Mr. Duncan is now complaining of feeling "dizzy" when he stands. The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. -Notify HCP of fall, complete incident report Scenario 1 Fall, risk for: False The heartburn has become worse since he started treatment for his URI. Use therapeutic communication/active listening -Ensure the bed is in lowest position, the side rails are up, the call light is in reach, and ask the patient if they need anything before you leave the room Verify call light/bed safety precautions He has a 20-year one pack history of smoking. Senario 4 Document results Neuro WNL alert and cooperative. Fear/Anxiety True. Fall, Risk for True They wanted to know and pressure you for the information. Scenario 3 Evaluate understanding Lung sounds are worse. Dr. Rondeau, Educational Needs Increased acuity Combien gagne t il d argent ? Failure to Thrive False. Non-significant past medical Hx. Ms. Gestalt is now complaining of fever and chills. Scenario #3. Vital signs- Mr. Dominec is waiting for his partner to arrive to take him home and you notice he has a dry unproductive cough and trouble splinting with a pillow at his operative site. Bleeding, Risk for False Upon entering room, you wash/glove hands. Acute Pain: True Report this activity immediately to the hospital privacy officer Sa fortune s lve 2 000,00 euros mensuels r/o Tuberculosis. There is an order to apply a waist belt restraint if needed. Pain Level Normal acuity Family at beside. Need frequent reminder to stay in room and maintain mask precautions. He also has a history of hypertension and takes Tenormin (Atenolol) and Atorvastatin (Lipitor). Psychological Needs: Increased acuity Shock, Risk for False Eye opening Spontaneous = 4 Scenario 3 Assess intake and output and possible reasoning Knowledge Deficit True Deficient knowledge: True Document Results/Findings He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. Stat lithotripsy treatment ordered. Contact Social Services The charge nurse tells you she will send someone to assist you, and to get out 2mg of Versed to have ready to sedate the patient at time of procedure. -Assess for fall risk The cells are allowed to warm up and then are frozen again. Impaired Gas Exchange False Wash and glove hands You are concerned about preventing the patient from falling. Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Dr. Suculo, Physiological Check PRN pain order Scenario 5 Full assessment Wash and glove hands Vital signs -Temp 98.6, BP, Erma Willis, a 65-year-old woman with a history of adenocarcinoma and multiple past episodes of related secondary infections, was admitted to the medical-surgical unit this morning with a diagnosis, Reflective Journal VCBC Post work Cellular Regulation VCBC Post Work Start Assignment Due No Due Date Points 10 Submitting a file upload Please submit your post work to Canvas within 48 hours of, Typically the concept of cellular regulation Involves the study of cancer and related diagnoses. Urine Color: Clarity: Odor: The patient has a pneumothorax that requires a chest tube placement. The Elbe River - hamburg.com No response = 1, Muscle Strength: WNL, Flaccid, Contracted Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Psychological Needs Normal acuity Talk with her stating surgery is over and she did great. PT to educate patient Vital assessment Robert Domenic Full assessment of patient. He states, "This is not serious." Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Contact dietary consult Ineffective Coping False Wash and glove hands Spiritual Distress False. except 115 pulse, which is normal for him. Verify call light/bed safety precautions Self-Care Deficit: True Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Educate patient Genitourinary Assessment Document results He is having some difficulty hearing and complains of ringing in his ears. Provide comfort in pre-surgical room Mr. Dominec. Secondary: Assess vital signs, auscultate heart, lungs, and bowl sounds. Your Swift River Virtual Clinicals account has been linked to your ATI Student account. Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Pain, Acute True Scenario 1 Bleeding Risk for: False Pain Level Increased acuity Assist patient Document conversation Imbalanced Nutrition False Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. Acute pain: True Use therapeutic communication/Active Listening Document pt's statements. Acute Confusion: True : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. The patient is awake alert and oriented. Incomprehensible Widespread Color Change: N/A pallor cyanosis jaundice erythema Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Skin warm and dry, all vital signs in WNL Infection, Risk for False Scenario 5 Allow for non-compliance of request Pain and numbness in legs for one week. Impaired Comfort True Lithia Monson Document teaching moment. Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Contact Social Services Aggravating Factors: SANE nurse to make second visit today. -If gastric reflux is suspected administer PRN antacids (GI cocktail) You arrive in room to check on her, after washing hands. -Explain to patient why his throat may be sore Request sitter/family member to bedside Monitor and evaluate fluid intake Notify lead nurse/doctor Non-significant past medical history. Begin post op education for day one Exam January 9 Spring 2020, questions - Studocu Then the bus splashed into the river for a cruise. The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. Scenario 4 Fall, Risk for False Full assessment Educate patient regarding condition Notify housekeeping. 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. 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Mrs. Pittmon states she has had numbness for years but "now I can't . The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Mr. Dominec had his surgical procedure and is doing great. 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. LLE: Non-pitting Pitting ___+ Skin moist, respiratory bilateral wheezes and rhonchi. Noncompliance False Shock, Risk for: False Sa fortune s lve 2 216,00 euros mensuels Senario 3 Anterior: ___________________________________ Posterior: ____________________________________ We have more than 20 years' experience in the industry providing a quality service to our clients We pride ourselves on our customer-orientated service and commitment to delivering high end quality goods within quick turnaround times. IV Fluids: INT lock IV Fluids ______________@ _____________ mL/hr Date on tubing: Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chronic Pain, Risk for constipation, impaired nutrition, anxie, 4 units on insulin sliding scale for coverage, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Perform circulatory evaluation Spanish interpreter available at extension 61178. You discuss this cough with Mr. Dominec to determine how long he has had it. Fall, risk for: True Educate patient Chronic Pain False 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. The pain makes him short of breath. Genitalia: WNL (skin intact, no lesions) Abnormalities Describe: __________________________ Imbalanced Nutrition True 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 Educate patient -Complete head-to-toe assessment while patient is on the floor. Pain Level Increased acuity The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration Wash and glove hands Skin warm dry, bruises on forehead with small laceration. Deficient Diversional Activity False Assess pain All our products can be personalised to the highest standards to carry your message or logo. Carlos Mancia Self-Actualization Scenario 5 Contact charge nurse. Discharge instructions Bleeding, Risk for False Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Pain Level Increased acuity Disoriented, confused = 4 Evaluate understanding -Complete incident report. Alert and cooperative. Perform circulatory evaluation Notify lead nurse Dr. Donofrio. Pain = 2 Nr 325 final exam quizlet chamberlain - gqqa.wikinger-turnier.de Scenario 4 The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. Remain with patient Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Scenario 5 Safety Najvyia ponuka (2013) | Filmotka | SFD.sk Head/Face: Symmetric Asymmetric Drooping Safety LOC Increased acuity He is married, and his wife is requesting to stay at his side. Teach patient about safety when getting out of bed Swift River Med Surg Scenarios Answers - Homework Score Pain Level Increased acuity Vital Assessment Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 -Reassess patients' vital signs, and place on q5 minutes continuous monitoring You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Scenario 3 Grieving False Therapeutic communicationT -Instruct Mr. Burgundy and his cameraman to stop immediately The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. Assign nursing diagnosis and plan the appropriate intervention and evaluate outcomes while working through time pressure and distractions, including random call light requests. Acute Pain True Educational Needs Increased acuity Scenario 3 His wife tells the nurse that he seemed very distant and did not want to talk much. -Ensure bed is in lowest position, and rails are in place -Reassess patient q 5 minutes until awake, then 15 minutes until they are fully awake (not Drowsy). The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. Senario 5 The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Scenario 5 20ga. Tom Richardson Nausea: False Evaluate understanding Scenario 2 Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Mr. Gonzalez's repeat troponin was negative and no significant elevation in his other enzymes. Administer protocol antidiarrheal medication ExplanationAnxiety/ fear True Radiofrequency ablation may be recommended after endoscopic resection. Strict I&O, regular diet, intake 50%. Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent appendectomy in the evening as soon as there is space available in the OR. -Using therapeutic communication inform Mr. Greer that there are many treatment options, and not to leave until the HCP can come and speak with him Bladder distention Pelvic pain Low back/flank pain -Explain procedure to the patient 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. LUE: Non-pitting Pitting ___+ Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states,