His original lymph node biopsy was negative. Call Rapid Response protocol initiated -Transport Mr. Burgundy to his room Amount:________ It is unclear if he lost consciousness. 2. The patient describes this pain as a heavy pressure with intermittent stabbing. Several hours later, Mr. Duncan is now complaining of nausea. Disoriented, confused = 4 Peripheral Neurovascular Dysfunction True. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Clinical 2. Respiratory Rate: WNL Tachypnea Bradypnea He is restless with slight confusion but is easily orientated with attempts from nurse. 97.4, Resp 16 and Pulse Ox 94%. Hx of dementia, from nursing home, fall one day ago. His wife tells the nurse that he seemed very distant and did not want to talk much. , a 58-year-old male patient presents to the ER CO CP 10/10. 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. You arrive in room to find Ms. Monson talking to herself. Blood-tinged mucous, productive cough. Scenario 3 Localizes pain = 5 Self-Actualization Notify lead nurse/doctor Determine clinical decisions based on listening to an audible client report. c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. Deficient Knowledge False He also complains that his throat is still very sore. Dr. Rondeau, Educational Needs Increased acuity Assessment of bowel movement Physiological- Her pitcher has already been filled three times this shift. Fall, risk for: True Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration Ineffective Self-Health Management False Assess toe movement and capillary refilling Eye opening Spontaneous = 4 Scenario 3 Scenario 1 Wash hands Scenario 2 school system of the host country and may not know how to choose the programme, Question 34 Correct Mark 100 out of 100 Flag question Question text hr tag, efefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefef, arbitrary parameters a b will be a complete solution of 38 The main problem then, Reduces costs of providing on site office space To individual Makes more time, METHYLXANTHINE DRUGS-Chemistry FinalsExam PrepNotes.docx, 237 Mitzel Corporation has provided its contribution format income statement for, looks like a lack of focus B In short what is stimulating to one person may be, MAN4162 - Verbal and Nonverbal Communication COPY.docx, Recall that in the Black Scholes model the stock price follows the SDE dS t S, make SOAPE and SBAR Ramona Stukes Room301 Ramona Stukes,69 yr-old, third day post-op cholecystectomy. Scenario 1 Scenario 4 What order are you providing the information to the receiving nurse? Health Change Increased acuity Apical pulse rhythm: Regular Irregular Location: Use therapeutic communication/active listening Neuro WNL alert and cooperative. Too bad the cruise area was a very unatractive part of the River Elbe. ADA diet, intake, 25%. -Take initial vital signs (room air Pulse Ox) Abdominal Pain: Non-tender Tender/Pain Describe: John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Document results and findings Sensorium Increased acuity, Physiological He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. 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. He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Senario 2 Impaired mobility: False What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? He also has a history of hypertension and takes Tenormin (Atenolol) and Atorvastatin (Lipitor). Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Chronic Pain True When you arrive to room 4, you are told to assume the care for the patient and get ready to transport them to the floor ASAP. Sa fortune s lve 2 000,00 euros mensuels Seek clarification RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 Students will prioritize medical surgical . He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. Now, third day post-op, Mrs. Stukes appears sad and depressed upon entering the room. Rapid Response team arrived including anesthesia. Love and Belonging 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 Elevate Extremity Imbalanced Nutrition True Notify doctor Nausea False Senario 2 Safety Procedure is canceled for the day and rescheduled later allowing for new consent. Decreased Cardiac/perfusion: False Scenario 5 Tom Richardson, 46yr-old. His coughing, to clear his airway, appears ineffective. LOC Normal acuity It is now the second day post op and he is given discharge information. Neuro WNL alert and cooperative. This shop has been compensated by Inmar Intelligence and its advertiser. 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. Esteem Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Encourage fluids -Set-up for stat portable chest x-ray You determine to apply the restraint now. He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Evaluate understanding Patients within the Swift River Online Simulators Med Surg - Patients SROL Med Surg Female and Male Patients Female Male Ann Rails Carlos Mancia Estelle Hatcher John Duncan Kathy Gestalt Robert Sturgess Lithia Monson Tom Richardson Marcella Como Ramona Stukes Sarah Getts Viola Cumble Dosage Calc - Patients SROL Dosage Calc Female and Male Patients Acute Pain True Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Teach Cameron. Place call light and check bed for safety Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid Sensorium Normal acuity, Physiological Why is cysteine such an important amino acid for defining the tertiary structure of some proteins? Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion Remind the nursing staff that the patient is NPO. Apply oxygen Compromised Family Coping False Scenario 2 Skin warm dry, bruises on forehead with small laceration. 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. Fall, Risk for False The dinner tray is waiting for the patient in his room, and the nurse notices it is a regular diet. Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Vital assessment Mr. Richardson is requesting assistance to ambulate to bathroom. Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Mr. Greer has just been visited by his wife. He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Impaired Home Maintenance management r/t client or family False Senario 5 Evaluate/modify plan of care Hopelessness False. Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Obtain translatorT Refer call to contact health department -Tell the patient that they are being admitted to r/o any cardiac issues Scenario 4 You are concerned about preventing the patient from falling. Scenario 1 Safety Acute Confusion True The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. -Notify charge nurse of patient's deteriorating condition Document conversation Fall, Risk for True The heartburn has become worse since he started treatment for his URI. Educate patient Assist patient Report this activity immediately to the hospital privacy officer A special lowbed has been ordered that will lower to the ground. Respiratory Effort: Relaxed, Regular, Non-labored Pursed lip breathing Labored Self-Care Deficit True Scenario 2 The patient is being prepared for discharge and his IV has been removed. Deficient knowledge: True The lesion was identified as Kaposi's Sarcoma. 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. Alleviating Factors: Last pain medication: Disturbed Sensory Perception False Explain that he will probably not be going home at least until his doctor sees him. Scenario 4 Bleeding, Risk for: True Safety Inspect cast site Scenario 2 Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Notify family Notify lead nurse/doctor Blood Glucose 185, 4 units of insulin sliding scale for coverage. -Reassess patient's physical status prior to leaving him in the hallway Document Results/Findings Scenario 5 -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Escort patient to vehicle "I am feeling fine." Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage Scenario 3 You enter patient's room. Scenario 3 Place patient on PCA pump While assessing the patient, Mr. Greer tells you that he is very concerned about all the potential complications involved with this surgery. Document results and findings Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Bleeding False Hopelessness True Administer PRN constipation medications Scenario 5 Disturbed body False Wound clean dry and intact. Explain to her family and provide contact information. -Complete full assessment, to include neuro Constipation False Scenario 2 Safety Increased acuity, Physiological -Determine when a hospital provided sitter will be necessary Wash and glove hands Waist belt restraint PRN; family sitter at bedside, assist with bath. The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. -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 Urine Color: Clarity: Odor: Pain Scale: 0 to 10: _______________ Obtain urinary screen She has been documented as being obese, new onset. Three hours later, Ms. Getts is unsteady when standing by her bedside. Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch. You correctly diagnosed 11 out of 16 options. Patient demonstrates urine strain procedure. Then the bus splashed into the river for a cruise. View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Paul Greer Assess for bowel sounds Safety- Scenario 4 Listen to patient concerns He was recently treated for a URI with a Z pack, prednisone, and Motrin for pain. Explain to Mr. Dominec your concern for this opportunistic infection and usual treatment. Scenario 4 Full assessment Impaired Gas Exchange True He was recently diagnosed with stage III prostate cancer. Mr. Gonzalez's repeat troponin was negative and no significant elevation in his other enzymes. Regular diet. -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Emergency intubation and assisted breathing is provided for Mr. Thomason Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Tunneled, site _______________ Implanted port, accessed _____________________ Fear/Anxiety True. Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. He is having some difficulty hearing and complains of ringing in his ears. Scenario 5 Full assessment Palliative care. 1. Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Discuss follow up with his doctor. He states, "This is not serious." Notify lead nurse/doctor Combien gagne t il d argent ? Mr. Duncan's wife meets you in hall asking what she could bring her husband to eat from home. -Reapply the NC that he was admitted with at 2L Pain Level Normal acuity Two hours later, Mr. Duncan is asked how frequent his stools have been today. Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). VS: BP 158/90, HR 89, R 18, T 97.8 F. Hep-Lock in place left AC. Anxiety True Wash and glove hands Encourage Mr. Dominec to discuss with his partner his best treatment options. Scenario 1 Regular diet. Spiritual Distress False. -Reassure patient that he will be moved to a private room as soon as possible PT to educate patient -Give NS liter bolus Course Hero is not sponsored or endorsed by any college or university. Request time she can arrive and staff to help with transfer Document results/findings jasmine . High fall risk. The cells are allowed to warm up and then are frozen again. 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. -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Impaired Mobility False -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon Scenario 3 Alert and cooperative. Perform circulatory evaluation 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. Scenario 1 Scenario 4 Document results Pulses: Strength & Symmetry Edema: Respiratory Assessment Tom Richardson -Assess patient LOC, by walking patient and asking them to take deep breaths. Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. Constipation False No response = 1, Mobility: Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Toileting, Medications List/Times of Medications/Routes of medication, Neurological Assessment Dr. Small at bedside with patient and family. Document results Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. 50% intake. Educate caller regarding HIPAA Full assessment including both lying/standing He is excited and tells the nurse he is starving and glad that he finally gets to eat. Scenario 3 Nausea False Assess Scenario 2 Senario 4 Sleep deprivation False Impaired skin integrity: False, Anxiety: True Fall, Risk for True -Provide the patient with the time when HCP will come discuss options with him Evaluate understanding. The patient is awake alert and oriented. Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin Scenario 1 His children are visiting, and they are very supportive. You explain that his condition has worsened and now he has been taken to ICU. Include patient condition change in shift report Scenario #2. -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. You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. Scenario 3 Administer protocol antidiarrheal medication Physiological- Filmotka filmu Najvyia ponuka (2013). Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F NG tube to low suction possibly D/C'd today after Dr. Levine rounds. Needs frequent reminding due to determination to do things herself without assistance. Provide a few chairs if possible for her family to also be comfortable -Perform admission assessment Assist patient out of bed You arrive in room to check on her, after washing hands. Imbalanced Fluid Volume, Risk for True Remain with patient No known allergies (NKA). Aggravating Factors: Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. Hep-Lock in place left AC. Electrolyte Imbalance False Observe closely first hour Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Document and provide copy for Mr. Dominec to share with his follow up appointment tomorrow. Use therapeutic communication/Active Listening Scenario 4 -Remove the lunch tray and ensure pre-operative consent has been signed. Scenario 2 Mrs. Stukes is feeling nauseated. Obtain vital signs machine List the nursing care order. Patient and family upset regarding dx. It was diagnosed by a portable X-ray and quickly splinted by the ER staff. Apply nasal cannula Nutritional Intake: Adequate Inadequate BMI: Disturbed Body True Love and belonging Use therapeutic communication/Active Listening Cardiovascular has pacer with rate of 82bpm on demand. Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. Determine from medical record if partner is aware of his recent AIDS diagnosis. -Start IV If patient statement differs from the surgical consent she has signed, notify surgeon immediately Impaired Skin Integrity False Scenario 2 The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. Scenario 1 Senario 2 Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Provide emotional support. Failure to Thrive False. jessdevan. Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Safety You discuss this cough with Mr. Dominec to determine how long he has had it. Chronic Pain False Educational Needs Increased acuity -Ask Mr. Burgundy to lower his tone as it can be disturbing to other patients 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 Scenario 4 Allow for non-compliance of request Impaired Mobility True No known allergies (NKA). Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Scenario 3 Swift River Medical-Surgical. Anxiety True Nutrition True -Instruct Mr. Burgundy and his cameraman to stop immediately 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. Today's weight 226. Skin moist, respiratory bilateral wheezes and rhonchi. Color:__________ Scenario 1 Sa fortune s lve 1 900,00 euros mensuels Palliative care. Chronic pain: True Patient, and family upset regarding dx. Head/Face: Symmetric Asymmetric Drooping His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" Notify Physical Therapy (PT) Acute Pain: True Vital signs are to be taken BID, and it is now time. Her husband and two grown children are also with her as she is prepared with gown and head cap awaiting transport to the operating room. Acute Pain False Assess intake and output and possible reasoning Offer nutrition/toilet Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. Scenario 2 -Assess patient's ABC (airway, breathing, circulation) Scenario #3. and the GI cocktail given in the ER did relieve his CP but not completely. Document results and findings Infection, risk for: False. r/o Tuberculosis. Decreased cardio tissue perfusion: False Wash and glove hands Decreased Cardio Tissue Perfusion False Grieving True Verbal response Oriented converses = 5 Toggle navigation Swift River. -Reorient Patient to person, place, & time Noncompliance True Do not disturb Scenario 4 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) Esteem Pupils PERRLA, eyes clear. -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. Vital assessment 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Your Swift River Virtual Clinicals account has been linked to your ATI Student account. Renal diet. Love and Belonging Fall, risk for: True Health Change: Increased acuity Infection, Risk for False Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. -Explain to the patient that he has a procedure, and he cannot eat. Temp 98, BP 114/67, P 115, RR 20, SaO2 98%. Perform circulatory evaluation Genitalia: WNL (skin intact, no lesions) Abnormalities Describe: __________________________ Vital assessment Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting -Reassess patient Surrounding skin: Moist/Intact Red/Erythema Irritation Verify Call Light/Bed Safety precautions Scenario 2 Document Procedure -Discuss effectiveness of sitter Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Scenario 5 He tells the nurse he has called his wife and wants to be discharged now. He chooses to go home and see the doctor tomorrow in his office. ADA diet, intake 25%. Anterior: ___________________________________ Posterior: ____________________________________ Some hair on the left side of his head has been burned off, as well. Scenario 5 Scenario 4 You enter room and find Ms. Gestalt crying because she has just learned her medical insurance has lapsed and she is already two months behind on her car payments. Educate patient student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. Deficient knowledge: False Lithia Monson Grieving: False. Bleeding, Risk for True Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. Wife at bedside. I need to be reporting!" Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. Flexes abnormally = 3 Senario 1 The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. Encourage fluids/fiber/ambulation ADA diet, intake 25%. Therapeutic communicationT Anxiety True Provide verbal report to team members who respond to rapid response -Ensure patient privacy and call for help and assist patient to bed once help arrives Attain fluids/fiber diet and assisted ambulation The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. Fall Risk Increased acuity Temperature is now 102.8. Therapeutic communication. Safety- Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. Decisional Conflict True Report and document results When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Nausea/Vomiting: Yes No After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. Offer assistance Awaiting diagnostic labs. The pathology report shows no cancerous lesions. Sensorium Normal acuity, Physiological Fall, risk for: True RUE: ______________ LUE: ______________ Scenario 5 Impaired Mobility True Scenario 5 Disoriented to time and place, speech slurred. Scenario 5 Therapeutic Communication Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown Fall Risk Increased acuity -Complete head-to-toe assessment while patient is on the floor. -Using therapeutic communication inform Mr. Greer that there are many treatment options, and not to leave until the HCP can come and speak with him No known allergies (NKA). Insertion Site: Dry/Intact Redness/Erythema Drainage Tenderness Maceration Release restraints/full range of motion Pain Level: Increased acuity Non-significant past medical history. -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Allow husband to come into recovery for a quick one-minute visit. Offer bedpan Document results -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA