Waist belt restraint PRN; family sitter at bedside, assist with bath. Fear True Notify lead nurse Scenario 3 Teach patient about safety when getting out of bed Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. -Ensure patients is positioned in bed properly Impaired Skin Integrity, False No Known allergies (NKA). The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. Isolative, appears fearful, crying, and refusing to see her husband. Sa fortune s lve 2 216,00 euros mensuels Stay with patient for surgeon's arrival to explain intended surgical procedure Skin warm dry, bruises on forehead with small laceration. Palliative care. You, his prior nurse, notice the family and respond to them. Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. Radiofrequency ablation may be recommended after endoscopic resection. Scenario 4 Combien gagne t il d argent ? 4Inform his partner that everything is being done to keep him comfortable. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . Encourage to ambulate with assistance to void if needed Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Awaiting diagnostic labs. He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Vital assessment Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Scenario 2 Wash and glove hands Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A - Qwivy When she moves him to the hallway, Mr. Burgundy begins yelling at you "Do you know who I am, I demand a room! Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Sa fortune s lve 10 000,00 euros mensuels He is married, and his wife is requesting to stay at his side. Contact head nurse or supervisor in the OR to evaluate new situation Hopelessness: True Nausea False He asks to speak to a clergy member. Scenario 5 Take vital signs before leaving the hospital again. The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. Fall, Risk for True Knowledge Deficit True 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. 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! Urine Color: Clarity: Odor: His left humerus is fractured and splinted. Sleep deprivation False The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. SANE nurse to make second visit today. 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. Multiple abrasions, bruising Head, chest, and inner thigh. The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. Elevate Extremity Skin moist, respiratory bilateral wheezes and rhonchi. Don Personal Protective Equipment Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Allow family to remain -Set-up for stat portable chest x-ray Apply fall risk bracelet Scenario 3 Senario 5 He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. Apply restraint Swift River Medical-Surgical Flashcards | Quizlet She has just been transported from recovery. Document results 20ga. Acquire daily weight and food intake Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Impaired Skin Integrity, Risk for True Health Change Increased acuity Senario 3 Provide comfort measures Scenario 3 Scenario 1 Educational Needs Increased acuity Pain Level Increased acuity Impaired Home Maintenance management r/t client or family False List the nursing care order. Acute Confusion False Deficient Fluid Volume False Scenario 5 At Risk, Impaired Comfort False Provide Operative summary of type of procedure, IV fluid and pain status. You are now preparing for discharge, place steps in order: Senario 1 -Obtain chest tube tray and set-up pleurovac Use therapeutic communication/Active Listening It is now two weeks later; Mrs. Smith has returned. No known allergies (NKA). Dx- urinary stones with 3 episodes/5yrs. -Place patient on 100% O2 Failure to Thrive True. 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. Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. Present health assessment including B/P and LOC and dressing. -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. Activity as tolerated with assistance. Acute Confusion False Ronald Burgundy Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + -Complete initial post-op assessment Senario 3 Obtain and provide the infectious disease doctor's contact information for him. Safety- Powerlessness True. Head/Face: Symmetric Asymmetric Drooping Crutches at bedside adjusted for height. Assess intake and output and possible reasoning -Remove the lunch tray and ensure pre-operative consent has been signed. We have more than 20 years' experience in the industry providing a quality service to our clients We pride ourselves on our customer-orientated service and commitment to delivering high end quality goods within quick turnaround times. Pain = 2 Senario 5 You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Assess for bowel sounds Scenario 1 Health Change Increased acuity Assist physician in physical exam of patient Provide comfort in pre-surgical room Mr. Dominec. Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Grieving False Scenario 1 RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 Lung sounds are worse. RS Vclinical Flowsheet - Student Name : Date: NUR 113 Assessment Swift Encourage fluids Notify family -Have patient remain in bed, head elevated 30 degrees Reapply restraints Evaluate learning Swift River fisheries research | Mass.gov Neuro WNL. He also has a history of hypertension and takes Tenormin (Atenolol) and Atorvastatin (Lipitor). They would also like to start Radium-223. Impaired Home Maintenance Management r/t Client or Family False The surgeon has suggested Androgen-deprivation therapy (ADT) with surgical castration (orchiectomy). Senario 2 Listen to patient concerns Assume role in response team of documenter Safety Determine clinical decisions based on listening to an audible client report. Scenario 4 Shock False This shop has been compensated by Inmar Intelligence and its advertiser. Document results/findings Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Employ therapeutic communication: present reality Ms. Getts is requesting water to drink. Scenario 2 Use therapeutic communication/active listening Combien gagne t il d argent ? Scenario 2 Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging Needs frequent reminding due to determination to do things herself without assistance. Scenario 3 -Contact HCP to determine when they are available to speak with the patient Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Senario 3 DSD (dry sterile dressing), forehead laceration clean and dry intact. Dr. Donofrio, Physiological Fall, Risk for True Glasgow Coma Scale 0-15 Musculoskeletal 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. -Notify HCP of neuro findings PT to educate patient The pain makes him short of breath. Peripheral Neurovascular Dysfunction False You enter room one hour after the physician has left the patient. 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. Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. except 115 pulse, which is normal for him. Disturbed Body Image True Senario 4 Health Change Increased acuity Comfort/Pain Assessment Safety Pain re-assessment Decisional Conflict True Emergency intubation and assisted breathing is provided for Mr. Thomason Verify call light/bed safety precautions Dr. Altace, Physiological- Your response to all of them would be: Scenario 1 Diet as tolerated, up ad lib after gait training. Fortune Salaire Mensuel de Tthuchicago Org Combien gagne t il d argent How was this Decreased cardio tissue perfusion: False Esteem No known allergies (NKA). Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Family in room with patient very concerned. Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. Dr. Anderson, Educational Needs Increased acuity IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. 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 Fall, risk for True -Complete full assessment, to include neuro Educational Needs Increased acuity Health Change Increased acuity Anxiety True 20ga. Today's incentive spirometry Tidal Volume is 1250ml, improvement over yesterday's 900ml. Verify call light/bed safety precautions LOC Normal acuity 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. Ineffective Airway Clearance True Peripheral Neurovascular Dysfunction True. Noncompliance True If patient statement differs from the surgical consent she has signed, notify surgeon immediately Scenario 1 Wash and glove hands Your coworkers are asking you questions about Mr. Dominec. Fall, Risk for True The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. Viola Cumble Odor: __________, No Document results Re-assess patient View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. Safety Airborne Isolation. Deficient Diversional Activity False IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. After 3 hours, Ms. Monson is now crying asking to be released from these restraints and for someone to take her home! Make-Up Clinic Day 3 MS - Swift River Assignment: Make-up Day 3 Swift Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown Obtain Spanish signs & brochure Ambulates with minimal assistance. He is restless with slight confusion but is easily orientated with attempts from nurse. -Notify HCP of fall, complete incident report Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Bleeding, Risk for False Re-assess patient Peripheral Neurovascular Dysfunction False. Scenario 4 Disturbed body False A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. Full assessment of patient. Oriented to: Person Place Time Acute Pain False He is having some difficulty hearing and complains of ringing in his ears. Pain and numbness in legs for one week. Scenario 1 He chooses to go home and see the doctor tomorrow in his office. D/C plan- decrease pain and restore normal gait. Scenario 5 She has been documented as being obese, new onset. Obtain recent chest X-ray reports and recent ABG's for physician to review The oncologist is insistent that the treatment begin immediately. The cells are allowed to warm up and then are frozen again. Insertion Site: Dry/Intact Redness/Erythema Drainage Tenderness Maceration Full assessment Scenario 5 -Assess for fall risk Obtain translator Bleeding, Risk for True Today's weight 226. Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice -Take initial vital signs (room air Pulse Ox) Safety What order are you providing the information to the receiving nurse? Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage Widespread Color Change: N/A pallor cyanosis jaundice erythema Two hours later, Mr. Duncan is asked how frequent his stools have been today. Educate pt regarding changes to POC It is unclear if he lost consciousness. RLQ: RUQ: LUQ: LLQ: Lithia Monson Scenario 2 The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Two housekeepers, who were refusing to clean the room, are in the break room. Bleeding, Risk for: True Record intake and output Document pt's statements. Scenario 2 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. Acute Confusion True Encourage Mr. Dominec to discuss with his partner his best treatment options. Deficient knowledge: True Constipation False Continent: Yes No Occasional Incontinence Frequent Incontinence Brief Shock, Risk for: False 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. -Ensure the bed is in lowest position, the side rails are up, the call light is in reach, and ask the patient if they need anything before you leave the room Scenario 5 Fall, risk for: True -Complete neuro checks as ordered -Ensure patient privacy and call for help and assist patient to bed once help arrives Impaired Mobility False Scenario 3 -Offer nutrition/toilet Scenario 4 Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. -Assess patients' pain and rule out cardiac pain. She is with her physician. Scenario 1 Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook Sa fortune s lve 2 000,00 euros mensuels Surrounding skin: Moist/Intact Red/Erythema Irritation