Perform full assessment and provide anti-nausea medicine. Scenario 1 Call Rapid Response protocol initiated -Discuss and determine sitter availability Wife at bedside. Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + Acute Confusion: True Document results -Tell the patient that they are being admitted to r/o any cardiac issues Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Assess You notify the charge nurse that you have never taken part in inserting a chest tube. Electrolyte Imbalance False Grieving: False. He tells the nurse he has called his wife and wants to be discharged now. Scenario 4 Review pain medication order After 24 hours, Ms. Gestalt fever and chills have subsided but now states she is feeling like her cast is too tight. Paul Greer 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. The bed arrives tomorrow. Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. Scenario 1 Apply fall risk bracelet Wash and glove hands Inform his partner that everything is being done to keep him comfortable. 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. Genitourinary Assessment Scenario 5 jasmine . LOC Normal acuity Pulses: Strength & Symmetry Edema: Full assessment Amount:________ Ineffective Renal Perfusion, Risk for True : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. You determine to apply the restraint now. -Give NS liter bolus Re-assess patient The patient is awake alert and oriented. Fall, Risk for True Document conversation Amount: _______ Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage A special lowbed has been ordered that will lower to the ground. Ms. Getts is requesting water to drink. Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Combien gagne t il d argent ? The pathology report shows no cancerous lesions. Senario 3 -Perform admission assessment Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. Powerlessness True. Sa fortune s lve 2 216,00 euros mensuels Diet as tolerated, up ad lib after gait training. Identify patient Love and Belonging At Risk, Impaired Comfort False Apply oxygen 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. No response = 1, Mobility: Evaluate patient understanding Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. -Evaluate patient's understanding of teaching ADA diet, intake 25%. Teach patient about safety when getting out of bed Notify doctor Wash and glove hands Cardiovascular has pacer with rate of 82bpm on demand. Hypothermia False -Ensure patients is positioned in bed properly His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. Upon entering the room, the patient appears to be trying to get out of bed Nathaniel Gonzalez Health Change Increased acuity Full assessment Pain Level Increased acuity Anterior: ___________________________________ Posterior: ____________________________________ Scenario 3 Temperature is now 102.8. Remain with patient Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10. sounds= 2 Expresses fatigue, fear, concern, and desire for recovery. Decreased cardio tissue perfusion: False Apical/Radial Pulse Deficit: No Yes Murmur Valve Click He insists that he is not hungry and refuses assistance with his meal. Deficient knowledge: True Fall Risk Increased acuity Widespread Color Change: N/A pallor cyanosis jaundice erythema 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 does not want to return to the nursing home, and does not wish to burden or live with his children. Educational Needs Increased acuity However, these abnormal cells do not have the capability to spread to other parts of the body. -Offer nutrition and/ or toileting Educate patient/family **New Patients from 2020, Post- Covid-19 Update:** **Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jones, Julia Monroe, Donald Lyles, John Wiggins, Richard Dominec, Preston Wright, Tom Richardson, Joyce Workman, Karen Cole, Jose Martinez, Mary Barkley Charlie Raymond (for older swift river patients see other pdf files loaded at the bottom of this file) Preston Wright Room . Imbalanced Fluid Volume, Risk for True Teach Cameron. Nathaniel Gonzalez Decisional Conflict True Palliative care. Adjust crutches Bleeding, Risk for False IV NS is started, and lab work is sent. Perform circulatory evaluation Check input/output for possible dehydration Fall, Risk for True Since the finding was low-grade dysplasia and is considered the early stage of precancerous changes, the gastroenterologist recommends another endoscopy in six months, with additional follow-up every six to 12 months. August 13, 2020 // by Angela McGowan. Love and Belonging You arrive in room to find Ms. Monson talking to herself. Sleep deprivation: False Scenario 1 Document results and findings GI WNL. Needs frequent reminding due to determination to do things herself without assistance. Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. Senario 4 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. Release restraints/full range of motion 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. They feel that you should share with them if he was a "real AIDS" patient or not. Chronic pain: True Inappropriate words = 3 -Explain to patient why his throat may be sore Fall, risk for: True What order are you providing the information to the receiving nurse? The nurse performs tilt test, Patient vital signs lying flat, BP 118/62, P 92, R 20, T 98.5, SpO2 97. Use therapeutic communication/Active Listening 45 terms. Scenario 5 Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Head/Face: Symmetric Asymmetric Drooping Respirations Impaired Home Maintenance management r/t client or family False Tunneled, site _______________ Implanted port, accessed _____________________ Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Her husband and children remain with her in the surgical holding area awaiting transport to the OR. Electrolyte Imbalance True Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Assist patient : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging Hx of dementia, from nursing home, fall one day ago. She has IV access and has received a small dose of Valium to reduce apprehension. Also worth mentioning is the 'Alter Schwede' - a 217t . Grieving False Full assessment NURS 320 Med_Surg_Swift_River **New Patients from 2020, Post- Covid-19 Update:** **Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jones, Julia Monroe, Donald Lyles, John Wiggins, Richard Dominec, Preston Wright, Tom Richardson, Joyce Workman, Karen Cole, Jose Martinez, Mary Barkley Charlie Raymond Contact Social Services Obtain translatorT Notify doctor for Foley catheter Psychological Needs: Increased acuity Neuro WNL alert and cooperative. : 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. Awaiting diagnostic labs. Scenario 1 Scenario 2 -Ensure there is suction in the room, and check 4Inform his partner that everything is being done to keep him comfortable. Pain Level Increased acuity Acute Confusion False Scenario 2 Diet as tolerated. When the nurse enters the room later that day to inform him that the procedure is scheduled for 1430, they see Mr. Gonzalez is sitting in front of a lunch tray. Scenario 5 Health Change: Increased acuity Constipation False Pain Scale: 0 to 10: _______________ RUE: ______________ LUE: _____________ -Complete neuro checks as ordered Scenario 3 Yes Place call light and check bed for safety Scenario 3 The nurse observes an elderly lady who is crying and has not been taken care of yet. Scenario 5 Scenario 4 Ineffective Self-Health Management True -Ensure bed is in lowest position, and rails are in place Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Course Hero is not sponsored or endorsed by any college or university. Upon entering room, you wash/glove hands. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. 20ga. Toileting, Medications List/Times of Medications/Routes of medication, Neurological Assessment Scenario 2 Evaluate medication effectiveness Non-significant past medical Hx. Comfort/Pain Assessment Document results and findings The patient has sustained an injury to her head, that is bandaged, and is bleeding from a wound to her right arm and chest area. Assess pain Fall, risk for: True Re-assess patient Notify family Encourage fluids and fiber diet Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Neuro WNL alert and cooperative. 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. Bleeding, Risk for True Impaired Mobility True Urostomy: N/A Urostomy/Ileal conduit He is questioning the nurse as to why he has been admitted for heartburn. Then the bus splashed into the river for a cruise. Scenario 3 Safety- Take vital signs before leaving the hospital again. Insert Foley catheter Dr. Brown, Educational Needs Increased acuity Tom Richardson, 46yr-old. Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. This will treat any cancer that may have metastasized to the bone. Peripheral Neurovascular Dysfunction False -Ask Mr. Burgundy to lower his tone as it can be disturbing to other patients Ann Rails Document results Love and belonging Enter the email address you signed up with and we'll email you a reset link. student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. Esteem Notify doctor Safety Increased acuity, Physiological She has just been transported from recovery. Taking HIV Meds prophylaxis. -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. Impaired home maintenance mgmg r/t client or family: False His orthostasis is normalized after a second liter of NS was administered. Mrs. Pittmon states she has had numbness for years but "now I can't . Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ 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. Seek clarification Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Request sitter/family member to bedside Notify lead nurse/doctor Use therapeutic communication/Active Listening Because of the fall the provider has recommended that he stay in the hospital another night. Offer bedpan 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. Assess for bowel sounds Electrolyte Imbalance False The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. Secondary: Assess vital signs, auscultate heart, lungs, and bowl sounds. -Document and contact nursing supervisor/Charge nurse Document Results, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. She has received a dose of Hydrocodone for PRN pain 20 minutes ago. Acute pain: True -Advise patient not to get up and walk on his own Safety Senario 1 Inspect cast site Scenario 3 Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging Provide comfort and pain measures In the interim, start an IV and start infusing Ringers Lactate. You notice she is crying and is expressing fear that she "will always have this pain and numbness" and she doesn't think she can cope. You enter room and find Ms. Gestalt crying because she has just learned her medical insurance has lapsed and she is already two months behind on her car payments. Remain with patient Impaired Gas Exchange False After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. Encourage fluids Sensorium: Normal acuity, Bleeding, risk for: False Scenario 2 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. It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump Scenario 1 Wash and glove hands Assess for bowel sounds Deficient Knowledge True After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. -Begin q15 minute neuro checks Monitor and evaluate fluid intake Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch. Scenario 3 Obtain translator Sa fortune s lve 2 000,00 euros mensuels Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Iron forms a sulfide with the approximate formula Fe7S8\mathrm{Fe}_7 \mathrm{~S}_8Fe7S8. Safety Safety -Remove the lunch tray and ensure pre-operative consent has been signed. Attempt to orient to person, place, and time She shares concern about patient's wife who is now coughing and having night sweats. The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. LUE: Non-pitting Pitting ___+ Scenario 2 Therapeutic Communication Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. The provider explains that it is a pre-cancerous stage in where the cell develops abnormal features. No known allergies (NKA). Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." Water/Flush: Educate patient Neuro WNL's, alert and cooperative. Educational Needs Increased acuity Verify call light/bed safety precautions John Duncan Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. -Determine when a hospital provided sitter will be necessary Explain to physician what interventions you have recently initiated The patient is awake, alert, and oriented. Scenario 3 Scenario 2 -Obtain chest tube tray and set-up pleurovac 1. The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. Urine Color: Clarity: Odor: Provide comfort in pre-surgical room Mr. Dominec. Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Evaluate understanding 50% intake. Risk for Infection True Esteem No response = 1, Range of Motion: Full, Limited IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Impaired comfort: True Constipation False 3Check surgical consent for correct procedure and make sure operative site is marked. Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. Safety- Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. Senario 2 They were also concerned about the next patient going into that room and the use of the lavatory. Her pitcher has already been filled three times this shift. Fall, risk for True Report and document results Scenario 1 Scenario 3 Administer antipyretic medication Neuro WNL. , a 58-year-old male patient presents to the ER CO CP 10/10. You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. Use therapeutic communication/Active Listening -Ensure patient privacy and call for help and assist patient to bed once help arrives Sarah Getts LOC Increased acuity Acute Pain True -If cardiac is suspected call the provider and the rapid response team. Increased fall risk. Self-Care Deficit: True Dysfunctional Gastrointestinal Motility False Vital assessment Talk with her stating surgery is over and she did great. The patient will be discharged today, and he will be ordering new prescriptions. Patients vital signs are BP: 100/58, P: 106, R: 28, PaO2: 92%, T: 97.1 F, 36.2 C. Scenario 2 Neuro WNL alert and cooperative. Senario 4 Document teaching moment. Ineffective self-health mgmt: False, Disturbed body: False Scenario 2 Mrs. Stukes is feeling nauseated. 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. Health Change Increased acuity Disturbed Body Image True -Call security for assistance and compliance officer 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. Arthur Thomason Determine clinical decisions based on listening to an audible client report. Stay with patient for surgeon's arrival to explain intended surgical procedure Reapply restraints Call rapid response Hopelessness False. NG tube to low suction possibly D/C'd today after Dr. Levine rounds. Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Provide emesis basin/cloth Perform pain reassessment Evaluate learning 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. Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Safety The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. 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) Impaired Skin Integrity False Scenario 2 Non-significant past medical history. He also complains that his throat is still very sore. Allow for non-compliance of request The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. When she moves him to the hallway, Mr. Burgundy begins yelling at you "Do you know who I am, I demand a room! 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! Odor: __________, No Reorient Patient to person, place, & time She has arrived in pre-op and about to have surgery this morning. He chooses to go home and see the doctor tomorrow in his office. Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Physiological- IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Self-Actualization Include patient condition change in shift report Offer nutrition and/ or toileting Scenario 5 But that's changing. Lithia Monson Dr. Rondeau, Educational Needs Increased acuity Sleep deprivation False Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours. Neuro WNL alert and cooperative. Remind physician to wash his hands before examining the patient Place pt on PCA pump Establish second IV Senario 3 DSD (dry sterile dressing), forehead laceration clean and dry intact. Assess vital results Ms. Getts is being transferred as an emergency to Critical Care. His partner is not with him at this time but will arrive soon to facilitate his discharge home. Home; Our Focus; Our Legacy; Our Partners; Our People; Our Fellows; Our Investments She has been admitted to the floor with complaints of numbness in her right foot and ankle. Date of insertion: _________________________ Date of dressing: _________________________________ She is also to receive radiation, chemotherapy, and hormone therapy post operatively. Seznam uivatel, kte vlastn, prodvaj nebo shnj film. -Assess patient LOC, by walking patient and asking them to take deep breaths. Scenario 5 Spanish interpreter available at extension 61178. Wash and glove hands -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Constipation, risk for: True Mr. Greer has just returned from surgery. Scenario 3 Document results Prior to changing shift, you enter the patient's room to complete a full assessment, and Ms. Monson is now crying asking to for someone to take her home! Waist belt restraint PRN; family sitter at bedside, assist with bath. Administer protocol antidiarrheal medication Bleeding False Evaluate outcome of dietary plan -Ask the patient to verbalize understanding of teaching and reassure them that yourself or any member of their care team will be available to answer questions. Use therapeutic communication/Active Listening The 'Strandperle' (lit. Lung sounds are worse. GI WNL. Deficient knowledge: False Strict I&O, regular diet, intake 50%. Deficient Knowledge False -Transport Mr. Burgundy to his room Pain re-assessment Document pt's statements. Chronic Confusion False Scenario 2: 1Educate about recovery from appendectomy and care to wound. IV D5 1/2 NS @150ml/hr. Obtain patient record and follow patient as he is transferred to ICU Document results Mr. Dominec had his surgical procedure and is doing great. Scenario 4 Renal diet. Noncompliance True. Failure to Thrive True. Ronald Burgundy Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Sa fortune s lve 10 000,00 euros mensuels Palliative care. Chronic Pain True Pain Level Increased acuity Dr. Suculo, Physiological Powerlessness: True, Scenario 1 Infection, Risk for True Carlos Mancia -Assess if the contents of lunch tray are intact. John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Impaired Skin Integrity, False -Reassess patient's physical status prior to leaving him in the hallway Elevate head of bed No known allergies (NKA). Sensorium Increased acuity, Physiological -Check on patient/sitter hourly Impaired Mobility False Breath Sounds: Clear bilaterally. Senario 2 Scenario 3 Scenario 2 Robert Strurgess Anxiety True Scenario 3 Leave to break room and not continue in conversation. Verify call light/ bed safety precautions Flexes abnormally = 3 Impaired Gas Exchange True References; Access My Virtual Clinicals; Medical-Surgical. Scenario 4 Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Swift River Medical-Surgical. Need frequent reminder to stay in room and maintain mask precautions. Radiofrequency ablation may be recommended after endoscopic resection. -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. Deficient Fluid Volume False : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Self-Care Deficit False Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ Inform and educate spouse of dietary orders Safety- Grieving: False Listen to patient concerns -Explain to the patient that he is now considered stable, you are taking him to the hallway, and he will be admitted to an impatient room within a few hours You also notice the patient is more difficult to orient. Scenario 4 Disoriented, confused = 4 You are now preparing for discharge, place steps in order: Senario 1 Esteem 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. Fatigue True Document and provide copy for Mr. Dominec to share with his follow up appointment tomorrow. The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Full assessment of patient. -Notify HCP of neuro findings The nurse arrives and sees a tent is being erected as a triage area, and ambulances are lined up delivering trauma patients. 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". Deficient Knowledge True You are about to call the Surgical ICU and give report. Wash and glove hands No known allergies (NKA). Elevate Extremity Fatigue True Fall, Risk for True ASA is held but morphine 4 mg was given after his GI cocktail. Notify charge nurse that discharge will probably not occur today. Senario 4 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 .
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