Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. Upon entering room, you wash/glove hands. You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Acute pain: True Bleeding Risk for: False Fall, risk for True He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. Document results and findings Social worker with patient this morning. Paul Greer Check input/output for possible dehydration Too bad the cruise area was a very unatractive part of the River Elbe. Home - Swift River Scenario 2 Scenario 1 Wash hands Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. Educate patient regarding changes to POC Educate patient He replies, "six times in the past four hours". Due to this, the provider would like him to stay in the hospital for observation. Fall, risk for: True Scenario 5 After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. Compromised Family Coping: False Wash and glove hands Electrolyte Imbalance False Evaluate outcome of dietary plan Visual assess -Assess patient's understanding of the teaching and discuss home support, os de la main et de la ceinture pelvienne, Julie S Snyder, Linda Lilley, Shelly Collins. His orthostasis is normalized after a second liter of NS was administered. Record intake and output Impaired Mobility, Risk for True Scenario 3 Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Mark Klimek Blue Book Study Guide, 200 pages, Perspectives in the Natural Sciences (SCI100), Principles of Business Management (BUS 1101), Electrical Machines and Power Electronic Drives (E E 452), Methods of Structured English Immersion for Elementary Education (ESL-440N), Pre service firefighter education and training (FSC-1106), Advanced Medical-Surgical Nursing (NUR2212), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Chapter 1 - Summary International Business, Death Penalty Research Paper - Can Capital Punishment Ever Be Justified, Skomer Casey, BIO 140 - Cellular Respiration Case Study, English 123- 3-4 Assignment Submission- Annotating Your Sources, Ch 2 A Closer Look Differences Among the Nutrition Standard & Guidelines & When to Use Them, Greek god program by alex eubank pdf free, Logica proposicional ejercicios resueltos, 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. Administer antipyretic meds Fall, Risk for True -Reassess patient's physical status prior to leaving him in the hallway Continent: Yes No Occasional Incontinence Frequent Incontinence Brief You correctly diagnosed 11 out of 16 options. Scenario 1 Love and Belonging Safety- Scenario 5 Provide for physical and thermal comfort. They wanted to know and pressure you for the information. Disturbed Body True Verbal command = 3 You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Listen to patient concerns The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). Mr. Duncan's wife meets you in hall asking what she could bring her husband to eat from home. Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Scenario 1 Grieving: False. Scenario 2 LOC Normal acuity Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. -Discuss effectiveness of sitter Scenario 3 Pain Level Normal acuity His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" Some hair on the left side of his head has been burned off, as well. 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. Educate pt regarding changes to POC Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Scenario 3 fallout 4 save wizard quick codes death and wheel of fortune tarot combination; gambling meaning in english urdu alpine spiced apple cider gluten free; how to use v2ray samsonas sequential gearbox subaru; lg magic remote power light stays on Senario 2 Apply restraint Scenario 1 Talk with her stating surgery is over and she did great. The oncologist is insistent that the treatment begin immediately. Scenario 4 Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . Safety Medical Surgical Flashcards | Quizlet Three hours later, Ms. Getts is unsteady when standing by her bedside. Acute Pain True Senario 1 -Remind patient to call for help is he need to get up and provide patient with a urinal. It was diagnosed by a portable X-ray and quickly splinted by the ER staff. Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Allow for non-compliance of request You explain that his condition has worsened and now he has been taken to ICU. except 115 pulse, which is normal for him. No response = 1, Mobility: Full assessment The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. Safety Increased acuity, Physiological Swift River Reflection Questions day 7 Answer each question thoroughly in multiple sentences. Determine clinical decisions based on listening to an audible client report. Wash and glove hands -Ask the patient if it is okay to discuss his care in front of his children. Ineffective airway clearance True Mr. Richardson is now pain free and questioning why he is plagued with recurring urinary stones. Document Results, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Patient and family upset regarding dx. He tells the nurse he has called his wife and wants to be discharged now. Scenario 4 Alleviating Factors: Last pain medication: Fall, Risk for True Physiological Incomprehensible Rich Dad, Poor Dad (Robert T. Kiyosaki) The Methodology of the Social Sciences (Max Weber) Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.) . Scenario 4 Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Re-assess patient Pregnancy and labor and delivery are not typically associated with the concept of cellular regulation, Patient: Donald Lyles,52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. Obtain vital signs machine Ambulates with assistance. Impaired Skin Integrity, Risk for False Remind physician to wash his hands before examining the patient Verify call light/ bed safety precautions Neuro WNL alert and cooperative. He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive Scenario 1 Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Scenario 4 A few hours after speaking with the sitter about the patient needing complete observation, you notice the sitter outside of the room talking on the phone. Najvyia ponuka (2013) | Filmotka | SFD.sk Carlos Mancia The 'Strandperle' (lit. Evaluate/modify plan of care Report to charge nurse/ head nurse the need for staff education. There is an order to apply a waist belt restraint if needed. Head/Face: Symmetric Asymmetric Drooping Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. -Continue to observe urine for hematuria and document findings Full assessment Bleeding False The patient is asking you where her son is, the last place she saw him was right before the explosion. Urination: WNL Burning Frequency Urgency Swift River Clinical Practice Chamberlain University Expert James Moore Category: Nursing Description Full Document Jose Martinez Room 301 Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain while watching a state rival football game earlier in the evening. Disturbed Sensory Perception True Obtain translator Scenario 3 Fortune Salaire Mensuel de New King James Bible Download For Windows 7 Fall, Risk for True Acute Confusion False -Determine when a hospital provided sitter will be necessary Dr. Donofrio. -Explain to the patient that he has a procedure, and he cannot eat. The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage Notify doctor if condition is abnormal Impaired Gas Exchange True Document Procedure Safety To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. Use therapeutic communication/Active Listening Dr. Anderson, Educational Needs Increased acuity Expresses fatigue, fear, concern, and desire for recovery. Love and belonging Love and belonging Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! Toggle navigation Swift River. Document results and findings He also states he is feeling weak. Odor: __________, No Bleeding, Risk for False Ineffective Self-Health Management False You observe Ms. Getts being assisted by another nurse who is being blatantly rude and disrespectful to her. Scenario 5 Fall Risk Increased acuity Scenario 2 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. Perform full assessment and provide anti-nausea medicine. Scenario 1 I need to be reporting!" Inspect cast site Vital assessment Educational Needs Increased acuity Scenario 5 -Use therapeutic communication/active listening Pain re-assessment She is also investigating bone marrow transplantation. Document results. Impaired Gas Exchange False Scenario 2 Peripheral Neurovascular Dysfunction True. -Ensure IV is patent, Lithia Monson If the source voltage for the a phase is Van=12080V\mathbf{V}_{a n}=120 \angle{ 80^{\circ}} \mathrm{V}Van=12080V, and the line impedance is zero, find the phase currents in the wye-connected source. Neuro WNL. Scenario 3 Non-significant past medical Hx. The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. Renal diet. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Use therapeutic communication/active listening ExplanationAnxiety/ fear True Provide emotional support. Knowledge Deficit True She has arrived in pre-op and about to have surgery this morning. Social Isolation, Risk for True Pain Level: Increased acuity Assist patient out of bed Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. She has received a dose of Hydrocodone for PRN pain 20 minutes ago. Non-significant past medical Hx. Nausea/Vomiting: Yes No Yes Productive Non-productive Describe Sputum: _______________________ Nausea: False Scenario 1 Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. -Ensure bed is in lowest position, and rails are in place Nausea False Fear: True They were also concerned about the next patient going into that room and the use of the lavatory. Document results Scenario 3 Remain with patient 3Check surgical consent for correct procedure and make sure operative site is marked. Blood-tinged mucous, productive cough. Apical pulse rhythm: Regular Irregular Location: Pain Level Increased acuity "I am feeling fine." Document results -Notify HCP of neuro findings 20ga. #1: _________, No Neuro WNL alert and cooperative. Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Health Change Increased acuity Use therapeutic communication/Active Listening Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Bed Bath: Assist or Total 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. He asks to speak to a clergy member. -Explain procedure to the patient Wash and glove hands His, Joyce Workman Room 303 Joyce Workman Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Physiological- Notify charge nurse that discharge will probably not occur today. Urostomy: N/A Urostomy/Ileal conduit The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". Scenario 1 Cardiovascular has pacer with rate of 82bpm on demand. -Place patient on O2 Nasal Canula LLE: Non-pitting Pitting ___+ IV NS is started, and lab work is sent. Acute Confusion: True Chronic Confusion False -Ensure there is a full O2 tank on the gurney, place patient on Nasal Cannula Scenario 3 Skin warm and dry, daily dressing changes, T-tube without drainage. Upon entering the room with a translator to admit him to the hospital, he is asked for address and phone number but refuses to comply. Gastrointestinal Assessment Chronic Sorrow False Neuro WNL's, alert and cooperative. Fortune Salaire Mensuel de Ubah Kalimat Efektif Online Combien gagne t Refer call to contact health department Mr. Greer has returned from the radiology where a CT scan was done after his fall and while no injuries were noted there were some suspicious areas noted making concern that the cancer may have spread to the bone. After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. Deficient Knowledge False Imbalanced Nutrition True He is currently febrile with temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound tenderness in right lower quadrant, has elevated WBC's and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Physiological- Love and Belonging Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Scenario 5 Impaired Home Maintenance Management False Document results Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. List the nursing care order. 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. Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. No response = 1, Range of Motion: Full, Limited Pain Level Normal acuity Full assessment She is with her physician. Teach patient about safety when getting out of bed Reorient Patient to person, place, & time The provider explains that it is a pre-cancerous stage in where the cell develops abnormal features. Safety Increased acuity, Physiological Scenario 5 -Medicate for pain Scenario 5 Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging GI WNL. 1. LOC Normal acuity Palliative care. Seek clarification Dysfunctional Gastrointestinal Motility False -Have patient remain in bed, head elevated 30 degrees She has been documented as being obese, new onset. Review pain medication order Acute pain: False You enter patient's room. Fear True : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Apply nasal cannula Notify doctor Evaluate understanding He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. Impaired skin integrity: False, Anxiety: True He does not have an IV nor is he on oxygen. Safety Gait: ______________________________, Skin Integrity Assessment Scenario 3 Your Swift River Virtual Clinicals account has been linked to your ATI Student account. He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. NG tube to low suction possibly D/C'd today after Dr. Levine rounds. Ruth Cummings - The Nathan Cummings Foundation Scenario 2 -Ensure there is suction in the room, and check Scenario 4 Ronald Burgundy Fall, risk for: True Neuro WNL alert and cooperative. Awaiting transport. Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. Assume role in response team of documenter -Ensure patient privacy and call for help and assist patient to bed once help arrives Decisional Conflict False Swift River Nursing Simulation - Homework Writing Services It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. -Assess patient LOC, by walking patient and asking them to take deep breaths. Provide information for MD to call family at home and explain what has just happened Scenario 1 Scenario 4 IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. Sa fortune s lve 2 216,00 euros mensuels Scenario 4 Where is my camera man!! Psychological Needs Normal acuity He has been taking his HIV medication daily. Scenario 1 Scenario 1 Airborne Isolation. Impaired Home Maintenance management r/t client or family False You arrive in room to find Ms. Monson talking to herself. Educate patient Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. Ineffective breathing pattern False Senario 4 Health Change Increased acuity Excess Fluid Volume, Risk for False Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid Vital assessment Vital signs taken by automatic B/P Cuff q 15 minutes Document results His VS are BP 122/64, P 89, R 12, SpO2 93%. You escort them with you to the ICU. Safety Hx of dementia, from nursing home, fall one day ago. Scenario 5 Scenario 2 He was initially sedated with versed 2mg, and Fentanyl 100 mg by the EGD nurse, but the patient was not tolerating the procedure, so anesthesia was called to administer propofol. Apply oxygen Assess for bowel sounds Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Electrolyte Imbalance True Eclectic Recipes Fast And Easy Family Dinner Recipes -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. She receives the pre-op medication. He chooses to go home and see the doctor tomorrow in his office. Isolative, appears fearful, crying, and refusing to see her husband. Scenario #2. and the GI cocktail given in the ER did relieve his CP but not completely. He is excited and tells the nurse he is starving and glad that he finally gets to eat. Taking HIV Meds prophylaxis. Opening Title Production company Cast and crew Genre J A N U A R Y 2: The Killing of John Lennon: IFC First Take: Andrew Piddington (director/screenplay); Jonas Ball, Krisha Fairchild, Gunter Stern, Gail Kay Bell, Mie Omori, Robert C. Kirk: Crime, Drama: 4: One Missed Call: Warner Bros. Pictures / Alcon Entertainment / Kadokawa Pictures: Eric Valette (director); Andrew Klavan (screenplay . IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Safety- Scenario 3 He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Noncompliance True 156 terms. Perform circulatory evaluation r/o Tuberculosis. A special lowbed has been ordered that will lower to the ground. Chronic Pain False Self-Care Deficit: True Combien gagne t il d argent ? He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. Scenario 5 Ms. Rails states that she has not had a bowel movement (BM) in the past two days. Multiple abrasions, bruising Head, chest, and inner thigh. Esteem Acquire daily weight and food intake Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. Safety BP 154/89, P 94 F, R 22, T 98.3F, SaO2 95% on room air. Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Week #7 Assignment - Incentive Spriometer . Present health assessment including B/P and LOC and dressing. Dr. Small at bedside with patient and family. Infection, Risk for False Assess Notify doctor and charge nurse Place call light and check bed for safety -Document and contact nursing supervisor/Charge nurse Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. Scenario 4 Tear, Ecchymosis, Contusions, Bruising Psychological Needs Normal acuity -Assess if the contents of lunch tray are intact. The pathology report shows no cancerous lesions. Radiofrequency ablation may be recommended after endoscopic resection. Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Readiness for Self-Care Enhancement True : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Oral Care Impaired home maintenance mgmg r/t client or family: False Sleep Deprivation False Deficient Knowledge False But that's changing. Deficient knowledge: True Imbalance nutrition: True Reassure patient and help explain any new orders from physician to patient Scenario 3 Continent: Yes No Brief/Diaper Scenario 3 Safety -Tell the patient to call immediately if the chest pain gets worse or they become short of breath SANE nurse to make second visit today. Bleeding False Scenario 2 Intermittent/Continuous Other: Provide emesis basin/cloth -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. Palliative care. He is having some difficulty hearing and complains of ringing in his ears. Patient, and family upset regarding dx. Allow husband to come into recovery for a quick one-minute visit. Perform neuro assess Disoriented, confused = 4 Also worth mentioning is the 'Alter Schwede' - a 217t . Water/Flush: Scenario 2 Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting Scenario 5 IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Impaired comfort: True Students will prioritize medical surgical . Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions StuDocu University Keiser University Western Governors University
How Far Is Ellenton, Florida From The Beach,
King Of The Hammers 2022 Dates,
Articles R
