Ruth Cummings - The Nathan Cummings Foundation Decisional Conflict True Grieving: True -Medicate for pain Educational Needs Increased acuity Notify lead nurse/doctor Date of insertion: _________________________ Date of dressing: _________________________________ BP 154/89, P 94 F, R 22, T 98.3F, SaO2 95% on room air. Vital signs are to be taken BID, and it is now time. Combien gagne t il d argent ? -Use therapeutic communication/active listening Medical Surgical Flashcards | Quizlet Nausea: False Document results Arthur Thomason VS: BP 158/90, HR 89, R 18, T 97.8 F. Pain Level Increased acuity Love and belonging Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Continent: Yes No Brief/Diaper Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles Because of the fall the provider has recommended that he stay in the hospital another night. The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. Noncompliance: False Scenario 1 Extends abnormally = 2 Scenario 5 Impaired Mobility True Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown Also worth mentioning is the 'Alter Schwede' - a 217t . Self-Care Deficit False Safety Vital re-assessment -Assess patient's ABC (airway, breathing, circulation) Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. You arrive in room to check on her, after washing hands. Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Scenario 4 No response = 1, Muscle Strength: WNL, Flaccid, Contracted Educational Needs Increased acuity : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Acute Pain True Fall, Risk for True -Notify charge nurse of patient's deteriorating condition She is having some difficulty breathing. Scenario 4 Pain Level Increased acuity Rapid Response team arrived including anesthesia. -Place patient on O2 Nasal Canula Scenario 2 You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. Document results. Waist belt restraint PRN; family sitter at bedside, assist with bath. Senario 2 Compromised Family Coping False Administer antipyretic meds Pain Scale: 0 to 10: _______________ Perform pain re-assessment Ann Rails Iron forms a sulfide with the approximate formula Fe7S8\mathrm{Fe}_7 \mathrm{~S}_8Fe7S8. -Reinforce to the patient to not get out of bed Ineffective Coping False The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. Dx- urinary stones with 3 episodes/5yrs. Regular diet. Start secondary large bore IV line Scenario 3 Scenario 4 Educational Needs Increased acuity The surgeon has suggested Androgen-deprivation therapy (ADT) with surgical castration (orchiectomy). Fall, risk for True Full assessment Impaired Mobility, Risk for True Dr. Altace, Physiological- Impaired Gas Exchange True -Instruct Mr. Burgundy and his cameraman to stop immediately The lesion was identified as Kaposi's Sarcoma. You correctly diagnosed 11 out of 16 options. Glasgow Coma Scale 0-15 Musculoskeletal Swift River Medical-Surgical. Impaired Mobility False Shock, Risk for False Psychological Needs Normal acuity -Recheck Tilts after the NS bolus is complete.T The bed arrives tomorrow. Notify doctor for Foley catheter Suprapubic Insertion site: WNL S/S Infection : ____________________ The patient has a pneumothorax that requires a chest tube placement. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Skin integrity at risk True Impaired Home Maintenance management r/t client or family False Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. GI WNL. Notify charge nurse that discharge will probably not occur today. 1. Hep-Lock in place left AC. Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Pain Level Normal acuity Fall Risk: Increased acuity Psychological Needs Increased acuity No response = 1, Mobility: Use therapeutic communication/Active Listening Scenario 3 Neuro WNL alert and cooperative. Evaluate understanding. Scenario 1 Decreased Cardiac/perfusion: False Ineffective Peripheral Tissue Perfusion False Safety Senario 4 He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. -Explain to the patient that he is now considered stable, you are taking him to the hallway, and he will be admitted to an impatient room within a few hours Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. -Discuss and determine sitter availability Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. -Provide the patient with the time when HCP will come discuss options with him Scenario 5 Document results Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. Neck: ______________ Apical pulse rhythm: Regular Irregular Location: Document results DSD (dry sterile dressing), forehead laceration clean and dry intact. Now, third day post-op, Mrs. Stukes appears sad and depressed upon entering the room. He states, "This is not serious." Check pedal capillary refill Obtain Spanish signs & brochure Patient and family upset regarding dx. Call Rapid Response protocol initiated Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Chronic pain: True Imbalanced Fluid Volume, Risk for True Senario 2 The patient is awake alert and oriented. nursing care plan for Linda Pittmon, a 74 -year old female patient who is a noncompliant diabetic, and frequently stays at the local homeless shelter. -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. Diet as tolerated. Love and Belonging If family/visitors come, will need education to airborne precautions. Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Notify lead nurse -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Diet as tolerated. IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Nausea: False Fall, Risk for True -Call security for assistance and compliance officer Impaired home maintenance mgmg r/t client or family: False Crutches at bedside adjusted for height. Visual assessment Powerlessness True. What order are you providing the information to the receiving nurse? Therapeutic communication No Known allergies (NKA). Scenario 4 Fall Risk Increased acuity Wash and glove hands I need to be reporting!" Evaluation patient after consult Sensorium Normal acuity, Physiological Assess for fall risk Waist belt restraint PRN; family sitter at bedside, assist with bath. Health Change Increased acuity He is excited and tells the nurse he is starving and glad that he finally gets to eat. Microeconomics And Behavior Robert Frank 9th Edition Author: old.bubbies.com-2022-05-03T00:00:00+00:01 Subject: Microeconomics And Behavior Robert Frank 9th Edition Keywords: microeconomics, and, behavior, robert, frank, 9th, edition Created Date: 5/3/2022 7:02:15 AM -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. Upon entering room, you wash/glove hands. DSD (dry sterile dressing), forehead laceration clean and dry intact. NURS 320 Med_Surg_Swift_River **New Patients from 2020, Post- Covid-19 Update:** **Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jones, Julia Monroe, Donald Lyles, John Wiggins, Richard Dominec, Preston Wright, Tom Richardson, Joyce Workman, Karen Cole, Jose Martinez, Mary Barkley Charlie Raymond Vital assessment Fortune Salaire Mensuel de Nba 2k23 Pc Review Combien gagne t il d Give verbal report Fall, Risk for True Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10. He is having some difficulty hearing and complains of ringing in his ears. No Known allergies (NKA). Acute Confusion True His VS are BP 122/64, P 89, R 12, SpO2 93%. Allow family to remain Obtain translatorT Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Family in room with patient very concerned. Esteem Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! Eclectic Recipes Fast And Easy Family Dinner Recipes Students will prioritize medical surgical . Scenario 1 Mr. Greer has just returned from surgery. Educational Needs Increased acuity Educate pt regarding changes to POC Scenario 1 : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Cardiovascular has pacer with rate of 82bpm on demand. Blood, Glucose 185, 4 units of insulin sliding scale for coverage. Document results and findings Physical Mobility, Impaired True Notify family as to when they may come and visit. Determine from medical record if partner is aware of his recent AIDS diagnosis. Check monitor Hep-Lock in place left AC. Grieving: False Sensorium: Normal acuity, Bleeding, risk for: False -Ensure bed is in lowest position, and rails are in place Combien gagne t il d argent ? Swift River Reflection Questions 1 - Swift River - Course Hero Scenario 1 Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. Love and Belonging Med Surg - Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A When the HCP realizes who he is, he tells the nurse to move the patient in the treatment room down the hall and put Mr. Burgundy in there. You are concerned about preventing the patient from falling. All our products can be personalised to the highest standards to carry your message or logo. -Assess patient LOC, by walking patient and asking them to take deep breaths. You observe Ms. Getts being assisted by another nurse who is being blatantly rude and disrespectful to her. Acute Confusion: True Two hours later, Mr. Duncan is asked how frequent his stools have been today. -Complete incident report. Scenario 4 Deficient knowledge: True Reasses temp in 1 hour. Safety Increased acuity, Physiological Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . -Notify HCP of fall, complete incident report Anxiety True Provide comfort and pain measures Use therapeutic communication/active listening Notify Physical Therapy (PT) Observe closely first hour jasmine . Health Change Increased acuity After 24 hours, Ms. Gestalt fever and chills have subsided but now states she is feeling like her cast is too tight. Scenario 2 Oral Mucosa: Tongue: Teeth: Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. -Ask the patient if it is okay to discuss his care in front of his children. However, he quit three years ago when he remarried; he and his wife have a nine-month-old baby. Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Safety Clinical 2 Flashcards | Quizlet Today, clubs like Hamburg City Beach Club, Lago Bay, Hamburg del Mar and StrandPauli provide a relaxed summer atmosphere with a view over the Elbe. Report to charge nurse/ head nurse the need for staff education. Educate patient Sensorium Normal acuity, Physiological Scenario 4 She is with her physician. No weight bearing today. Yes Productive Non-productive Describe Sputum: _______________________ Scenario 5 school system of the host country and may not know how to choose the programme, Question 34 Correct Mark 100 out of 100 Flag question Question text hr tag, efefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefef, arbitrary parameters a b will be a complete solution of 38 The main problem then, Reduces costs of providing on site office space To individual Makes more time, METHYLXANTHINE DRUGS-Chemistry FinalsExam PrepNotes.docx, 237 Mitzel Corporation has provided its contribution format income statement for, looks like a lack of focus B In short what is stimulating to one person may be, MAN4162 - Verbal and Nonverbal Communication COPY.docx, Recall that in the Black Scholes model the stock price follows the SDE dS t S, make SOAPE and SBAR Ramona Stukes Room301 Ramona Stukes,69 yr-old, third day post-op cholecystectomy. Scenario 1 Strict I&O, regular diet, intake 50%. Anxiety True Senario 3 She is also investigating bone marrow transplantation. Explain that he will probably not be going home at least until his doctor sees him. Notify doctor Need frequent reminder to stay in room and maintain mask precautions. He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. Assess toe movement and capillary refilling Scenario 2 Educational needs: Increased acuity You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Health Change Increased acuity Wash and glove hands Mr. Richardson is now pain free and questioning why he is plagued with recurring urinary stones. The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. -Give NS liter bolus Teach Cameron. Wash and glove hands Document Results/Findings Inspect cast site Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. Document results and findings Respiratory Assessment Inform and educate spouse of dietary orders Deficient Knowledge True Combien gagne t il d argent ? Decreased Cardiac/perfusion False Sleep deprivation False Document and provide copy for Mr. Dominec to share with his follow up appointment tomorrow. This shop has been compensated by Inmar Intelligence and its advertiser. Ms. Rails states that she has not had a bowel movement (BM) in the past two days. Scenario 2 Stools are decreasing but patient remains very weak. Capillary Refill: _________ seconds is a 57 y/o who has been admitted for a radical prostatectomy. Scenario 2 Peripheral Neurovascular Dysfunction: False Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging You notice she is crying and is expressing fear that she "will always have this pain and numbness" and she doesn't think she can cope. -Complete head-to-toe assessment while patient is on the floor. Provide for physical and thermal comfort. Shock False Esteem Administer PRN constipation medications It is unclear if he lost consciousness. Offer assistance Scenario 5 Scenario 3, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. Scenario 4 Strict I&O and strain all urine, filters in bathroom. He also has a history of hypertension and takes Tenormin (Atenolol) and Atorvastatin (Lipitor). Inform his partner that everything is being done to keep him comfortable. Scenario 4 Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, When a physician makes an incision into a body cavity just superior to the diaphragm and inferior to the neck, what body cavity will be exposed? ADA diet, intake 25%. No Known allergies (NKA). Gastrointestinal Assessment -Reassess patient's physical status prior to leaving him in the hallway -Remove the lunch tray and ensure pre-operative consent has been signed. Educate patient Cardiovascular Assessment Document results Scenario 5 Swift River Nursing Simulation - Homework Writing Services Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Oral Care Perform circulatory evaluation Other: _______________________________ Encourage Mr. Dominec to discuss with his partner his best treatment options. 2021-22, Historia de la literatura (linea del tiempo), Respiratory Completed Shadow Health Tina Jones, CH 02 HW - Chapter 2 physics homework for Mastering, BI THO LUN LUT LAO NG LN TH NHT 1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. ADA diet, intake 25%. r/o Tuberculosis. Sleep Deprivation False The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Make-Up Clinic Day 3 MS - Swift River Assignment: Make-up Day 3 Swift He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. Decreased cardio tissue perfusion: False Imbalance nutrition: True Full head to toe neuro assessment. Her husband and children remain with her in the surgical holding area awaiting transport to the OR. Begin post op education for day one Place call light and check bed for safety Remind the nursing staff that the patient is NPO. Linen Change Safety Apply fall risk bracelet RLE: ______________ LLE: _____________ Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Provide a few chairs if possible for her family to also be comfortable You, his prior nurse, notice the family and respond to them. He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. Constipation, Risk for True Palliative care. Educate patient regarding condition Respiratory Effort: Relaxed, Regular, Non-labored Pursed lip breathing Labored Senario 5 Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Procedure is canceled for the day and rescheduled later allowing for new consent. NPO with small amount of ice chips only. Retrieve cast removal tool Visual assess Health Change Increased acuity Obtain and provide the infectious disease doctor's contact information for him. -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. Fall, risk for: True 97.4, Resp 16 and Pulse Ox 94%. Psychological Needs: Increased acuity Scenario 4 Impaired Mobility True Social worker with patient this morning. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Document results/findings Family arrive one hour after event to his prior room and find Mr. Thomason's room is empty and have no idea of the events that have just occurred. Infection, Risk for False Scenario 2 Impaired Skin Integrity, Risk for False Spiritual Distress False. They wanted to know and pressure you for the information. Chronic Confusion False Viola Cumble Full assessment Scenario 1 Wash hands Blood Pressure, 7a-7p Total: 7p-7a Total: Temp 98, BP 114/67, P 115, RR 20, SaO2 98%. Connect telemetry Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. Evaluate caller understanding Skin warm and pale. Contact dietary consult Filmotka filmu Najvyia ponuka (2013). RS Vclinical Flowsheet - Student Name : Date: NUR 113 Assessment Swift The oncologist is insistent that the treatment begin immediately. Nr 325 final exam quizlet chamberlain - gqqa.wikinger-turnier.de -Offer nutrition/toilet Grieving True Inappropriate words = 3 Electrolyte Imbalance False Safety- Acute Pain False Verify call Light/bed safety precautions They would also like to start Radium-223.
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