Media 2305 Final--- Ashworth ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Carlos Mancia Room 301
Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical
Hx. r/o Tuberculosis. Vital signs -Temp 99.1 F, 37.3 C, BP 124/62, P 77, RR 20, SaO2
91%. Airborne Isolation. Neuro WNL. Skin moist, respiratory bilateral wheezes and
rhonchi. Blood-tinged mucous, productive cough. Diet as tolerated. IV maintenance
fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Expresses fatigue,
fear, concern, and desire for recovery. Need frequent reminder to stay in room and
maintain mask precautions. If family/visitors come, will need education to airborne
precautions. Spanish interpreter available at extension 61178. Dr. Rondeau
Educational Needs - Increased acuity
Status assessment reports patient with airborne isolation and frequent reminders to stay
in room and maintain mask precautions.
Fall Risk - Increased acuity
Status assessment reports patient connected to IV line and as being fatigued which
could result in fall.
Health Change - Increased acuity
Status assessment reports r/o tuberculosis, skin moist, bilateral wheezes/rhonchi SaO2
91%, blood-tinged/productive cough, fatigue/fear/concern.
Pain Level - Normal acuity
, No indication of pain at this time.
Psychological - Needs Increased acuity
Status assessment reports Spanish-speaking migrant, Spanish interpreter available,
expresses fear/concern/desire for recovery.
Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical
Hx. r/o Tuberculosis. Vital signs -Temp 99.1 F, 37.3 C, BP 124/62, P 77, RR 20, SaO2
91%. Airborne Isolation. Neuro WNL. Skin moist, respiratory bilateral wheezes and
rhonchi. Blood-tinged mucous, productive cough. Diet as tolerated. IV maintenance
fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Expresses fatigue,
fear, concern, and desire for recovery. Need frequent reminder to stay in room and
maintain mask precautions. If family/visitors come, will need education to airborne
precautions. Spanish interpreter available at extension 61178. Dr. Rondeau -
✔✔✔ANSWER-✔✔✔Carlos Mancia Room 301
Sensorium - Normal acuity
Status assessment reports no indication of increased sensorium acuity. -
✔✔✔ANSWER-✔✔✔
Marcella Como Room 302
Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Non-
significant past medical Hx. No known allergies (NKA). Vital signs Temp 98.2 F, 36.8 C,
BP 94/60, P72, RR 22, SaO2 99%. Multiple abrasions, bruising Head, chest, and inner
thigh. Isolative, appears fearful, crying, and refusing to see her husband. SANE nurse to
make second visit today. Awaiting diagnostic labs. Taking HIV Meds prophylaxis. Social
worker with patient this morning. Diet as tolerated. Dr. Roopes - ✔✔✔ANSWER-✔✔✔
Educational Needs - Increased acuity
Status assessment reports patient is a sexual trauma victim, taking HIV meds
prophylaxis, social worker with patient this morning.
Fall Risk - Normal acuity
Status assessment reports no indication of increased psychological acuity
Health Change - Increased acuity
Status assessment reports patient is a sexual trauma victim (rape), isolative, appears
fearful/crying, taking HIV meds prophylaxis.
Pain Level - Increased acuity
Patient has multiple abrasions and bruising.
Psychological Needs - Increased acuity
Status assessment reports patient is a sexual trauma victim (rape),
isolative/fearful/crying, SANE nurse and social worker with patient.
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Carlos Mancia Room 301
Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical
Hx. r/o Tuberculosis. Vital signs -Temp 99.1 F, 37.3 C, BP 124/62, P 77, RR 20, SaO2
91%. Airborne Isolation. Neuro WNL. Skin moist, respiratory bilateral wheezes and
rhonchi. Blood-tinged mucous, productive cough. Diet as tolerated. IV maintenance
fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Expresses fatigue,
fear, concern, and desire for recovery. Need frequent reminder to stay in room and
maintain mask precautions. If family/visitors come, will need education to airborne
precautions. Spanish interpreter available at extension 61178. Dr. Rondeau
Educational Needs - Increased acuity
Status assessment reports patient with airborne isolation and frequent reminders to stay
in room and maintain mask precautions.
Fall Risk - Increased acuity
Status assessment reports patient connected to IV line and as being fatigued which
could result in fall.
Health Change - Increased acuity
Status assessment reports r/o tuberculosis, skin moist, bilateral wheezes/rhonchi SaO2
91%, blood-tinged/productive cough, fatigue/fear/concern.
Pain Level - Normal acuity
, No indication of pain at this time.
Psychological - Needs Increased acuity
Status assessment reports Spanish-speaking migrant, Spanish interpreter available,
expresses fear/concern/desire for recovery.
Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical
Hx. r/o Tuberculosis. Vital signs -Temp 99.1 F, 37.3 C, BP 124/62, P 77, RR 20, SaO2
91%. Airborne Isolation. Neuro WNL. Skin moist, respiratory bilateral wheezes and
rhonchi. Blood-tinged mucous, productive cough. Diet as tolerated. IV maintenance
fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Expresses fatigue,
fear, concern, and desire for recovery. Need frequent reminder to stay in room and
maintain mask precautions. If family/visitors come, will need education to airborne
precautions. Spanish interpreter available at extension 61178. Dr. Rondeau -
✔✔✔ANSWER-✔✔✔Carlos Mancia Room 301
Sensorium - Normal acuity
Status assessment reports no indication of increased sensorium acuity. -
✔✔✔ANSWER-✔✔✔
Marcella Como Room 302
Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Non-
significant past medical Hx. No known allergies (NKA). Vital signs Temp 98.2 F, 36.8 C,
BP 94/60, P72, RR 22, SaO2 99%. Multiple abrasions, bruising Head, chest, and inner
thigh. Isolative, appears fearful, crying, and refusing to see her husband. SANE nurse to
make second visit today. Awaiting diagnostic labs. Taking HIV Meds prophylaxis. Social
worker with patient this morning. Diet as tolerated. Dr. Roopes - ✔✔✔ANSWER-✔✔✔
Educational Needs - Increased acuity
Status assessment reports patient is a sexual trauma victim, taking HIV meds
prophylaxis, social worker with patient this morning.
Fall Risk - Normal acuity
Status assessment reports no indication of increased psychological acuity
Health Change - Increased acuity
Status assessment reports patient is a sexual trauma victim (rape), isolative, appears
fearful/crying, taking HIV meds prophylaxis.
Pain Level - Increased acuity
Patient has multiple abrasions and bruising.
Psychological Needs - Increased acuity
Status assessment reports patient is a sexual trauma victim (rape),
isolative/fearful/crying, SANE nurse and social worker with patient.
