In the interim, start an IV and start infusing Ringers Lactate. Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Evaluate understanding Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion Skin integrity, impaired True Extends abnormally = 2 Dr. Roopes, Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Vital signs - Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Document results You escort them with you to the ICU. Mrs. Pittmon states she has had numbness for years but "now I can't . Scenario 2 Kathy Gestalt BP 154/89, P 94 F, R 22, T 98.3F, SaO2 95% on room air. If patient statement differs from the surgical consent she has signed, notify surgeon immediately Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. He also complains that his throat is still very sore. 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 Dr. Starks, Physiological Neck: ______________ jasmine . Scenario 5 Impaired Home Maintenance Management r/t Client or Family False 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. Clinical 2. Document results Alleviating Factors: Last pain medication: Obtain translatorT Because of the fall the provider has recommended that he stay in the hospital another night. Cardiovascular has pacer with rate of 82bpm on demand. Dr. Donofrio. Scenario 5 Safety Increased acuity, Physiological The patient is awake, alert, and oriented. Acute Pain True Fall, Risk for True Several hours later, Mr. Duncan is now complaining of nausea. Psychological Needs Increased acuity Safety Wash and glove hands Verify call light/ bed safety precautions Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Evaluate patient learning Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not recognize son today which is new for her; Neuro assessment and vital signs q1 hr. 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. 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Scenario 1 -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Notify doctor She is also investigating bone marrow transplantation. -Explain to patient why his throat may be sore Remind the nursing staff that the patient is NPO. Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! #ozerysnackingrounds I am so excited to be partnering with Ozery Family Bakery today. Too bad the cruise area was a very unatractive part of the River Elbe. Fall Risk Increased acuity Provide verbal report to team members who respond to rapid response Scenario 5 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. Ms. Cumble states that she has not had a BM for three days. No known allergies (NKA). Non-significant past medical Hx. No Known allergies (NKA). Document results Remain with patient Deficient knowledge: False Senario 3 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. 2. LOC Normal acuity Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent She is also to receive radiation, chemotherapy, and hormone therapy post operatively. Scenario 3 Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Pain Level Increased acuity Full assessment Upon assessment, you determined that she is confused to person, time, and place but is easily directable. What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? Nausea False -Ensure patients is positioned in bed properly Bleeding: True Wash and glove hands Encourage fluids and fiber diet Obtain Spanish signs & brochure Pain Level Increased acuity Aggravating Factors: His children are visiting, and they are very supportive. Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Senario 5 LOC Normal acuity Use therapeutic communication/Active Listening Perform neuro assess Estimate the length of the Neptunian year given that the Earth is 1.50108km1.50 \times 10^{8} \mathrm{km}1.50108km from the Sun on the average. Regular diet. Safety The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Re-assess patient Mrs. Smith's surgery has now ended. Skin warm and, dry, all vital signs in WNL except 115 pulse, which is normal for him. Mrs. Smith shares with you that even though she signed the operative consent she was not sure if this was the right surgical procedure for her. Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Scenario 1 When completing the shift change neuro check, you notice the patient's left pupil is sluggish. Scenario 1 He does not want to return to the nursing home, and does not wish to burden or live with his children. Taking HIV Meds prophylaxis. Determine clinical decisions based on listening to an audible client report. : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Robert Domenic Dr. Donofrio, Physiological Assess for fall risk Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Use therapeutic communication/Active Listening Scenario 3 Sensorium Increased acuity, Physiological IV D5 1/2 NS @150ml/hr. Scenario #3. Nausea False Ineffective Self-Health Management False The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. Document results Upon entering the room, you find Ms. Rails sleeping. -Evaluate patient's understanding of teaching Bleeding, Risk for False The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. -Assess if the contents of lunch tray are intact. Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting -Notify HCP of neuro findings Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. 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) The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Health Change Increased acuity Notify family Educate patient However, he quit three years ago when he remarried; he and his wife have a nine-month-old baby. His wife tells the nurse that he seemed very distant and did not want to talk much. Vital Assessment You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. When you arrive to room 4, you are told to assume the care for the patient and get ready to transport them to the floor ASAP. Impaired Gas Exchange True Senario 4 Use therapeutic communication/Active Listening You also notice the patient is more difficult to orient. Observe closely first hour Ann Rails Powerlessness True. Report and document results Fall Risk Increased acuity GI WNL. She has arrived in pre-op and about to have surgery this morning. Allergic to sulfa drugs. Scenario 3 Acute pain: False Scenario 3 Educate patient/family It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Acute Pain True -Discuss with family sitter if there are any other family members who can help with monitoring Lithia Remain with patient and reassure Observe closely first hour Psychological Needs Increased acuity Scenario 5 Iron forms a sulfide with the approximate formula Fe7S8\mathrm{Fe}_7 \mathrm{~S}_8Fe7S8. Sa fortune s lve 1 900,00 euros mensuels Scenario 2 -Remove the dinner tray and make sure the diet is soft food. Decisional Conflict False Scenario 4 Constipation False Verify Call Light/Bed Safety precautions Scenario 5 It was diagnosed by a portable X-ray and quickly splinted by the ER staff. Scenario 4 Three hours later, Ms. Getts is unsteady when standing by her bedside. Decreased Cardiac/perfusion: False Evaluate understanding Notify doctor for Foley catheter After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. 45 terms. 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! Do not disturb Amount:________ -Discuss effectiveness of sitter RUE: ______________ LUE: _____________ Bladder distention Pelvic pain Low back/flank pain This shop has been compensated by Inmar Intelligence and its advertiser. Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. Self-Care Deficit True Scenario 4 Diet as tolerated. Grieving: False. You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. What order are you providing the information to the receiving nurse? The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. Yes Scenario 3 Sarah Getts VS: BP 158/90, HR 89, R 18, T 97.8 F. Combien gagne t il d argent ? Perform pain reassessment ADA diet, intake 25%. No known allergies (NKA). Safety Increased acuity, Physiological He also states he is feeling weak. Airborne Isolation. Encourage fluids Notify Doctor for pain medz Scenario 5 Give verbal report You are concerned about preventing the patient from falling. Listen to patient concerns Notify doctor if condition is abnormal Peripheral Neurovascular Dysfunction: False Begin post op education for day one -Reinforce to the patient to not get out of bed -When the HCP arrives, stay in the room to determine whether you can continue care with the patient Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. Scenario 3 Safety Surrounding skin: Moist/Intact Red/Erythema Irritation Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. References; Access My Virtual Clinicals; Medical-Surgical. Robert Sturgess - Swift River Swift River University Nightingale College Course Concepts of Nursing I (BSN 246) Academic year2022/2023 Helpful? Vital assessment Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Blood, Glucose 185, 4 units of insulin sliding scale for coverage. Scenario 1 Senario 3 Secondary: Assess vital signs, auscultate heart, lungs, and bowl sounds. Reasses temp in 1 hour. They wanted to know and pressure you for the information. Localizes pain = 5 Grieving: False Construct dietary consult (plan) Document results Then the bus splashed into the river for a cruise. Senario 2 Multiple abrasions, bruising Head, chest, and inner thigh. Scenario 2 -Ensure there is a full O2 tank on the gurney, place patient on Nasal Cannula Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) His coughing, to clear his airway, appears ineffective. Mr. Sturgess does not have a living will or durable power of care completed. NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. Senario 4 Contact dietary consult Health Change Increased acuity Educate caller regarding HIPAA Scenario 4 No response = 1, Mobility: He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. 20ga. Take vital signs before leaving the hospital again. Grieving False Document conversation An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Two hours later, Mr. Duncan is asked how frequent his stools have been today. Sa fortune s lve 2 216,00 euros mensuels Alert and cooperative. A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. 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. You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. -Contact HCP to determine when they are available to speak with the patient Scenario 4 -Place patient on O2 Nasal Canula Scenario 2 You correctly diagnosed 11 out of 16 options. ADA diet, intake 25%. ASA is held but morphine 4 mg was given after his GI cocktail. You are the now the Surgical ICU nurse assigned to her. You arrive in room to check on her, after washing hands. Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Refer call to contact health department Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. Vital re-assessment The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). Scenario 1 -Complete neuro checks as ordered Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles Report this activity immediately to the hospital privacy officer Fall, risk for True Read PT report Psychological Needs Increased acuity Pain Level Increased acuity Fall Risk: Increased acuity and the GI cocktail given in the ER did relieve his CP but not completely. Scenario 3 -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Senario 2 It is now two weeks later; Mrs. Smith has returned. Notify housekeeping. Fatigue True Psychological Needs Normal acuity -Reapply the NC that he was admitted with at 2L -Start IV Dx- urinary stones with 3 episodes/5yrs. He is pale, weak, diaphoretic, and appears anxious. Shock False Color:__________ Contact head nurse or supervisor in the OR to evaluate new situation Neuro WNL's, alert and cooperative. Contact Social Services Scenario 1 Wash hands Determine from medical record if partner is aware of his recent AIDS diagnosis. -Medicate for pain No known allergies (NKA). Document results. Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. Impaired Gas Exchange True Senario 4 Deficient Diversional Activity False -Call security for assistance and compliance officer Seek clarification You question her while reviewing her operative consent and determine that everything is correct. Scenario 4 Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours. Reassure patient of options Senario 3 Sensorium Normal acuity, Physiological Educational Needs Increased acuity Assess You arrive in room to find Ms. Monson talking to herself. 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. Senario 1 Decreased Cardiac/perfusion False Scenario 2 Vital sign assessments The patient is being prepared for discharge and his IV has been removed. No weight bearing today.
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