Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10. -Reorient Patient to person, place, & time Spanish interpreter available at extension 61178. Yes Productive Non-productive Describe Sputum: _______________________ -Perform admission assessment Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. Love and belonging- -Instruct Mr. Burgundy and his cameraman to stop immediately Scenario 3 The charge nurse asks you to assume the patient's nursing care. Educational needs: Increased acuity Decreased Cardiac/perfusion: False -Complete neuro checks as ordered Educate patient Following isolation precautions, you notice several family members are by his bedside and none of them are wearing face masks as requested by sign on door. Esteem The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Establish second IV Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ Full assessment of patient. Nausea: False Skin warm and dry, all vital signs in WNL Notify Doctor for pain medz Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage Scenario 4 Administer pain medications -Complete initial post-op assessment Ineffective Peripheral Tissue Perfusion False IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. Ineffective self-health mgmt: False, Disturbed body: False Temp Fall, Risk for True She has received a dose of Hydrocodone for PRN pain 20 minutes ago. Document and prepare to transfer to Surgical ICU 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. Allow family to remain Family in room with patient very concerned. 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. Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Shock, Risk for: False Swift River: Sign In Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! Wash and glove hands Dr. Small at bedside with patient and family. Bleeding: True 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. -Notify charge nurse Scenario 4 Cardiovascular has pacer with rate of 82bpm on demand. Self-Care Deficit False No known allergies (NKA). Scenario 1 (PDF) Playful citizens: utopian intersections of play, sex and Combien gagne t il d argent ? Acute Pain True Knowledge Deficit True Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Skin moist, respiratory bilateral wheezes and rhonchi. Evaluate understanding Combien gagne t il d argent ? Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Non-significant past medical Hx. Acute pain: False Assess vital results The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. Therapeutic communication Electrolyte Imbalance True Dr. Donofrio. Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. SBAR assignment.docx - SBAR(situation, background, - Course Hero NG tube to low suction possibly D/C'd today after Dr. Levine rounds. Fall, Risk for True Disturbed Body Image True LOC Increased acuity Give verbal report Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. 3. Evaluate learning -Contact HCP to determine when they are available to speak with the patient -Remove the dinner tray and make sure the diet is soft food. Radiofrequency ablation may be recommended after endoscopic resection. Imbalanced Nutrition True Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Fall, Risk for True Increased fall risk. Document results Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive Senario 1 Wound clean dry and intact. Impaired Skin Integrity, Risk for True -Ask Mr. Burgundy to lower his tone as it can be disturbing to other patients Inform and educate spouse of dietary orders Chronic Confusion False Senario 4 The provider explains that it is a pre-cancerous stage in where the cell develops abnormal features. As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Wash and glove hands Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Scenario 1 00 Comments Please sign inor registerto post comments. Mr. Greer has just been visited by his wife. The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. Notify family -Assess patient LOC, by walking patient and asking them to take deep breaths. When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. 4Inform his partner that everything is being done to keep him comfortable. Check input/output for possible dehydration Physiological Impaired Gas Exchange False Pulse He asks to speak to a clergy member. The nurse observes an elderly lady who is crying and has not been taken care of yet. Gown and mask Offer assistance Scenario 1 Review pain medication order Paul Greer You correctly diagnosed 11 out of 16 options. Scenario 5 You are about to call the Surgical ICU and give report. Glasgow Coma Scale 0-15 Musculoskeletal Isolative, appears fearful, crying, and refusing to see her husband. The bed arrives tomorrow. Teach patient about safety when getting out of bed He states, "This is not serious." Skin warm and dry, daily dressing changes, T-tube without drainage. Acute Confusion False #ozerysnackingrounds I am so excited to be partnering with Ozery Family Bakery today. Physiological- Assist patient out of bed Acute Pain True Iron forms a sulfide with the approximate formula Fe7S8\mathrm{Fe}_7 \mathrm{~S}_8Fe7S8. Neuro WNL alert and cooperative. Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: Wash and glove hands You are now preparing for discharge, place steps in order: Senario 1 Perform circulatory evaluation Impaired Mobility, Risk for True Sensorium Increased acuity, Physiological Do not probe further Visual assessment Scenario 3 Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. Scenario 1 Remind physician to wash his hands before examining the patient Fortune Salaire Mensuel de Nba 2k23 Pc Review Combien gagne t il d Deficient Fluid Volume True Provide information for MD to call family at home and explain what has just happened Use therapeutic communication/Active Listening Patients vital signs are BP: 100/58, P: 106, R: 28, PaO2: 92%, T: 97.1 F, 36.2 C. Failure to Thrive False. -Check on patient/sitter hourly Obtain recent chest X-ray reports and recent ABG's for physician to review Scenario 4 Med Surg - Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A Sa fortune s lve 1 900,00 euros mensuels Impaired Urinary Elimination True Blood Glucose 185, 4 units of insulin sliding scale for coverage. Waist belt restraint PRN; family sitter at bedside, assist with bath. He has been ruled out for an MI. Carlos Mancia Assist physician in physical exam of patient Swift River MedSurg 1.pdf - MED-SURG SCORE: 100 TIME Today's weight 226. Reapply restraints -Advise patient not to get up and walk on his own -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need Insert Foley catheter Safety -Reassess patients' vital signs, and place on q5 minutes continuous monitoring Call Rapid Response protocol initiated Excess Fluid Volume, Risk for False -Draw a repeat CBC per HCP order to determine current Hemoglobin status Evaluate medication effectiveness Compromised Family Coping: False Wash and glove hands Impaired Mobility True Safety- Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. Awaiting diagnostic labs. View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. Neuro WNL. Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. You notify the charge nurse that you have never taken part in inserting a chest tube. Scenario 5 Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Health Change Increased acuity Ms. Getts is requesting water to drink. Educate patient Suprapubic Insertion site: WNL S/S Infection : ____________________ -Give NS liter bolus RS Flashcards | Quizlet Scenario 3 To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. Ineffective airway clearance True Ineffective breathing pattern False You discuss this cough with Mr. Dominec to determine how long he has had it. Tom Richardson, 46yr-old. IV Assessment/ N/A Document results student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. Start secondary large bore IV line Assess The lesion was identified as Kaposi's Sarcoma. Apical pulse rhythm: Regular Irregular Location: Chronic Pain False 156 terms. Shock, Risk for False Scenario 2 Document results and findings You call his doctor to inform him the family has arrived. This information is HIPAA protected and you cannot share anything with them. Scenario 3 The 'Strandperle' (lit. Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. Kathy Gestalt You question her while reviewing her operative consent and determine that everything is correct. Administer antiemetic medication Upon assessment, you determined that she is confused to person, time, and place but is easily directable. LLE: Non-pitting Pitting ___+ -Remind patient to call for help is he need to get up and provide patient with a urinal. Grieving True Infection, Risk for False 2Provide comfort in pre-surgical room Mr. Dominec. Contact charge nurse. Alleviating Factors: Last pain medication: You arrive in room to find Ms. Monson talking to herself. Notify doctor for Foley catheter Encourage Mr. Dominec to discuss with his partner his best treatment options. Lithia Monson -Begin q15 minute neuro checks Neck: ______________ Assume role in response team of documenter Educate patient/family Sa fortune s lve 10 000,00 euros mensuels Chronic pain: True Comfort/Pain Assessment Hx of dementia, from nursing home, fall one day ago. 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. Welcome [evolutionmkt.co.za] Also worth mentioning is the 'Alter Schwede' - a 217t . Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. RS Vclinical Flowsheet - Student Name : Date: NUR 113 Assessment Swift Scenario 2 Yes Color:__________ Assume that the oxidation state of sulfur is 2-22 and that iron atoms exist in both +2+2+2 and +3+3+3 oxidation states. Imbalance nutrition: True Ruth Cummings - The Nathan Cummings Foundation Vital signs are to be taken BID, and it is now time. -Discuss and determine sitter availability Scenario 4 Safety Ineffective Coping False Impaired Comfort True Safety Safety Obtain and provide the infectious disease doctor's contact information for him. Blood Pressure, 7a-7p Total: 7p-7a Total: Obtain patient record and follow patient as he is transferred to ICU The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. Include patient condition change in shift report He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. Social Isolation, Risk for True Scenario 3 -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 new-patients-swift-river-med-surg-covid-new-patients-charlie-raymond Document results and findings Bleeding, Risk for: True 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. Scenario 5 Scenario 5 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. Neuro WNL alert and cooperative. Pain Level Increased acuity 50% intake. Strict I&O, regular diet, intake 50%. Deficient Knowledge False Noncompliance: False Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Assign nursing diagnosis and plan the appropriate intervention and evaluate outcomes while working through time pressure and distractions, including random call light requests. 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. -Assess patient's understanding of the teaching and discuss home support, os de la main et de la ceinture pelvienne, Julie S Snyder, Linda Lilley, Shelly Collins. However, he quit three years ago when he remarried; he and his wife have a nine-month-old baby. The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). Nursing questions and answers. Urination: WNL Burning Frequency Urgency The patient is awake, alert, and oriented. Scenario 2 Scenario 5 Impaired Gas Exchange True Electrolyte Imbalance, Risk for True -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. Scenario 5 Scenario 5 Some hair on the left side of his head has been burned off, as well. Other: _______________________________ Nausea/Vomiting: Yes No Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Crutches at bedside adjusted for height. You enter room one hour after the physician has left the patient. Scenario 1 Don Personal Protective Equipment Pain Scale: 0 to 10: _______________ 3Check surgical consent for correct procedure and make sure operative site is marked. Education of Foley Cath Procedure Assess for fall risk Incomprehensible Vital Assessment Stat lithotripsy treatment ordered. ADA diet, intake, 25%. Provide comfort and pain measures Esteem Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles Vital assessment Palliative care. Microeconomics And Behavior Robert Frank 9th Edition Author: old.bubbies.com-2022-05-03T00:00:00+00:01 Subject: Microeconomics And Behavior Robert Frank 9th Edition Keywords: microeconomics, and, behavior, robert, frank, 9th, edition Created Date: 5/3/2022 7:02:15 AM He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. Communication/Speech: Clear Non-verbal Slurred Aphasia Other Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Senario 2 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. Provide comfort in pre-surgical room Mr. Dominec. They would also like to start Radium-223. Scenario 3 Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. Scenario 4 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. -Reassure patient that he will be moved to a private room as soon as possible Failure to Thrive True. Vital signs taken by automatic B/P Cuff q 15 minutes DSD (dry sterile dressing), forehead laceration clean and dry intact. Noncompliance True Explain to physician what interventions you have recently initiated Document results and findings You are the now the Surgical ICU nurse assigned to her. and the GI cocktail given in the ER did relieve his CP but not completely. Description: Sharp Stabbing Throbbing Aching Cramping Other: Contact Social Services -Explain to the patient that because of his weakness and unknown cardiac status as well as the IV, he is a fall risk and should not get out of bed without assistance. Scenario 2 Document results The patient will be discharged today, and he will be ordering new prescriptions. Wash and glove hands Senario 3 LOC Normal acuity Vital signs are: B/P 112/78, temp. Educational Needs Increased acuity After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. Mrs. Smith's surgery has now ended. r/o Tuberculosis. Acute Pain: True Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Offer nutrition and/ or toileting Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Allergic to sulfa drugs. IV D5 1/2 NS @150ml/hr. Acute Confusion True Esteem Full assessment Reassure patient of options Scenario 4 Wash and glove hands He also has metal fragments on his left side on his leg arm and torso. Taking HIV Meds prophylaxis. Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. Wash and glove hands 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! The nurse arrives and sees a tent is being erected as a triage area, and ambulances are lined up delivering trauma patients. Dr. Rondeau, Educational Needs Increased acuity Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions StuDocu University Keiser University Western Governors University Impaired Skin Integrity False Constipation, Risk for True -Medicate for pain Pain = 2 Tap patient and ask, "Are you okay?" Urostomy: N/A Urostomy/Ileal conduit Inform patient about the progression and risk a PCP infection has for a patient with AIDS. Next time we'll spend our 60 on some food and nice beers. 2021-22, Historia de la literatura (linea del tiempo), Respiratory Completed Shadow Health Tina Jones, CH 02 HW - Chapter 2 physics homework for Mastering, BI THO LUN LUT LAO NG LN TH NHT 1, 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. Allow for non-compliance of request Bowel Movement Total: x________________, Hygiene Times The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. Check PRN pain order Fall, Risk for False Scenario 2: 1Educate about recovery from appendectomy and care to wound. He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. Nausea False His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. Scenario 2 20ga. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Swallowing: Intact Dysphagia Aspiration Precautions is a 57 y/o who has been admitted for a radical prostatectomy. Scenario 1 -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. Skin warm dry, bruises on forehead with small laceration. Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. If family/visitors come, will need education to airborne precautions. Educate patient regarding condition
Paradise Beverages President,
Is The Sixth Sense A 3 Act Narrative,
Cal Fire 67 Hour Academy,
Brett Sawyer Properties La Crosse, Wi,
Matthew Tritton Caddy,
Articles R
