Scenario 4 -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. student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. Safety- Respiratory Assessment The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. -Contact HCP to determine when they are available to speak with the patient 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. Scenario 3 Notify doctor if condition is abnormal Acute Pain True Hep-Lock in place left AC. An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. Fear True LLE: Non-pitting Pitting ___+ Wash and glove hands Offer assistance in providing more information about treatment options for newly diagnosed AIDS patients. 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. Vital sign assessments Skin warm dry, bruises on forehead with small laceration. 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 . -Start IV Document pt's statements. The nurse arrives and sees a tent is being erected as a triage area, and ambulances are lined up delivering trauma patients. NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. Scenario 2 Lung sounds are worse. The patient describes this pain as a heavy pressure with intermittent stabbing. -Call security for assistance and compliance officer Fatigue True Vital assessment Noncompliance: False 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) It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. It is unclear if he lost consciousness. Fear True Disturbed Sensory Perception True Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ Skin integrity, impaired True Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Allow for non-compliance of request You correctly diagnosed 11 out of 16 options. The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. -Check on patient/sitter hourly Fall Risk Increased acuity Scenario 3 Linen Change Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. 156 terms. You escort them with you to the ICU. Pain Level Increased acuity He insists that he is not hungry and refuses assistance with his meal. Explain to physician what interventions you have recently initiated Some hair on the left side of his head has been burned off, as well. -Give NS liter bolus Health Change Increased acuity Psychological Needs Increased acuity 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. Impaired Gas Exchange False Impaired comfort: True The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. Radiofrequency ablation may be recommended after endoscopic resection. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Notify lead nurse/doctor Scenario 1 The patient asks the nurse to explain about these medications and why they are in such a hurry. Fall, Risk for True Dr. Starks, Physiological Check input/output for possible dehydration Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles Tom Richardson 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 3 Scenario 4 RLE: ______________ LLE: _____________ 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. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. and the GI cocktail given in the ER did relieve his CP but not completely. You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Sensorium Increased acuity, Physiological Scenario 3 Health Change: Increased acuity Apply nasal cannula Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration Sleep deprivation: False Palliative care. Hopelessness False. He chooses to go home and see the doctor tomorrow in his office. Provide verbal report to team members who respond to rapid response Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Neuro WNL alert and cooperative. Bed Bath: Assist or Total Document results -Ensure patients is positioned in bed properly I need to be reporting!" At Risk, Impaired Comfort False Contact Social Services Scenario 2: 1Educate about recovery from appendectomy and care to wound. She has received a dose of Hydrocodone for PRN pain 20 minutes ago. Check PRN pain order -Set-up for stat portable chest x-ray Her pitcher has already been filled three times this shift. Enter the email address you signed up with and we'll email you a reset link. Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. 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 Insert Foley catheter -Reassure patient that he will be moved to a private room as soon as possible Fear: True Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Senario 2 Skin warm and dry, all vital signs in WNL Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging Provide emotional support. Combien gagne t il d argent ? Scenario 1 Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Monitor and evaluate fluid intake Constipation, risk for: True Respiratory Effort: Relaxed, Regular, Non-labored Pursed lip breathing Labored Offer bedpan Robert Strurgess -Draw a repeat CBC per HCP order to determine current Hemoglobin status Senario 2 Senario 4 Notify family Also worth mentioning is the 'Alter Schwede' - a 217t . He is questioning the nurse as to why he has been admitted for heartburn. Read PT report ADA diet, intake, 25%. Verbal command = 3 Scenario 2 -Inform patient to not get out of bed without assistance and place call light in reach -Complete neuro checks as ordered The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). She has IV access and has received a small dose of Valium to reduce apprehension. Scenario 2 -Reassess patient jasmine . Assess food consumption and intake and output Regular diet. Evaluate/modify plan of care He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Mr. Sturgess does not have a living will or durable power of care completed. Encourage to ambulate with assistance to void if needed Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. Extends abnormally = 2 Odor: __________, No RLQ: RUQ: LUQ: LLQ: SANE nurse to make second visit today. Pupils PERRLA, eyes clear. Gait: ______________________________, Skin Integrity Assessment To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. Scenario 2 This will treat any cancer that may have metastasized to the bone. Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Take vital signs before leaving the hospital again. Physiological- Contact Social Services Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. She shares concern about patient's wife who is now coughing and having night sweats. Scenario 5 Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Remain with patient Physiological- Abdominal Pain: Non-tender Tender/Pain Describe: PT to educate patient sounds= 2 river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . Ineffective Self-Health Management True Notify lead nurse/doctor Document results and findings Use therapeutic communication/Active Listening Obtain urinary screen Skin moist, respiratory bilateral wheezes and rhonchi. Scenario 2 Impaired Home Maintenance Management False swift river assignment: day swift river assignments dosage minimum score 90 med minimum score 80 minimum score 90 robert sturgess linda yu linda pittmon carlos Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Keiser University Silver Creek High School (Colorado) Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Sa fortune s lve 1 900,00 euros mensuels Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Genitourinary Assessment Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging 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. His difficulty voiding finally motivated him to seek care. Temp 98, BP 114/67, P 115, RR 20, SaO2 98%. Scenario 5 Full assessment Neuro WNL. 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. The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Escort patient Acute Pain False Perform circulatory evaluation Temp Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Impaired Mobility True Too bad the cruise area was a very unatractive part of the River Elbe. Ronald Burgundy Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. Scenario 4 Full head to toe neuro assessment. 1. Impaired Gas Exchange True She is having some difficulty breathing. Senario 2 No known allergies (NKA). Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Safety The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Grieving: True Palliative care. When she moves him to the hallway, Mr. Burgundy begins yelling at you "Do you know who I am, I demand a room! Blood Glucose 185, 4 units of insulin sliding scale for coverage. Capillary Refill: _________ seconds Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." -Ensure bed is in lowest position, and rails are in place Document and provide copy for Mr. Dominec to share with his follow up appointment tomorrow. Electrolyte Imbalance False Attain fluids/fiber diet and assisted ambulation Communication/Speech: Clear Non-verbal Slurred Aphasia Other , a 58-year-old male patient presents to the ER CO CP 10/10. Deficient knowledge: True Combien gagne t il d argent ? He has been taking his HIV medication daily. Chronic pain: True Neuro WNL alert and cooperative. How was this Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. Wash and glove hands Administer protocol antidiarrheal medication Scenario 1 Neuro WNL's, alert and cooperative. Assess for fall risk Yes Obtain patient record and follow patient as he is transferred to ICU -Notify HCP of neuro findings Psychological Needs Normal acuity Infection, Risk for True Educational Needs Increased acuity Senario 2 No Known allergies (NKA). Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. He is a local TV news reporter that was filming an event at the county fair when there was an explosion. August 13, 2020 // by Angela McGowan. Diet as tolerated. Infection, risk for: False. Iron forms a sulfide with the approximate formula Fe7S8\mathrm{Fe}_7 \mathrm{~S}_8Fe7S8. You question her while reviewing her operative consent and determine that everything is correct. Strict I&O, regular diet, intake 50%. Verbal response Oriented converses = 5 The cells are allowed to warm up and then are frozen again. Sensorium Normal acuity, Physiological Spanish interpreter available at extension 61178. Mr. Gonzales H/H is 12.7/38. Bleeding False Your Swift River Virtual Clinicals account has been linked to your ATI Student account. 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 Grieving: False. Health Change Increased acuity Dr. Donofrio, Physiological -Explain procedure to the patient Sarah Getts Report to charge nurse/ head nurse the need for staff education. Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. Scenario 5 Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. IV NS is started, and lab work is sent. Ruth Cummings Trustee Vice Chair Audit Chair . 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. Bleeding, Risk for False 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! Deficient Fluid Volume True Patient and family upset regarding dx. Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Psychological Needs: Increased acuity When completing the shift change neuro check, you notice the patient's left pupil is sluggish. Educational Needs Increased acuity Evaluate understanding ADA diet, intake 25%. Replace oxygen nasal cannula that had become disconnected Paul Greer No known allergies. Wash and glove hands Scenario 5 -Perform admission assessment 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. RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 It was diagnosed by a portable X-ray and quickly splinted by the ER staff. Deficient Diversional Activity False Knowledge Deficit True You observe Ms. Getts being assisted by another nurse who is being blatantly rude and disrespectful to her. Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Scenario 4 Disturbed body False jessdevan. Offer masks to visitors Health Change Increased acuity Imbalance nutrition: True Deficient knowledge: True 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. The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. Viola Cumble Senario 3 Vital signs- Esteem Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. IV D5 1/2 NS @150ml/hr. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. 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 Pulse You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. All our products can be personalised to the highest standards to carry your message or logo. You, his prior nurse, notice the family and respond to them. Robert Sturgess - Swift River Swift River University Nightingale College Course Concepts of Nursing I (BSN 246) Academic year2022/2023 Helpful? Scenario 1 The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. Perineal Care Estimate the length of the Neptunian year given that the Earth is 1.50108km1.50 \times 10^{8} \mathrm{km}1.50108km from the Sun on the average. Attempt to orient to person, place, and time Adjust crutches Elevate head of bed -Document and contact nursing supervisor/Charge nurse Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Scenario 5 Head/Face: Symmetric Asymmetric Drooping Home; Our Focus; Our Legacy; Our Partners; Our People; Our Fellows; Our Investments No known allergies (NKA). Sexuality: True. Impaired Skin Integrity, False Educate caller regarding HIPAA 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. His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" Ann Rails Sleep Deprivation False. Alert and cooperative. Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Encourage fluids/fiber/ambulation Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. Scenario 3 Scenario 3 Oriented to: Person Place Time Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only Robert Domenic Needs frequent reminding due to determination to do things herself without assistance. Safety Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." Isolative, appears fearful, crying, and refusing to see her husband. Crutches at bedside adjusted for height. Assess He replies, "six times in the past four hours". Offer nutrition and/ or toileting Scenario 2 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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