Combien gagne t il d argent ? Scenario 3 Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. -Give NS liter bolus The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. He has a 20-year one pack history of smoking. Senario 4 Evaluate understanding Attempt to orient to person, place, and time Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. You escort them with you to the ICU. Use therapeutic communication/active listening Escort patient Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output You are the now the Surgical ICU nurse assigned to her. 1. Scenario 5 Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration You are about to call the Surgical ICU and give report. The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. There is an order to apply a waist belt restraint if needed. Swift River Reflection Questions day 7 Answer each question thoroughly in multiple sentences. -Continue to observe urine for hematuria and document findings Perform neuro assess There is an initial triage provider written set of orders at her bedside for a STAT Chest X-ray, IV with NS, O2 NC, and STAT CBC and Chemistry. Alleviating Factors: Last pain medication: Procedure is canceled for the day and rescheduled later allowing for new consent. After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. Apply restraint Diet as tolerated. Evaluate understanding Scenario 5 Scenario 5 Blood Glucose 185, 4 units of insulin sliding scale for coverage. Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Health Change Increased acuity Notify lead nurse/doctor All our products can be personalised to the highest standards to carry your message or logo. No weight bearing today. Swift River MedSurg 1.pdf - MED-SURG SCORE: 100 TIME Esteem Scenario 2 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. Fall Risk: Increased acuity Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! The bed arrives tomorrow. Fall, Risk for True Document results and findings Ineffective Self-Health Management True Her husband and two grown children are also with her as she is prepared with gown and head cap awaiting transport to the operating room. Notify housekeeping. Obtain vital signs machine Ronald Burgundy 45 terms. Genitourinary Assessment SBAR assignment.docx - SBAR(situation, background, - Course Hero 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. No response = 1, Mobility: The patient is asking you where her son is, the last place she saw him was right before the explosion. Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. Electrolyte Imbalance False Swift River Med Surg Scenarios Answers - Homework Score Hx of dementia, from nursing home, fall one day ago. You are now preparing for discharge, place steps in order: Senario 1 DSD (dry sterile dressing), forehead laceration clean and dry intact. Eclectic Recipes Fast And Easy Family Dinner Recipes Full head to toe neuro assessment. Urination: WNL Burning Frequency Urgency Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Scenario 5 -Discuss with family sitter if there are any other family members who can help with monitoring Lithia Her chart reports she was extubated upon arrival to the recovery area, received three units (3000 mL) of fluid, receiving O2 @ 4L via nasal cannula, has Foley Catheter in place draining QS clear yellow urine, responds to verbal stimulation, chest dressing in place remains dry and intact, and has just received a small dose of IV morphine for pain. Scenario 3 Call Rapid Response protocol initiated Report current urinary output quantify per hour and color of urine After washing and gloving hands, you then identify yourself and the patient, Ann Rails. She is with her physician. Disturbed Sensory Perception False She shares concern about patient's wife who is now coughing and having night sweats. Safety It is now the second day post op and he is given discharge information. Sleep Deprivation False Awaiting transport. 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. Respirations -Explain to patient why his throat may be sore Seznam uivatel, kte vlastn, prodvaj nebo shnj film. The pathology report shows no cancerous lesions. -Use therapeutic communication/active listening NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. Scenario 1 Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . His partner is not with him at this time but will arrive soon to facilitate his discharge home. Scenario 1 Establish second IV -If cardiac is suspected call the provider and the rapid response team. Fall, Risk for True Remind the nursing staff that the patient is NPO. Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. Document teaching moment. Scenario 3 Gastrointestinal Assessment Increased fall risk. Then the bus splashed into the river for a cruise. -Medicate for pain Administer antipyretic meds Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Offer assistance Noncompliance True Neuro WNL alert and cooperative. Bleeding: True Health Change Increased acuity Dr. Small at bedside with patient and family. Fall Risk Increased acuity References; Access My Virtual Clinicals; Medical-Surgical. Genitalia: WNL (skin intact, no lesions) Abnormalities Describe: __________________________ Needs frequent reminding due to determination to do things herself without assistance. Assess for bowel sounds Stat lithotripsy treatment ordered. Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Ann Rails Discription, Table 4 Cross-sectional, Longitudinal, and Sequential Developmental Designs, Engagement 1 Recognizing Research Strategies, A mental health worker with a Christian worldview.docx (Auto Recovered), NPO Breakfast: __________% Lunch ______________ %, Ethics and Social Responsibility (PHIL 1404), Care of the childrearing family (nurs420), Advanced Care of the Adult/Older Adult (N566), Business Professionals In Trai (BUSINESS 2000), Microsoft Azure Architect Technologies (AZ-303), Nurs & Healthcare I: Foundations [Lec] (NURS356), Accounting Information Systems (ACCTG 333), Bachelor of Secondary Education Major in Filipino (BSED 2000, FIL 201), Methods of Structured English Immersion for Elementary Education (ESL-440N), 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), C228 Task 2 Cindy - Bentonville - Passed with no revisions, Lesson 4 Modern Evidence of Shifting Continents, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, Lesson 17 Types of Lava and the Features They Form, Lesson 9 Seismic Waves; Locating Earthquakes, Analysis of meaning and relevance of History from the millennial point of view, Entrepreneurship Multiple Choice Questions, (Ybaez, Alcy B.) 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. Provide comfort measures Pain Scale: 0 to 10: _______________ Esteem 2. Scenario 2 Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Psychological Needs Normal acuity Decreased cardio tissue perfusion: False -Ensure there is a full O2 tank on the gurney, place patient on Nasal Cannula Wash and glove hands -Attempt to orient to person, place, and time August 13, 2020 // by Angela McGowan. IV Assessment/ N/A Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Educate caller regarding HIPAA Scenario 3 The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). Obtain recent chest X-ray reports and recent ABG's for physician to review Neuro WNL alert and cooperative. She receives the pre-op medication. Reassure patient and help explain any new orders from physician to patient Scenario 3 VS: BP 158/90, HR 89, R 18, T 97.8 F. Need frequent reminder to stay in room and maintain mask precautions. Scenario 1 Report this activity immediately to the hospital privacy officer Mr. Sturgess does not have a living will or durable power of care completed. Chronic Confusion False Arthur Thomason -Ensure IV is patent, Lithia Monson Notify lead nurse/doctor Impaired Urinary Elimination True Blood-tinged mucous, productive cough. -Tell the patient that they are being admitted to r/o any cardiac issues IV NS is started, and lab work is sent. He has been ruled out for an MI. Sleep deprivation: False Scenario 3 Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. Scenario 3 Scenario 2 -Recheck Tilts after the NS bolus is complete.T Remain with patient and reassure Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Explain that he will probably not be going home at least until his doctor sees him. : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Acute pain: False Vital signs- Visual assess Impaired Skin Integrity, Risk for False -Tell the patient to call immediately if the chest pain gets worse or they become short of breath Educate pt regarding changes to POC He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Love and belonging Perform circulatory evaluation His coughing, to clear his airway, appears ineffective. Blood Pressure, 7a-7p Total: 7p-7a Total: -Perform admission assessment Patient and family upset regarding dx. Bleeding, Risk for: True (PDF) Playful citizens: utopian intersections of play, sex and Reasses temp in 1 hour. "I am feeling fine." Evaluate understanding Mrs. Pittmon states she has had numbness for years but "now I can't . He does not have an IV nor is he on oxygen. ADA diet, intake 25%. Perform pain re-assessment Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Fortune Salaire Mensuel de Tthuchicago Org Combien gagne t il d argent Scenario 4 BP 154/89, P 94 F, R 22, T 98.3F, SaO2 95% on room air. Alert and cooperative. Too bad the cruise area was a very unatractive part of the River Elbe. Fall, Risk for True Stay with patient for surgeon's arrival to explain intended surgical procedure Disturbed Body True Senario 3 Sa fortune s lve 2 000,00 euros mensuels Obtain translator But that's changing. Inappropriate words = 3 Acute pain: True Elevate Extremity Pain = 2 Scenario 4 Cardiovascular Assessment Educate patient No known allergies. ADA diet, intake 25%. If patient statement differs from the surgical consent she has signed, notify surgeon immediately Fatigue True Emergency intubation and assisted breathing is provided for Mr. Thomason RS Flashcards | Quizlet Safety Continent: Yes No Brief/Diaper Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Scenario 2 Scenario 2 50% intake. Gait: ______________________________, Skin Integrity Assessment Her husband and children remain with her in the surgical holding area awaiting transport to the OR. Fortune Salaire Mensuel de Ubah Kalimat Efektif Online Combien gagne t Respiratory Effort: Relaxed, Regular, Non-labored Pursed lip breathing Labored When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. Senario 5 Tunneled, site _______________ Implanted port, accessed _____________________ Document Procedure Evaluation patient after consult IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. He does not want to return to the nursing home, and does not wish to burden or live with his children. Palliative care. Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Vital signs are to be taken BID, and it is now time. Scenario 5 Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes Regular diet. Scenario 3 Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Powerlessness: True, Scenario 1 The surgeon has suggested Androgen-deprivation therapy (ADT) with surgical castration (orchiectomy). Scenario 1 Wash hands Infection, Risk for False Scenario 5 Vital assessment Disturbed body False The sister of Mr. Mancia calls from home to speak with you. -Reassure patient that he will be moved to a private room as soon as possible No known allergies (NKA). Pain Level Normal acuity 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. Notify doctor for Foley catheter Safety- Scenario 3 Scenario 3 Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." Educational Needs Increased acuity Verify call light/bed safety precautions 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! After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. Senario 4 Ruth Cummings Trustee Vice Chair Audit Chair . ExplanationAnxiety/ fear True He insists that he is not hungry and refuses assistance with his meal. When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 No Known allergies (NKA). Document results, Care of the Patient with a Cardiovascular or, NCLEX - Care of Patient with an Immune Disord, Quiz: Chapter 54, Care of the Patient with an, Chapter 54: Care of the Patient with an Immun, Chapter 17, Section 5; Providing First Aid fo. Scenario 5 -Restart the IV and draw CBC Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Airborne Isolation. Compromised Family Coping: False Mr. Greer has just returned from surgery. LOC Increased acuity Oral Mucosa: Tongue: Teeth: A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. Paul Greer Skin warm and dry, all vital signs in WNL Cardiovascular has pacer with rate of 82bpm on demand. Report and document results Elevate head of bed Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours. Knowledge Deficit True Excess Fluid Volume, Risk for False Document results and findings Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. Fortune Salaire Mensuel de New King James Bible Download For Windows 7 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. Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. Comfort/Pain Assessment No response = 1, Muscle Strength: WNL, Flaccid, Contracted Esteem Decreased Cardiac/perfusion False Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Scenario 4

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