-Determine when a hospital provided sitter will be necessary Some hair on the left side of his head has been burned off, as well. Scenario 3 Scenario 1 Scenario 2 Refer call to contact health department IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Nursing questions and answers. c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. Diet as tolerated. Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. Activity as tolerated with assistance. Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, She receives the pre-op medication. Pain Level Increased acuity Disturbed body False Patient demonstrates urine strain procedure. Nathaniel Gonzalez Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Educate patient Flexes & withdraws = 4 Scenario 5 Evaluate understanding Upon assessment, you determined that she is confused to person, time, and place but is easily directable. -Remove the dinner tray and make sure the diet is soft food. Perform pain re-assessment She has been documented as being obese, new onset. Fall, Risk for True Establish second IV Read PT report Yes Stat lithotripsy treatment ordered. You are concerned about preventing the patient from falling. Disturbed Body True Assess toe movement and capillary refilling Wash and glove hands Scenario 2 After washing and gloving hands, you then identify yourself and the patient, Ann Rails. Constipation, risk for: True Fall, risk for: True 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 . Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. No Known allergies (NKA). Check surgical consent for correct procedure and make sure operative site in marked. Notify Physical Therapy (PT) Psychological Needs Normal acuity Use therapeutic communication/active listening Encourage fluids/fiber/ambulation He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Talk with her stating surgery is over and she did great. Fatigue True Senario 2 Perform circulatory evaluation Scenario 2 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. Request time she can arrive and staff to help with transfer Visual assessment -Ensure patients is positioned in bed properly Scenario 1 Decreased cardio tissue perfusion: False Auscultate peripheral pulses and ROM. The Swift River is one of the most unique and popular trout fishing destinations in Massachusetts, yet the dynamics of this exceptional fishery have not been well understood. 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. Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. When she moves him to the hallway, Mr. Burgundy begins yelling at you "Do you know who I am, I demand a room! : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Verbal command = 3 The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. Ms. Gestalt is now complaining of fever and chills. Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. Scenario 2 Scenario 5 He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + Document Results, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Physical Mobility, Impaired True He is restless with slight confusion but is easily orientated with attempts from nurse. Odor: __________, No Noncompliance: False Extends abnormally = 2 -Offer nutrition/toilet Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. I need to be reporting!" -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall Peripheral Neurovascular Dysfunction: False -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. Report current urinary output quantify per hour and color of urine Educate patient You escort them with you to the ICU. ADA diet, intake 25%. His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. Students will prioritize medical surgical . Imbalanced Nutrition: True 50% intake. Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. -Call security for assistance and compliance officer Explain to her family and provide contact information. Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Scenario 5 She has been admitted to the floor with complaints of numbness in her right foot and ankle. Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) Provide for physical and thermal comfort. Procedure is canceled for the day and rescheduled later allowing for new consent. Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ His original lymph node biopsy was negative. swift river assignment: day swift river assignments dosage minimum score 90 med minimum score 80 minimum score 90 robert sturgess linda yu linda pittmon carlos Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Keiser University Silver Creek High School (Colorado) Date of insertion: _________________________ Date of dressing: _________________________________ Verify call light/ bed safety precautions Impaired Skin Integrity False Document and provide copy for Mr. Dominec to share with his follow up appointment tomorrow. Disoriented to time and place, speech slurred. Infection, Risk for False The charge nurse tells you not to move the patient, because there is no special treatment according to social status. The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. Wash and glove hands He does not have an IV nor is he on oxygen. The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. Do not disturb Blood Pressure, 7a-7p Total: 7p-7a Total: IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. , a 58-year-old male patient presents to the ER CO CP 10/10. Today's incentive spirometry Tidal Volume is 1250ml, improvement over yesterday's 900ml. Scenario 1 The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. Nathaniel Gonzalez Electrolyte Imbalance True It was diagnosed by a portable X-ray and quickly splinted by the ER staff. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Your coworkers are asking you questions about Mr. Dominec. except 115 pulse, which is normal for him. You arrive in room to find Ms. Monson talking to herself. Noncompliance False The charge nurse asks you to assume the patient's nursing care. Remain with patient Senario 1 Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Sa fortune s lve 2 000,00 euros mensuels All opinions are mine alone. Offer masks to visitors DSD (dry sterile dressing), forehead laceration clean and dry intact. Physiological : 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. Scenario 1 Wash hands Ineffective Self-Health Management False Water/Flush: Inappropriate words = 3 Waist belt restraint PRN; family sitter at bedside, assist with bath. Mr. Richardson is now pain free and questioning why he is plagued with recurring urinary stones. Lithia Monson Fall, Risk for True View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. Provide Operative summary of type of procedure, IV fluid and pain status. Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Hopelessness True Perform full assessment and provide anti-nausea medicine. He does not want to return to the nursing home, and does not wish to burden or live with his children. Scenario 4 Hep-Lock in place left AC. Educational Needs Increased acuity Scenario 3 Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Scenario 2 Scenario 4 Ms. Getts is requesting water to drink. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. -Reassure patient that he will be moved to a private room as soon as possible Tom Richardson PT to educate patient Impaired comfort: True Offer nutrition/toilet Impaired Mobility, Risk for True Sensorium Normal acuity, Physiological Notify doctor Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Strict I&O, regular diet, intake 50%. You notify the charge nurse that you have never taken part in inserting a chest tube. 20ga. ExplanationAnxiety/ fear True Notify lead nurse/doctor Safety A special lowbed has been ordered that will lower to the ground. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. The pathology report shows no cancerous lesions. Document Procedure Anxiety True 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. Wash and glove hands -Ask the patient if it is okay to discuss his care in front of his children. The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. Acute Pain True Scenario 3 Impaired Mobility False Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). -Check patency of Foley catheter, urine color, and ensure it is secure to the patient's leg Robert Domenic Scenario 5 Spiritual Distress False. -Complete neuro checks as ordered How was this Scenario 1 Scenario 2 D/C plan- decrease pain and restore normal gait. Waist belt restraint PRN; family sitter at bedside, assist with bath. Acute Confusion False No Known allergies (NKA). Administer antipyretic medication Oriented to: Person Place Time Pain Level Normal acuity No known allergies. An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Provide comfort and pain measures Education of Foley Cath Procedure Scenario 4 Verify call light/bed safety precautions Provide verbal report to team members who respond to rapid response Allow husband to come into recovery for a quick one-minute visit. Disturbed Sensory Perception True Vital signs are: B/P 112/78, temp. Fall, Risk for True Educate about recovery from appendectomy and care to wound. Scenario 3 How does the Med-surg simulator work? Dr. Anderson, Educational Needs Increased acuity He states, "This is not serious." Replace oxygen nasal cannula that had become disconnected Educate patient Safety Document results and findings Pulse -Ensure IV is patent, Lithia Monson jessdevan. The Swift River Nursing Simulation involves artificially representing real-world processes with sufficient fidelity to enable learning through immersion, practice, reflection, and feedback without facing the risks inherent in a similar real-life situation. Obtain translator 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. Patients within the Swift River Online Simulators Med Surg - Patients SROL Med Surg Female and Male Patients Female Male Ann Rails Carlos Mancia Estelle Hatcher John Duncan Kathy Gestalt Robert Sturgess Lithia Monson Tom Richardson Marcella Como Ramona Stukes Sarah Getts Viola Cumble Dosage Calc - Patients SROL Dosage Calc Female and Male Patients Spanish interpreter available at extension 61178. Ms. Cumble states that she has not had a BM for three days. Home; Our Focus; Our Legacy; Our Partners; Our People; Our Fellows; Our Investments They were also concerned about the next patient going into that room and the use of the lavatory. -Explain to the patient that he has a procedure, and he cannot eat. -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. 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. He replies, "six times in the past four hours". Safety Place pt on PCA pump Vital assessment The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. Electrolyte Imbalance False -Notify charge nurse Hx of dementia, from nursing home, fall one day ago. Scenario 4 Senario 3 Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Noncompliance True. Gait: ______________________________, Skin Integrity Assessment Mr. Gonzalez's repeat troponin was negative and no significant elevation in his other enzymes. Disoriented, confused = 4 Neuro WNL alert and cooperative. Scenario 1 No -Complete full assessment, to include neuro All our products can be personalised to the highest standards to carry your message or logo. You are the now the Surgical ICU nurse assigned to her. DSD (dry sterile dressing), forehead laceration clean and dry intact. He is excited and tells the nurse he is starving and glad that he finally gets to eat. -Assess patient LOC, by walking patient and asking them to take deep breaths. Dr. Altace, Educational Needs Increased acuity Scenario 3 Love and belonging Pain Level Normal acuity Skin warm dry, bruises on forehead with small laceration. Evaluate understanding. Request sitter/family member to bedside What order are you providing the information to the receiving nurse? Administer pain medications Skin cool to touch and appears pale. You enter patient's room. Senario 1 Psychological Needs Increased acuity He has a 20-year one pack history of smoking. Insertion Site: Dry/Intact Redness/Erythema Drainage Tenderness Maceration Sensorium Normal acuity, Physiological You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. Senario 5 Anxiety False Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. No response = 1, Mobility: Full assessment The patient is awake, alert, and oriented. ADA diet, intake, 25%. Scenario 1 Deficient Knowledge False Document results Teach patient about safety when getting out of bed Senario 2 Dr. Donofrio. Assess pain Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Sleep Deprivation False. Self-Actualization Evaluate understanding Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. Bleeding False Notify family as to when they may come and visit. Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Combien gagne t il d argent ? Failure to Thrive: True. Acute Confusion: True -Explain to the patient that because of his weakness and unknown cardiac status as well as the IV, he is a fall risk and should not get out of bed without assistance. Her pitcher has already been filled three times this shift. Decisional Conflict True Senario 4 Consult Social Service Anxiety True -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. Senario 2 Dysfunctional Gastrointestinal Motility False The pain makes him short of breath. Course Hero is not sponsored or endorsed by any college or university. Eye opening Spontaneous = 4 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? Increased fall risk. Offer nutrition and/ or toileting Scenario 1 Assist physician in physical exam of patient Allow family to remain The bed arrives tomorrow. No weight bearing today. Document results Clinical 2. She is also to receive radiation, chemotherapy, and hormone therapy post operatively. Tap patient and ask, "Are you okay?" palliative care. Evaluate patient understanding Hopelessness: True Record intake and output It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. 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 . -Teach the patient that there are several interventions for complications post-prostatectomy to include erectile dysfunction, post-op prostatectomies, and self-care involved with a foley catheter at home. Scenario 1 97.4, Resp 16 and Pulse Ox 94%. Scenario 2 Use therapeutic communication/Active Listening Assign nursing diagnosis and plan the appropriate intervention and evaluate outcomes while working through time pressure and distractions, including random call light requests. Rapid Response team arrived including anesthesia. The provider explains that it is a pre-cancerous stage in where the cell develops abnormal features. Emergency intubation and assisted breathing is provided for Mr. Thomason Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Esteem Scenario 2 Include patient condition change in shift report Neuro WNL. You explain that he is receiving a higher level of care and was he was sedated before leaving the floor to make him more comfortable. -Check on patient/sitter hourly Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. No known allergies (NKA). Anxiety True Pain Level Increased acuity Start secondary large bore IV line Health Change Increased acuity The nurse observes an elderly lady who is crying and has not been taken care of yet. Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. Toileting, Medications List/Times of Medications/Routes of medication, Neurological Assessment Scenario 4 Scenario 1 -Start an IV -Notify HCP of neuro findings 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. RLQ: RUQ: LUQ: LLQ: Family Health III-Pediatrics (NSG 6435) Emergency Medical Technician (EMS 1150) Applied Research In Business (MIS 781) Anatomy & Physiology I With Lab (BIOS-251) Molecular Biology (BP 723) Newest Marketing Management (D174) Professional Application in Service Learning I (LDR-461) Professional Capstone Project (PSY-495) Theology (104) LUE: Non-pitting Pitting ___+ Place call light and check bed for safety Peripheral Neurovascular Dysfunction False 4Inform his partner that everything is being done to keep him comfortable. Mrs. Smith's surgery has now ended. Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Obtain translatorT Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Scenario 4 Sit at an eye level. -Complete initial post-op assessment She shares concern about patient's wife who is now coughing and having night sweats. 00 Comments Please sign inor registerto post comments. Allow for non-compliance of request -Remind patient to call for help is he need to get up and provide patient with a urinal. Teach Cameron. Dr. Donofrio, Physiological Notify doctor for Foley catheter Non-significant past medical Hx. After 24 hours, Ms. Gestalt fever and chills have subsided but now states she is feeling like her cast is too tight. 156 terms. sounds= 2 Renal diet. Pain Level Increased acuity Ineffective Coping False Re-assess patient Knowledge Deficit True Describe the physical changes from aging and the care required. Scenario 4 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 Ambulates with minimal assistance. Full assessment -Draw a repeat CBC per HCP order to determine current Hemoglobin status Skin warm and pale. Too bad the cruise area was a very unatractive part of the River Elbe. She is with her physician. Color:__________ 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. Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes and chest muscles intact. Risk for Infection True Document pt's statements. Scenario 2 Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Love and belonging Scenario #2. Scenario 1 Dr. Brown, Educational Needs Increased acuity Use therapeutic communication/Active Listening Administer protocol antidiarrheal medication Hypothermia False The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). Obtain and provide the infectious disease doctor's contact information for him. Compromised Family Coping: False Clear liquid diet. Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Health Change Increased acuity Acute pain: False Urine Color: Clarity: Odor: Safety Evaluate outcome of dietary plan Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting Bleeding, Risk for False VS: BP 158/90, HR 89, R 18, T 97.8 F. Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." Widespread Color Change: N/A pallor cyanosis jaundice erythema The patient is awake alert and oriented. Acquire daily weight and food intake -Set-up for stat portable chest x-ray "I am feeling fine." Tear, Ecchymosis, Contusions, Bruising LOC Increased acuity Reassure patient and help explain any new orders from physician to patient Nausea: False Scenario 5 Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Evaluate learning Patient and family upset regarding dx. -Ensure patient privacy and call for help and assist patient to bed once help arrives She has received a dose of Hydrocodone for PRN pain 20 minutes ago. Grieving True 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. Love and belonging -Remove the lunch tray and ensure pre-operative consent has been signed. Safety- Insert Foley catheter -Discuss and determine sitter availability LOC Normal acuity -Continue to observe urine for hematuria and document findings Health Change Increased acuity It is now third day post-op, the order is for Ms. Cumble to stand by bedside on both legs for 5 minutes, three times a day. He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. References; Access My Virtual Clinicals; Medical-Surgical. Patient and family upset regarding dx. Senario 1 Call rapid response If patient statement differs from the surgical consent she has signed, notify surgeon immediately -Reassess patient's physical status prior to leaving him in the hallway Bleeding, Risk for True 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. Attain fluids/fiber diet and assisted ambulation Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Today's weight 226. Other: _______________________________ He is married, and his wife is requesting to stay at his side. Combien gagne t il d argent ? Scenario 4 Scenario 5 He insists that he is not hungry and refuses assistance with his meal. Virginia Smith Ronald Burgundy Scenario 2 It is now two weeks later; Mrs. Smith has returned. Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ Swift River Reflection Questions day 7 Answer each question thoroughly in multiple sentences. Scenario 3 Document results Wash and glove hands Scenario 1 -Complete head-to-toe assessment while patient is on the floor. Safety Suprapubic Insertion site: WNL S/S Infection : ____________________ Scenario 5 Evaluate medication effectiveness Safety- Scenario 5 Impaired Urinary Elimination True Scenario 4 Genitalia: WNL (skin intact, no lesions) Abnormalities Describe: __________________________ -Give NS liter bolus #ozerysnackingrounds I am so excited to be partnering with Ozery Family Bakery today. Allergic to sulfa drugs. -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. Esteem Elevate Extremity Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. -Ensure there is suction in the room, and check Educational Needs Increased acuity Fall Risk Increased acuity Esteem Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. Provide a few chairs if possible for her family to also be comfortable LOC Normal acuity Nausea: False Monitor and evaluate fluid intake His past symptoms for three months have been that he noticed a slight hoarseness in speaking, a slight dry cough not related to a cold, and upon examination had a "pea-size lump on the center of his neck". Continent: Yes No Brief/Diaper Assume that the oxidation state of sulfur is 2-22 and that iron atoms exist in both +2+2+2 and +3+3+3 oxidation states. His VS are BP 122/64, P 89, R 12, SpO2 93%. The nurse arrives and sees a tent is being erected as a triage area, and ambulances are lined up delivering trauma patients. Attempt to orient to person, place, and time Full assessment Scenario 3 Health Change Increased acuity The surgeon has suggested Androgen-deprivation therapy (ADT) with surgical castration (orchiectomy). She is having some difficulty breathing. LLE: Non-pitting Pitting ___+ Vital re-assessment Remain with patient and reassure Decreased Cardio Tissue Perfusion False Fatigue True Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). Ineffective Renal Perfusion, Risk for True Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. Oral Care Check PRN pain order Safety Compromised Family Coping False Use therapeutic communication/Active Listening Sleep Deprivation False Continue.Robert Sturgess Room 305 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Imbalanced Nutrition False Genitourinary Assessment Scenario 2 Self-Care Deficit: True RUE: ______________ LUE: ______________ Begin post op education for day one Vital sign assessments Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration Combien gagne t il d argent ? Ronald Burgundy Acute pain: True As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Color:__________ Encourage to ambulate with assistance to void if needed Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. Love and Belonging
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