Swift river (Dotty Hamilton, Hildegard Lowe,
Wight Goodman, Ramona Stukes Arthur
Thomason, Charlie Raymond) Verified Multiple
Choice and Conceptual Actual Frequently
Tested Exam Questions With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!Current Update!!
Dotty Hamilton
initial nursing assessment
1. Dotty Hamilton is 52-year-old client who came in at 0600 this morning as a
preoperative client. They are scheduled for a laparoscopic Roux-en-Y gastric
bypass at 0900.
Dotty has a history of obesity, with a BMI of 51.9, type II diabetes mellitus which
they take metformin for, sleep apnea that they use a CPAP machine for at night,
and hypertension. Recently they were diagnosed with nonalcoholic fatty liver
disease. Dotty has difficulty ambulating and normally uses a cane.
The client states they have not had anything to eat or drink since 2000 last
evening and have not taken any of their home medications this morning. They are
very anxious about the procedure, especially because the OR nurse came to tell
Dotty that they are running about an hour behind.
A 20 g left AC PIV was placed and capped.
,Preop labs were drawn on admission and results just returned. The results are as
follows: HgbA1c 9.5%, AST 52 units/L, ALT 4 - ANSWER Maslow's Hierarchy of
Needs- high
Airway, Breathing, Circulation- low
Safety and Risk Reduction- high
Urgent vs Nonurgent-low
Chronic vs Acute/Stable vs Unstable- low
2. The client has just returned from the OR following a laparoscopic Roux-en-Y
gastric bypass. The provider reports that the surgery went as planned and
that there were no complications. The client is lethargic from the effects of
anesthesia but arouses to their name and follows commands. They state
that they are having pain and rates it at a 5 on a 0 to 10 scale. The client
also reports nausea. Lungs sounds are decreased in bilateral bases, heart
sounds are clear and bowel sounds are absent in all four quadrants. The
client is on a 40% non-rebreather mask. The client appears pale. Bilateral
radial pulses are 2+ and bilateral pedal pulses are 1+. Vital signs are
temperature 37.3° C (99.1° F), pulse 96/min, respiratory rate 22/min, blood
pressure 176/94 mm Hg, and oxygen saturation 96% on 40% non-
rebreather mask.
Which of the following concerns should the nurse address while pr - ANSWER
Safety: Injury prevention
Physiological: Nutrition
Physiological: Perfusion
,Physiological: Fluid and Electrolyte
Physiological: Pain
I
3. Dotty Hamilton
Two hours later, the nurse enters the client's room. The client is still lethargic but
awakes spontaneously or to verbal stimuli. The client states that their pain is at a 3
on a 0 to 10 scale and denies needing intervention for pain. The client does report
they are having nausea and feels dizzy. The client has a 0.9% sodium chloride IV
drip running at 30 mL/hr through the peripheral IV. Lungs sounds are diminished
bilaterally in the bases, heart sounds are clear. The client reports being thirsty and
is asking for water. Bowel sounds in all four quadrants are absent. Bilateral radial
pulses are 1+, and bilateral dorsalis pedis pulses 1+. Urine output via foley
catheter is 60 cc in the last hour. Vital signs are temp 37.3° C (99.1° F), pulse
116/min, respiratory rate 28/min, blood pressure 110/88 mm Hg, and oxygen
saturation 96% on 6L NC. The skin is clammy and cool to the touch.
The nurse calls the pr - ANSWER Push ondansetron 4 mg IV.
Obtain a CBC stat.
Perform 500cc 0.9% sodium chloride IV bolus one time.
4. Dotty Hamilton
The nurse has implemented the provider's prescriptions and the client is now
stable and resting comfortably. The nurse is creating a plan of care for the client.
, Which of the following interventions should the nurse include in the plan of care?
(Select all that apply.) - ANSWER Place the client in a semi-Fowler's position.
Place absorbent dressings between the client's skin folds
Apply bilateral sequential compression stockings.
5. Dotty Hamilton
The client is one day postoperative; nausea has resolved, and vital signs have
remained stable overnight. Physical therapy has just finished assisting the client
with ambulation and Dotty is now sitting in a chair in their room. The nurse is
assisting the client with ordering a meal tray.
Which of the following items should the nurse encourage the client to order on
their meal tray? (Select all that apply.) - ANSWER Room temperature tea
Chicken broth
Warm milk
6. Dotty Hamilton
The client is 2 days postoperative, and the nurse enters the room to perform their
beginning of shift assessment. The client is sitting up in bed, alert and orientated
x4. The client states they finished their breakfast tray about 15 min ago. The client
appears pale and slightly diaphoretic and states they want to lay down. Lungs
sounds are diminished in the bases, and heart sounds are clear. Bowel sounds are
hyperactive in all four quadrants. Bilateral radial and dorsalis pedal pulses are 1+.
Vital signs are temp 36.8° C (98.2° F), pulse 104/min, respiratory rate 22/min,
blood pressure 142/71 mm Hg, and oxygen saturation 98% on RA. Labs from this
Wight Goodman, Ramona Stukes Arthur
Thomason, Charlie Raymond) Verified Multiple
Choice and Conceptual Actual Frequently
Tested Exam Questions With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!Current Update!!
Dotty Hamilton
initial nursing assessment
1. Dotty Hamilton is 52-year-old client who came in at 0600 this morning as a
preoperative client. They are scheduled for a laparoscopic Roux-en-Y gastric
bypass at 0900.
Dotty has a history of obesity, with a BMI of 51.9, type II diabetes mellitus which
they take metformin for, sleep apnea that they use a CPAP machine for at night,
and hypertension. Recently they were diagnosed with nonalcoholic fatty liver
disease. Dotty has difficulty ambulating and normally uses a cane.
The client states they have not had anything to eat or drink since 2000 last
evening and have not taken any of their home medications this morning. They are
very anxious about the procedure, especially because the OR nurse came to tell
Dotty that they are running about an hour behind.
A 20 g left AC PIV was placed and capped.
,Preop labs were drawn on admission and results just returned. The results are as
follows: HgbA1c 9.5%, AST 52 units/L, ALT 4 - ANSWER Maslow's Hierarchy of
Needs- high
Airway, Breathing, Circulation- low
Safety and Risk Reduction- high
Urgent vs Nonurgent-low
Chronic vs Acute/Stable vs Unstable- low
2. The client has just returned from the OR following a laparoscopic Roux-en-Y
gastric bypass. The provider reports that the surgery went as planned and
that there were no complications. The client is lethargic from the effects of
anesthesia but arouses to their name and follows commands. They state
that they are having pain and rates it at a 5 on a 0 to 10 scale. The client
also reports nausea. Lungs sounds are decreased in bilateral bases, heart
sounds are clear and bowel sounds are absent in all four quadrants. The
client is on a 40% non-rebreather mask. The client appears pale. Bilateral
radial pulses are 2+ and bilateral pedal pulses are 1+. Vital signs are
temperature 37.3° C (99.1° F), pulse 96/min, respiratory rate 22/min, blood
pressure 176/94 mm Hg, and oxygen saturation 96% on 40% non-
rebreather mask.
Which of the following concerns should the nurse address while pr - ANSWER
Safety: Injury prevention
Physiological: Nutrition
Physiological: Perfusion
,Physiological: Fluid and Electrolyte
Physiological: Pain
I
3. Dotty Hamilton
Two hours later, the nurse enters the client's room. The client is still lethargic but
awakes spontaneously or to verbal stimuli. The client states that their pain is at a 3
on a 0 to 10 scale and denies needing intervention for pain. The client does report
they are having nausea and feels dizzy. The client has a 0.9% sodium chloride IV
drip running at 30 mL/hr through the peripheral IV. Lungs sounds are diminished
bilaterally in the bases, heart sounds are clear. The client reports being thirsty and
is asking for water. Bowel sounds in all four quadrants are absent. Bilateral radial
pulses are 1+, and bilateral dorsalis pedis pulses 1+. Urine output via foley
catheter is 60 cc in the last hour. Vital signs are temp 37.3° C (99.1° F), pulse
116/min, respiratory rate 28/min, blood pressure 110/88 mm Hg, and oxygen
saturation 96% on 6L NC. The skin is clammy and cool to the touch.
The nurse calls the pr - ANSWER Push ondansetron 4 mg IV.
Obtain a CBC stat.
Perform 500cc 0.9% sodium chloride IV bolus one time.
4. Dotty Hamilton
The nurse has implemented the provider's prescriptions and the client is now
stable and resting comfortably. The nurse is creating a plan of care for the client.
, Which of the following interventions should the nurse include in the plan of care?
(Select all that apply.) - ANSWER Place the client in a semi-Fowler's position.
Place absorbent dressings between the client's skin folds
Apply bilateral sequential compression stockings.
5. Dotty Hamilton
The client is one day postoperative; nausea has resolved, and vital signs have
remained stable overnight. Physical therapy has just finished assisting the client
with ambulation and Dotty is now sitting in a chair in their room. The nurse is
assisting the client with ordering a meal tray.
Which of the following items should the nurse encourage the client to order on
their meal tray? (Select all that apply.) - ANSWER Room temperature tea
Chicken broth
Warm milk
6. Dotty Hamilton
The client is 2 days postoperative, and the nurse enters the room to perform their
beginning of shift assessment. The client is sitting up in bed, alert and orientated
x4. The client states they finished their breakfast tray about 15 min ago. The client
appears pale and slightly diaphoretic and states they want to lay down. Lungs
sounds are diminished in the bases, and heart sounds are clear. Bowel sounds are
hyperactive in all four quadrants. Bilateral radial and dorsalis pedal pulses are 1+.
Vital signs are temp 36.8° C (98.2° F), pulse 104/min, respiratory rate 22/min,
blood pressure 142/71 mm Hg, and oxygen saturation 98% on RA. Labs from this
