Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Educate patient Combien gagne t il d argent ? Dx- urinary stones with 3 episodes/5yrs. The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". Full assessment Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 The oncologist is insistent that the treatment begin immediately. Wife at bedside. No Known allergies (NKA). Temp 98, BP 114/67, P 115, RR 20, SaO2 98%. IV D5 1/2 NS @150ml/hr. Dr. Donofrio. Swift River MedSurg 1.pdf - MED-SURG SCORE: 100 TIME Palliative care. Skin warm and dry, daily dressing changes, T-tube without drainage. Assess Scenario 4 Pulses: Strength & Symmetry Edema: Reasses temp in 1 hour. Chronic Pain True After 3 hours, Ms. Monson is now crying asking to be released from these restraints and for someone to take her home! He has a history of hypertension and is not compliant with medication. Place pt on PCA pump Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ Pain = 2 Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: You also notice the patient is more difficult to orient. Scenario 5 Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Call Rapid Response protocol initiated Document results, Care of the Patient with a Cardiovascular or, NCLEX - Care of Patient with an Immune Disord, Quiz: Chapter 54, Care of the Patient with an, Chapter 54: Care of the Patient with an Immun, Chapter 17, Section 5; Providing First Aid fo. Compromised Family Coping False Ineffective Coping False Mr. Sturgess does not have a living will or durable power of care completed. He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Scenario 4 As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. He also has metal fragments on his left side on his leg arm and torso. No weight bearing today. Three hours later, Ms. Getts is unsteady when standing by her bedside. Evaluate understanding Scenario 1 Sensorium Increased acuit, Physiological Pain, Acute True -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Her husband and children remain with her in the surgical holding area awaiting transport to the OR. Sleep deprivation: False Full assessment 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. Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. Full head to toe neuro assessment. Psychological Needs Increased acuity Vital Assessment Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. -Perform neuro assess Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. Impaired Skin Integrity, False Blood Glucose 185, 4 units of insulin sliding scale for coverage. Swift River Med Surg Scenarios Answers - Homework Score 156 terms. Remain with patient and reassure Crutches at bedside adjusted for height. Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion Assist patient A few hours after speaking with the sitter about the patient needing complete observation, you notice the sitter outside of the room talking on the phone. Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. 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 mobility: False -Reinforce to the patient to not get out of bed Neuro WNL. Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Today's weight 226. Scenario 5 Full assessment Knowledge Deficit True He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. -Remove the lunch tray and ensure pre-operative consent has been signed. Safety Increased acuity, Physiological Document results and findings Skin warm and, dry, all vital signs in WNL except 115 pulse, which is normal for him. Scenario 2 Wash and glove hands Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Scenario 3 Why is cysteine such an important amino acid for defining the tertiary structure of some proteins? She receives the pre-op medication. Wash and glove hands Scenario 3 Fear: True Nr 325 final exam quizlet chamberlain - gqqa.wikinger-turnier.de Document results and findings Inform his partner that everything is being done to keep him comfortable. Place call light and check bed for safety He was initially sedated with versed 2mg, and Fentanyl 100 mg by the EGD nurse, but the patient was not tolerating the procedure, so anesthesia was called to administer propofol. Fortune Salaire Mensuel de Ubah Kalimat Efektif Online Combien gagne t Use therapeutic communication/Active Listening Bed Bath: Assist or Total Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Document results Senario 3 Lithia Monson Constipation, risk for: True Insert Foley catheter Senario 2 -Complete full assessment, to include neuro Peripheral Neurovascular Dysfunction False Scenario 2 Mrs. Stukes is feeling nauseated. Administer protocol antidiarrheal medication Needs frequent reminding due to determination to do things herself without assistance. 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. Remain with patient Peripheral Neurovascular Dysfunction False. Impaired Comfort True Notify charge nurse that discharge will probably not occur today. It was diagnosed by a portable X-ray and quickly splinted by the ER staff. Acute Confusion: True Check input/output for possible dehydration Hx of dementia, from nursing home, fall one day ago. Disturbed Sensory Perception True Cardiovascular has pacer with rate of 82bpm on demand. Noncompliance True Senario 4 Document results/findings Document pt's statements. Scenario 5 Scenario 1 He has partial thickness burns to his left arm and the left side of his face. Document results She is having some difficulty breathing. Other: _______________________________ -Ensure there is a full O2 tank on the gurney, place patient on Nasal Cannula Scenario 1 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. Educational needs: Increased acuity Solved nursing care plan for Linda Pittmon, a 74 -year old - Chegg His original lymph node biopsy was negative. Grieving False Procedure is canceled for the day and rescheduled later allowing for new consent. Skin warm and dry, may sit up on edge of bed today. Blood-tinged mucous, productive cough. You are concerned about preventing the patient from falling. #1: _________, No Discharge instructions -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. 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. Flexes abnormally = 3 Obtain recent chest X-ray reports and recent ABG's for physician to review Nausea/Vomiting: Yes No Mr. Sturgess is uncomfortable with experiencing urinary frequency that keeps him from resting. Robert Strurgess Provide a few chairs if possible for her family to also be comfortable -Take initial vital signs (room air Pulse Ox) Expresses fatigue, fear, concern, and desire for recovery. -Discuss and determine sitter availability -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. -Notify HCP of neuro findings Course Hero is not sponsored or endorsed by any college or university. 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. -Place patient on 100% O2 Fall, Risk for False Grieving True Impaired Home Maintenance Management False Make-Up Clinic Day 3 MS - Swift River Assignment: Make-up Day 3 Swift Viola Cumble Explain that he will probably not be going home at least until his doctor sees him. Administer antipyretic medication Dr. Jones. Apply nasal cannula Use therapeutic communication/active listening Acute Confusion False Also worth mentioning is the 'Alter Schwede' - a 217t . Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Encourage fluids/fiber/ambulation NG tube to low suction possibly D/C'd today after Dr. Levine rounds. Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) Capillary Refill: _________ seconds Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Scenario 4 The cycle of freezing and thawing damages the abnormal cells. 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. Fatigue True When a physician makes an incision into a body cavity just superior to the diaphragm and inferior to the neck, what body cavity will be exposed? Skin warm and dry, all vital signs in WNL Teach patient about safety when getting out of bed Use therapeutic communication/Active Listening Mr. Greer has just returned from surgery. Therapeutic communication. Swallowing: Intact Dysphagia Aspiration Precautions Begin post op education for day one Blood Pressure, 7a-7p Total: 7p-7a Total: Perform circulatory evaluation Educational Needs Increased acuity Ann Rails Evaluate understanding -When the HCP arrives, stay in the room to determine whether you can continue care with the patient Inspect cast site Scenario 2 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. Diet as tolerated, up ad lib after gait training. Senario 3 What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? Vital sign assessments Inappropriate words = 3 Ms. Rails shares with you her fear of being discharged home to an abusive husband. Psychological Needs Increased acuity Medical-Surgical - Swift River Neuro WNL's, alert and cooperative. Psychological Needs Normal acuity Scenario 2 Safety Ronald Burgundy Health Change Increased acuity Hafencity Riverbus (Hamburg) - All You Need to Know BEFORE You Go 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 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. Scenario 5 Senario 5 No response = 1, Mobility: List of American films of 2008 - Wikipedia -Have patient remain in bed, head elevated 30 degrees Skin cool to touch and appears pale. -Discuss with sitter that patient needs continual observation Scenario 2 Pain Level Increased acuity No known allergies (NKA). Attempt to orient to person, place, and time No Known allergies (NKA). The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. 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! Paul Greer Replace oxygen nasal cannula that had become disconnected SANE nurse to make second visit today. Offer nutrition and/ or toileting Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Shock, Risk for: False Kathy Gestalt Fall, Risk for True Sensorium Normal acuity, Physiological His overall health is good, and he has known he has been HIV positive for the past five years. Urine Color: Clarity: Odor: Scenario 1 Nausea False Senario 1 Anxiety True Hopelessness: True His children are visiting, and they are very supportive. Gait: ______________________________, Skin Integrity Assessment Acute pain: False Anxiety True Offer assistance While assessing the patient, Mr. Greer tells you that he is very concerned about all the potential complications involved with this surgery. Medical Surgical Flashcards | Quizlet -Transport Mr. Burgundy to his room 3Check surgical consent for correct procedure and make sure operative site is marked. Senario 1 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. r/o Tuberculosis. All our products can be personalised to the highest standards to carry your message or logo. Escort patient to vehicle Ineffective Peripheral Tissue Perfusion False Discuss his understanding about the plan of care. NPO with small amount of ice chips only. -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. Perform neuro assess Head/Face: Symmetric Asymmetric Drooping Eye opening Spontaneous = 4 He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. Yes Productive Non-productive Describe Sputum: _______________________ Suprapubic Insertion site: WNL S/S Infection : ____________________ August 13, 2020 // by Angela McGowan. You arrive in room to find Ms. Monson talking to herself. The charge nurse asks you to assume the patient's nursing care. Impaired Home Maintenance management r/t client or family False -Ensure patients is positioned in bed properly Educate patient regarding changes to POC He tells the nurse he has called his wife and wants to be discharged now. Assess for fall risk Verify call light/bed safety precautions Emergency intubation and assisted breathing is provided for Mr. Thomason Fall, risk for True Scenario 3 No known allergies (NKA). Notify family as to when they may come and visit. Self-Care Deficit: True The patient is awake alert and oriented. Allergic to sulfa drugs. Swift River Medical-Surgical. -Tell the patient that they are being admitted to r/o any cardiac issues Sensorium Normal acuity, Physiological Acute Pain True Ruth Cummings - The Nathan Cummings Foundation
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