It is now the second day post op and he is given discharge information. Explain reason for assessment and procedure Incomprehensible Contact Social Services Also worth mentioning is the 'Alter Schwede' - a 217t . Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours. Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: Senario 3 Call rapid response Elevate head of bed Safety- Infection, Risk for True Check PRN pain order Educate patient Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Senario 5 Don Personal Protective Equipment Swift River Nursing Simulation - Homework Writing Services You correctly diagnosed 11 out of 16 options. Obtain translatorT Scenario 1 The nurse observes an elderly lady who is crying and has not been taken care of yet. Gown and mask The heartburn has become worse since he started treatment for his URI. Noncompliance True. No Known allergies (NKA). Course Hero is not sponsored or endorsed by any college or university. Noncompliance True Dr. Starks, Physiological Impaired Comfort True Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . Administer protocol antidiarrheal medication Senario 3 Cardiovascular has pacer with rate of 82bpm on demand. Make-Up Clinic Day 3 MS - Swift River Assignment: Make-up Day 3 Swift Blood, Glucose 185, 4 units of insulin sliding scale for coverage. The sister of Mr. Mancia calls from home to speak with you. Scenario 3 Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid 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) Chronic Pain False The pathology report shows no cancerous lesions. Report to charge nurse/ head nurse the need for staff education. Constipation, Risk for True Health Change Increased acuity Educate patient Sensorium Normal acuity, Physiological Tom Richardson, 46yr-old. Social worker with patient this morning. Place pt on PCA pump Swift River Reflection Questions day 7 Answer each question thoroughly in multiple sentences. Deficient Fluid Volume False Localizes pain = 5 **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 . Pulses: Strength & Symmetry Edema: 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. Verify call light/bed safety precautions At Risk, Impaired Comfort False Scenario 2 Virginia Smith Decreased Cardio Tissue Perfusion False Scenario 4 Your Swift River Virtual Clinicals account has been linked to your ATI Student account. Document results and findings Provide comfort and pain measures Scenario #2. Ms. Rails shares with you her fear of being discharged home to an abusive husband. View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. Bowel Movement Total: x________________, Hygiene Times The pain makes him short of breath. Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Document results and findings 1. Ronald Burgundy Scenario 1 Scenario 5 Senario 4 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". -Notify HCP of neuro findings You are now preparing for discharge, place steps in order: Senario 1 He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Scenario 5 Evaluate patient learning Senario 2 Decreased Cardiac/perfusion: False An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. The cycle of freezing and thawing damages the abnormal cells. The surgeon has suggested Androgen-deprivation therapy (ADT) with surgical castration (orchiectomy). August 13, 2020 // by Angela McGowan. Assess intake and output and possible reasoning Identify patient Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Hopelessness: True Evaluate understanding The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". Safety 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. Document results Senario 2 Pain re-assessment She has been documented as being obese, new onset. Monitor and evaluate fluid intake Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Robert Sturgess - Swift River - Robert Sturgess Educational needs Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. It was diagnosed by a portable X-ray and quickly splinted by the ER staff. Respiratory Assessment She has received a dose of Hydrocodone for PRN pain 20 minutes ago. Check physician orders Sensorium: Normal acuity, Bleeding, risk for: False You arrive in room to find Ms. Monson talking to herself. Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. Respiratory Effort: Relaxed, Regular, Non-labored Pursed lip breathing Labored Fall, risk for True 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 Self-Care Deficit: True -Complete neuro checks as ordered Odor: __________, No Love and Belonging Deficient Knowledge True Scenario 3 1Perform full assessment and provide anti-nausea medicine. Surrounding skin: Moist/Intact Red/Erythema Irritation Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Fatigue True Provide verbal report to team members who respond to rapid response Insert Foley catheter Provide emesis basin/cloth He asks to speak to a clergy member. Fall Risk: Increased acuity -Give NS liter bolus Nausea False The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. Assess food consumption and intake and output Scenario 4 Ambulates with assistance. Pain, Acute True Start secondary large bore IV line Senario 1 Scenario 5 -Reorient Patient to person, place, & time Sit at an eye level. 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 Evaluation patient after consult Senario 4 Listen to patient concerns Fortune Salaire Mensuel de Nba 2k23 Pc Review Combien gagne t il d The nurse performs tilt test, Patient vital signs lying flat, BP 118/62, P 92, R 20, T 98.5, SpO2 97. Peripheral Neurovascular Dysfunction: False It is unclear if he lost consciousness. Scenario 2 Several hours later, Mr. Duncan is now complaining of nausea. 0800 1200 Yes 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. He states, "This is not serious." Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion Offer assistance in providing more information about treatment options for newly diagnosed AIDS patients. Scenario 4 Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. NG tube to low suction possibly D/C'd today after Dr. Levine rounds. -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. Scenario 3 Microeconomics And Behavior Robert Frank 9th Edition Scenario 1 His wife tells the nurse that he seemed very distant and did not want to talk much. -Document and contact nursing supervisor/Charge nurse Impaired Skin Integrity, Risk for False Document results and findings -Provide the patient with the time when HCP will come discuss options with him Document results Diet as tolerated. Ms. Gestalt is now complaining of fever and chills. Education of Foley Cath Procedure -Discuss with family sitter if there are any other family members who can help with monitoring Lithia Scenario 3 -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. Safety (PDF) Playful citizens: utopian intersections of play, sex and -Complete initial post-op assessment He has partial thickness burns to his left arm and the left side of his face. Senario 1 Scenario 5 SANE nurse to make second visit today. -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. Health Change Increased acuity Then the bus splashed into the river for a cruise. Acute Pain True Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Document results. 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. When completing the shift change neuro check, you notice the patient's left pupil is sluggish. -Discuss and determine sitter availability Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. Blood-tinged mucous, productive cough. Call Rapid Response protocol initiated Safety- Educate patient Scenario 4 Welcome [evolutionmkt.co.za] After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 In the interim, start an IV and start infusing Ringers Lactate. The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). 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. Scenario 2 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. Scenario 2 Med Surg - Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A Remain with patient Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Bladder distention Pelvic pain Low back/flank pain Pain Level Increased acuity Scenario 1 Evaluate patient understanding Scenario 1 The patient will be discharged today, and he will be ordering new prescriptions. -Explain to the patient that he has a procedure, and he cannot eat. Oral Care Acute Confusion False Assess for fall risk Impaired Skin Integrity, Risk for False Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ 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. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Escort patient to vehicle Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Sleep deprivation: False Scenario 1 Disturbed Body Image True Encourage fluids Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Fortune Salaire Mensuel de New King James Bible Download For Windows 7 Impaired home maintenance mgmg r/t client or family: False He has a history of hypertension and is not compliant with medication. Palliative care. ASA is held but morphine 4 mg was given after his GI cocktail. Skin warm and pale. Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Too bad the cruise area was a very unatractive part of the River Elbe. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. Nathaniel Gonzalez Radiofrequency ablation may be recommended after endoscopic resection. Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Communication/Speech: Clear Non-verbal Slurred Aphasia Other -Place patient on 100% O2 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. -Start an IV Next time we'll spend our 60 on some food and nice beers. He is pale, weak, diaphoretic, and appears anxious. Scenario 1 Shock, Risk for False BP 154/89, P 94 F, R 22, T 98.3F, SaO2 95% on room air. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Failure to Thrive: True. Powerlessness: True, Scenario 1 This will treat any cancer that may have metastasized to the bone. IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. Patient and family upset regarding dx. Scenario 4 Awaiting diagnostic labs. Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Family in room with patient very concerned. She is having some difficulty breathing. Begin post op education for day one Acute Pain: True Scenario 3 Educate patient regarding patient care Educate about recovery from appendectomy and care to wound. RLQ: RUQ: LUQ: LLQ: Apply nasal cannula : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Scenario 4 Imbalanced Nutrition True Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. Scenario 5 Senario 1 Upon entering the room, the patient appears to be trying to get out of bed "I am feeling fine." Scenario 5 Document results Safety Increased acuity, Physiological Physiological- Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. IV D5 1/2 NS @150ml/hr. She has just been transported from recovery. No known allergies (NKA). Full assessment of patient. Renal diet. Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A - Qwivy 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. Palliative care. Scenario 3 Nausea: False Ineffective Coping False Imbalanced Nutrition False Scenario 4 Ineffective Peripheral Tissue Perfusion False She has been admitted to the floor with complaints of numbness in her right foot and ankle. 3. The 'Strandperle' (lit. Vital assessment Scenario 2 Scenario 3 Fall, risk for: True Some hair on the left side of his head has been burned off, as well. You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. Bleeding, Risk for False Disturbed Body True Inappropriate words = 3 Acute Pain True Apply oxygen She shares concern about patient's wife who is now coughing and having night sweats. Full head to toe neuro assessment. Notify doctor Provide emotional support. The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Swift River Med-Surg Flashcards | Quizlet Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Non-significant past medical Hx. Patient demonstrates urine strain procedure. -If cardiac is suspected call the provider and the rapid response team. Psychological Needs Increased acuity Evaluate understanding Scenario 4 He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. Scenario 5 -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. Because of the fall the provider has recommended that he stay in the hospital another night. Wash and glove hands Notify lead nurse/doctor Seek clarification The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. -Teach the patient that there are several interventions for complications post-prostatectomy to include erectile dysfunction, post-op prostatectomies, and self-care involved with a foley catheter at home. Skin warm dry, bruises on forehead with small laceration. Senario 5 Scenario 4 Capillary Refill: _________ seconds Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Grieving: True IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Fall, Risk for True Discuss follow up with his doctor. Scenario 5 Use therapeutic communication/Active Listening Impaired Home Maintenance Management r/t Client or Family False Esteem -Tell the patient that they are being admitted to r/o any cardiac issues Scenario 3 Ineffective Airway Clearance True Electrolyte Imbalance, Risk for True Sensorium Normal acuity, Physiological Use therapeutic communication/Active Listening When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. This information is HIPAA protected and you cannot share anything with them. Scenario 4 Medical-Surgical - Swift River After 3 hours, Ms. Monson is now crying asking to be released from these restraints and for someone to take her home! Scenario 2 Document conversation Contact head nurse or supervisor in the OR to evaluate new situation Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. Chronic Pain False Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Filmotka filmu Najvyia ponuka (2013). You arrive in room to check on her, after washing hands. -Call security for assistance and compliance officer 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. 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. 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. Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." The patient describes this pain as a heavy pressure with intermittent stabbing. Acute pain: False Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Sleep Deprivation False Scenario 5 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
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