Robert Domenic Chronic Pain False Educate patient regarding condition jessdevan. Senario 4 Strict I&O, regular diet, intake 50%. Perform circulatory evaluation Robert Sturgess - Swift River - Robert Sturgess Educational needs Obtain urinary screen Impaired Home Maintenance management r/t client or family False Failure to Thrive True. Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Ineffective Peripheral Tissue Perfusion False Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Perform pain re-assessment She is also investigating bone marrow transplantation. He is pale, weak, diaphoretic, and appears anxious. Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." Safety Increased acuity, Physiological He does not have an IV nor is he on oxygen. Document results and findings The charge nurse tells you not to move the patient, because there is no special treatment according to social status. When the HCP realizes who he is, he tells the nurse to move the patient in the treatment room down the hall and put Mr. Burgundy in there. Linen Change 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. -Complete neuro checks as ordered Full assessment Describe the physical changes from aging and the care required. Perform neuro assess Renal diet. The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F The nurse performs tilt test, Patient vital signs lying flat, BP 118/62, P 92, R 20, T 98.5, SpO2 97. 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. The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). 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. Scenario 3 Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. -Explain that Docetaxel is a hormone therapy that suppresses the testosterone that your testicles produce producing similar results as surgical intervention. Discharge instructions Scenario 2 Determine from medical record if partner is aware of his recent AIDS diagnosis. 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. Gown and mask -Start IV Senario 2 Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. It was diagnosed by a portable X-ray and quickly splinted by the ER staff. His difficulty voiding finally motivated him to seek care. Bleeding: True Other: _______________________________ Stat lithotripsy treatment ordered. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Swift River Med-Surg Flashcards | Quizlet Neck: ______________ -Complete head-to-toe assessment while patient is on the floor. Scenario 3 -Place patient on 100% O2 Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid 20ga. Continue.Robert Sturgess Room 305 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Anxiety False Obtain Spanish signs & brochure She receives the pre-op medication. Fall, risk for: True Bleeding False No known allergies (NKA). Combien gagne t il d argent ? 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. Scenario #3. Waist belt restraint PRN; family sitter at bedside, assist with bath. Place pt on PCA pump Senario 4 Self-Care Deficit False 0800 1200 Place call light and check bed for safety Bladder distention Pelvic pain Low back/flank pain -Give NS liter bolus Safety Mr. Greer has just returned from surgery. Neuro WNL alert and cooperative. Two hours later, Mr. Duncan is asked how frequent his stools have been today. ADA diet, intake 25%. Senario 4 Scenario 2 Acute Pain True -Explain to patient why his throat may be sore Dr. Rondeau, Educational Needs Increased acuity Due to this, the provider would like him to stay in the hospital for observation. You return to the break room on your floor. Acute Confusion True While assessing the patient, Mr. Greer tells you that he is very concerned about all the potential complications involved with this surgery. 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. However, these abnormal cells do not have the capability to spread to other parts of the body. The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Fear/Anxiety True. Alert and cooperative. Scenario 2 Acute Pain True Do not disturb Palliative care. Notify lead nurse/doctor Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Evaluate understanding Contact Social Services Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. Home; Our Focus; Our Legacy; Our Partners; Our People; Our Fellows; Our Investments Deficient Knowledge False jasmine . Educate patient regarding changes to POC Senario 1 You call his doctor to inform him the family has arrived. This will treat any cancer that may have metastasized to the bone. His left humerus is fractured and splinted. Re-assess patient 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. Obtain recent chest X-ray reports and recent ABG's for physician to review Lung sounds are worse. Ineffective Peripheral Tissue Perfusion False Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. Document results. Imbalanced Nutrition True Full assessment Verify Call Light/Bed Safety precautions Chronic Pain True Explain to Mr. Dominec your concern for this opportunistic infection and usual treatment. Notify housekeeping. Scenario 1 You escort them with you to the ICU. RUE: ______________ LUE: _____________ Establish second IV Tap patient and ask, "Are you okay?" Full assessment of patient. #ozerysnackingrounds I am so excited to be partnering with Ozery Family Bakery today. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. No known allergies (NKA). Therapeutic communication The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. Safety As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Scenario 4 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. The oncologist is recommending Docetaxel as opposed to an orchiectomy. Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). RUE: ______________ LUE: ______________ Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ The patient got dizzy when he stood up from the commode. Educate patient 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. No response = 1, Mobility: Ms. Rails shares with you her fear of being discharged home to an abusive husband. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Respiratory Effort: Relaxed, Regular, Non-labored Pursed lip breathing Labored Skin integrity, impaired True 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. Sensorium Normal acuity, Physiological After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Check input/output for possible dehydration Review pain medication order Scenario 3 Senario 3 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. Emergency intubation and assisted breathing is provided for Mr. Thomason Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Acute pain: False Verify call light/ bed safety precautions 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 Nutrition True Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Love and Belonging Document conversation Esteem Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Therapeutic Communication To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. Use therapeutic communication/Active Listening Identify patient A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. Assess Use therapeutic communication/active listening 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 . She has just been transported from recovery. Infection, Risk for False Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Impaired Mobility True -Draw a repeat CBC per HCP order to determine current Hemoglobin status Nausea/Vomiting: Yes No The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". -Remove the lunch tray and ensure pre-operative consent has been signed. The 'Strandperle' (lit. Toileting, Medications List/Times of Medications/Routes of medication, Neurological Assessment Rapid Response team arrived including anesthesia. Scenario 1 Educate patient Neuro WNL. Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. Assess for fall risk Scenario 3 Allow for non-compliance of request Obtain translatorT Document results Peripheral Neurovascular Dysfunction True. You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Senario 1 Love and belonging- Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Grieving False Infection, Risk for True Scenario 5 Assign nursing diagnosis and plan the appropriate intervention and evaluate outcomes while working through time pressure and distractions, including random call light requests. Skin integrity at risk True DSD (dry sterile dressing), forehead laceration clean and dry intact. Comfort/Pain Assessment Scenario 1 Scenario 1 Dr. Suculo, Physiological Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. Evaluation patient after consult Wash and glove hands Color:__________ Pain Level Increased acuity Notify doctor and charge nurse Neuro WNL alert and cooperative. 1Perform full assessment and provide anti-nausea medicine. Reorient Patient to person, place, & time Robert Sturgess Scenarios Swift River.docx - Course Hero Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Nathaniel Gonzalez Virginia Smith 3. Fall Risk Increased acuity No weight bearing today. Mr. Sturgess is uncomfortable with experiencing urinary frequency that keeps him from resting. Administer antiemetic medication She is having some difficulty breathing. Refer call to contact health department Acute Confusion False Contact dietary consult 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 . **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 . Administer antipyretic medication Explain reason for assessment and procedure The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. Pulses: Strength & Symmetry Edema: -Contact HCP to determine when they are available to speak with the patient Notify lead nurse/doctor Scenario 3 Hopelessness False. Reapply restraints Deficient Diversional Activity False Mr. Richardson is requesting assistance to ambulate to bathroom. 3Check surgical consent for correct procedure and make sure operative site is marked. Senario 3 Scenario 5 Extends abnormally = 2 Offer masks to visitors Evaluate understanding Nausea False Two housekeepers, who were refusing to clean the room, are in the break room. Scenario 4 Do not probe further Increased fall risk. Dr. Brown, Educational Needs Increased acuity He is married, and his wife is requesting to stay at his side. Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Evaluate/modify plan of care The cells are allowed to warm up and then are frozen again. His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" Continent: Yes No Brief/Diaper Mr. Dominec had his surgical procedure and is doing great. Carlos Mancia Verify call Light/bed safety precautions Ask patient to explain to you what procedure she was expecting to have this morning. You are now preparing for discharge, place steps in order: Senario 1 Ineffective Airway Clearance True Imbalanced Fluid Volume, Risk for True Check PRN pain order Senario 4 It is now the second day post op and he is given discharge information. He does not want to return to the nursing home, and does not wish to burden or live with his children. He asks to speak to a clergy member. Failure to Thrive False. Scenario 2 What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. Scenario 1 Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) Scenario 3 Dr. Altace, Educational Needs Increased acuity 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. You are about to call the Surgical ICU and give report. Wash and glove hands Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. The patient is being prepared for discharge and his IV has been removed. Assist patient Widespread Color Change: N/A pallor cyanosis jaundice erythema The patient is asking you where her son is, the last place she saw him was right before the explosion. 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". 2. -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. Apply restraint Ineffective Renal Perfusion, Risk for True Psychological Needs Normal acuity He also states he is feeling weak. -Complete incident report. Check physician orders Perineal Care Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Scenario 1 -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 Imbalanced Nutrition True Toggle navigation Swift River. Several hours later, Mr. Duncan is now complaining of nausea. Exam January 9 Spring 2020, questions - Studocu Nausea: False He chooses to go home and see the doctor tomorrow in his office. Encourage fluids Encourage to ambulate with assistance to void if needed No response = 1, Muscle Strength: WNL, Flaccid, Contracted Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. -Restart the IV and draw CBC Swift River Reflection Questions 1 - Swift River - Course Hero Why is cysteine such an important amino acid for defining the tertiary structure of some proteins? He also has metal fragments on his left side on his leg arm and torso. -Notify charge nurse Scenario 3 Document results She has been admitted to the floor with complaints of numbness in her right foot and ankle. Blood, Glucose 185, 4 units of insulin sliding scale for coverage. You arrive in room to check on her, after washing hands. Educate patient -Ensure bed is in lowest position, and rails are in place Cardiovascular has pacer with rate of 82bpm on demand. Senario 5 Scenario 4 The patient describes this pain as a heavy pressure with intermittent stabbing. Fortune Salaire Mensuel de Ticketmaster Beyonce Koln Combien gagne t il There is an order to apply a waist belt restraint if needed. Grieving: True Decisional Conflict False Bleeding, Risk for False 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. Deficient Fluid Volume True No Known allergies (NKA). -Discuss and determine sitter availability Urostomy: N/A Urostomy/Ileal conduit -Ensure patient privacy and call for help and assist patient to bed once help arrives -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. Compromised Family Coping False You enter room one hour after the physician has left the patient. Listen to patient concerns Deficient Knowledge False Esteem Evaluate outcome of dietary plan Non-significant past medical Hx. Physiological Readiness for Self-Care Enhancement True Teach Cameron. Administer antipyretic meds Fatigue True ExplanationAnxiety/ fear True You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Scenario 5 -Reassess patient's physical status prior to leaving him in the hallway -Discuss with sitter that patient needs continual observation Administer PRN constipation medications Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Bowel Movement Total: x________________, Hygiene Times -Assess patient's ABC (airway, breathing, circulation) 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. Apply fall risk bracelet Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. Use therapeutic communication/Active Listening 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! Self-Care Deficit False
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