patient screaming, "No"! The
father is seen by the nurse running out of the room and heard stating, "I'm going to kill that
bastard"! The nurse runs in the room and Cameron is sobbing with the mother at her side. The
IV has been pulled out and there is blood on the floor.
1. Assess patient, apply a dressing over the IV site to stop the bleeding, and call for
additional support to the room.
2. Perform a rapid assessment of the patient to ensure she was not injured.
3. Ask the patient if she was physically assaulted by her father.
4. Inform the charge nurse to call a code Gray (Security).
5. Call the local law enforcement to make a report.
Educational
Health change
Pain level
Fall risk
1. Provide emotional support and ask open ended nonjudgmental questions. The nurse
should establish trust first.
2. Assure patient that as an adult her medical information is private unless she gives
consent for release to other individuals. Cameron has just turned 18 but still lives at
home, therefore she is transitioning into the mindset off an adult.
3. Explain to the patient that she has a sexually transmitted infection and while her
patient information is private this type of infection is required to be reported to the
Department of Health. As an adult she she has the right to privacy but this disease has
consequences.
4. Stress the importance of informing any sexual partners of her STI as they may transmit
the infection.
5. Inform patient that you will set-up a one-on-one with a pregnancy counselor to
discuss her pregnancy to include a description of an ectopic pregnancy
, 1. Sit at an eye level with the patient using nonjudgemental therapeutic communication.
2. Teach Cameron concerning the complications of PID, STIs, and infectious diseases.
3. Evaluate patient understanding of STIs and unprotected sex.
4. Contact the charge nurse/ law enforcement and inform them about the potential legal
issues.
5. Document patients statement and prepare a written report.
Term 4 of 46
Assistance Requested:
You hear a patient screaming, "I do not want any more visitors."
Available Staff:
RNs: 2
LPNs: 0
CNAs: 0
Request a CNA
Acute Discomfort Alteration in Comfort Alteration in Mobility Chronic Discomfort
Nausea Potential for Bleeding Potential for Falls Knowledge Deficit Potential for
Infection Disturbed Sensory Perception Grief
Request an LPN
Request an RN
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