robert sturgess swift river

Notify doctor and charge nurse Impaired Urinary Elimination True Encourage fluids : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Knowledge Deficit True Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10. Upon entering room, you wash/glove hands. Notify lead nurse/doctor Impaired Skin Integrity, Risk for False Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging -Complete head-to-toe assessment while patient is on the floor. -Set-up for stat portable chest x-ray Senario 2 Obtain urinary screen Full assessment Nausea False Scenario 3 -Begin q15 minute neuro checks If family/visitors come, will need education to airborne precautions. Scenario 2 Mrs. Stukes is feeling nauseated. 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. You arrive in room to find Ms. Monson talking to herself. Senario 1 Spiritual Distress False. Chronic Pain True -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon 2. Educate patient Scenario 1 Determine from medical record if partner is aware of his recent AIDS diagnosis. Safety- Educational Needs Increased acuity Scenario 3, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Self-Care Deficit False Place call light and check bed for safety Educate patient regarding changes to POC Blood Glucose 185, 4 units of insulin sliding scale for coverage. Electrolyte Imbalance False All opinions are mine alone. Cough: Anxiety True -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall Anterior: ___________________________________ Posterior: ____________________________________ Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. Welcome [evolutionmkt.co.za] Present health assessment including B/P and LOC and dressing. Neuro WNL, except leg pain upon movement. Fortune Salaire Mensuel de Ticketmaster Beyonce Koln Combien gagne t il Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Safety Safety Increased acuity, Physiological Impaired Gas Exchange False Senario 5 Chronic Pain False Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Ineffective breathing pattern False Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Education of Foley Cath Procedure 45 terms. Evaluate medication effectiveness Senario 5 Scenario 2 Nutrition True When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. -Assess if the contents of lunch tray are intact. Scenario 1 Neuro WNL, alert, and cooperative. Check input/output for possible dehydration Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Non-significant past medical history. Scenario 3 Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device He is married, and his wife is requesting to stay at his side. Alert and cooperative. Increased fall risk. Then the bus splashed into the river for a cruise. Fall, Risk for False Scenario 2 His original lymph node biopsy was negative. Mr. Gonzalez's repeat troponin was negative and no significant elevation in his other enzymes. Assess Obtain vital signs machine Water/Flush: There is an order to apply a waist belt restraint if needed. Safety Report to charge nurse/ head nurse the need for staff education. At Risk, Impaired Comfort False Establish second IV : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. This will treat any cancer that may have metastasized to the bone. Scenario 2 The Elbe River - hamburg.com Scenario 5 Visual assess IV D5 1/2 NS @150ml/hr. Fall Risk Increased acuity 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. Report current urinary output quantify per hour and color of urine 00 Comments Please sign inor registerto post comments. -Discuss and determine sitter availability Evaluate understanding 50% intake. Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. No Known allergies (NKA). Ms. Rails states that she has not had a bowel movement (BM) in the past two days. Scenario 4 Medical Surgical Flashcards | Quizlet Health Change Increased acuity Decreased cardio tissue perfusion: False Scenario 5 Love and belonging- Skin cool to touch and appears pale. palliative care. SBAR assignment.docx - SBAR(situation, background, - Course Hero Scenario 1 Decreased Cardiac/perfusion False Scenario 5 His orthostasis is normalized after a second liter of NS was administered. Senario 1 Swift River Medical-Surgical Flashcards | Quizlet Rapid Response team arrived including anesthesia. Impaired Mobility True Nausea: False Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. GI WNL. 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. Diet as tolerated. RLQ: RUQ: LUQ: LLQ: -Complete incident report. Alleviating Factors: Last pain medication: -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. Safety Increased acuity, Physiological Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice Scenario 3 Ruth Cummings Trustee Vice Chair Audit Chair . Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Respiratory Effort: Relaxed, Regular, Non-labored Pursed lip breathing Labored Scenario 2 Procedure is canceled for the day and rescheduled later allowing for new consent. Senario 3 -Notify charge nurse Inspect cast site Genitourinary Assessment Noncompliance False Enter the email address you signed up with and we'll email you a reset link. Escort patient Monitor and evaluate fluid intake Swift River Clinical Practice Chamberlain University - Homework Score Temperature is now 102.8. Several hours later, Mr. Duncan is now complaining of nausea. -Complete neuro checks as ordered Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Offer assistance Dr. Donofrio, Physiological She is having some difficulty breathing. Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion Visual assessment Failure to Thrive False. Constipation, risk for: True The surgeon has suggested Androgen-deprivation therapy (ADT) with surgical castration (orchiectomy). Viola Cumble Scenario 4 Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. -Evaluate patient's understanding of teaching Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Sensorium Normal acuity, Physiological 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. Wash and glove hands Iron forms a sulfide with the approximate formula Fe7S8\mathrm{Fe}_7 \mathrm{~S}_8Fe7S8. 1. Oral Care Impaired Home Maintenance management r/t client or family False 1Perform full assessment and provide anti-nausea medicine. Document results and findings Scenario 1 Acute Pain True Swift River Nursing Simulation - Homework Writing Services Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. No Known allergies (NKA). Sa fortune s lve 1 900,00 euros mensuels -Explain to patient why his throat may be sore Lithia Monson Wife at bedside. Arthur Thomason LOC Normal acuity Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Vital Assessment 0800 1200 Stoma: N/A Colostomy Ileostomy Effluent Consistency: Scenario 1 Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging Ineffective Peripheral Tissue Perfusion False Eclectic Recipes Fast And Easy Family Dinner Recipes Notify doctor for Foley catheter Robert Sturgess Scenarios Swift River.docx - Course Hero Esteem Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Nathaniel Gonzalez Seek clarification Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Teach Cameron. Scenario 5 Health Change Increased acuity Perform neuro assess Yes He asks to speak to a clergy member. Document results Encourage to ambulate with assistance to void if needed Ronald Burgundy Impaired Mobility True Scenario 3 He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. Imbalanced Fluid Volume, Risk for True Peripheral Neurovascular Dysfunction False. Senario 3 Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. except 115 pulse, which is normal for him. Safety She shares concern about patient's wife who is now coughing and having night sweats. Scenario 4 Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. Wash and glove hands Scenario 2 Combien gagne t il d argent ? No known allergies (NKA). Document results Provide verbal report to team members who respond to rapid response LUE: Non-pitting Pitting ___+ 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 The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. -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. Scenario 5 Non-significant past medical Hx. Scenario 2 Scenario 5 Nursing questions and answers. Wash and glove hands Remain with patient The patient is being prepared for discharge and his IV has been removed. Notify lead nurse/doctor -Perform admission assessment Pain Scale: 0 to 10: _______________ Powerlessness: True, Scenario 1 Consult Social Service Document results Acute Confusion True The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. Her pitcher has already been filled three times this shift. Mr. Sturgess does not have a living will or durable power of care completed. Scenario 2 Scenario 3 Document results. Scenario #3. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Ineffective Coping False You determine to apply the restraint now. In reassessing Ms. Monson, her vital signs are: BP -106/82, Temp-98.2, P-106, RR-18, SaO2-88. You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Neuro WNL alert and cooperative. Check PRN pain order Educational needs: Increased acuity Scenario 2 Today, clubs like Hamburg City Beach Club, Lago Bay, Hamburg del Mar and StrandPauli provide a relaxed summer atmosphere with a view over the Elbe. Vital signs taken by automatic B/P Cuff q 15 minutes Document and prepare to transfer to Surgical ICU Health Change Increased acuity Failure to Thrive True. Read PT report Scenario 4 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! Reassure patient of options Remind physician to wash his hands before examining the patient He also has a history of hypertension and takes Tenormin (Atenolol) and Atorvastatin (Lipitor). Educate pt regarding changes to POC -If cardiac is suspected call the provider and the rapid response team. Obtain patient record and follow patient as he is transferred to ICU Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A - Qwivy Cardiovascular has pacer with rate of 82bpm on demand. The patient is awake, alert, and oriented. Therapeutic communicationT Due to this, the provider would like him to stay in the hospital for observation. Scenario 4 Retrieve cast removal tool Diet as tolerated. Escort patient to vehicle 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. Scenario 2 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. Continent: Yes No Brief/Diaper Carlos Mancia Cardiovascular Assessment Apply oxygen Evaluate understanding Verify call light/ bed safety precautions Scenario 1 Continue.Robert Sturgess Room 305 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Dr. Altace, Physiological- Urostomy: N/A Urostomy/Ileal conduit Document results Scenario 4 Scenario 4 The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. Scenario 2 Palliative care. 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. Combien gagne t il d argent ? Obtain translator Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Peripheral Neurovascular Dysfunction False -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. Evaluate patient learning Strict I&O, regular diet, intake 50%. He has been taking his HIV medication daily. Neuro WNL. Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . Nr 325 final exam quizlet chamberlain - gqqa.wikinger-turnier.de Senario 2 John Duncan Scenario 4 Allergic to sulfa drugs. PT to educate patient Ann Rails His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. Sleep deprivation: False Impaired Home Maintenance Management r/t Client or Family False His wife tells the nurse that he seemed very distant and did not want to talk much. Localizes pain = 5 Color:__________ Deficient Knowledge True 3. The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. 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. -Take initial vital signs (room air Pulse Ox) Bleeding False Full assessment Regular diet. The cells are allowed to warm up and then are frozen again. 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours. NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. NG tube to low suction possibly D/C'd today after Dr. Levine rounds. He is restless with slight confusion but is easily orientated with attempts from nurse. Scenario 5 Color:__________ Date of insertion: _________________________ Date of dressing: _________________________________ Scenario 2 Emergency intubation and assisted breathing is provided for Mr. Thomason Offer nutrition and/ or toileting Psychological Needs Normal acuity IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Educate about recovery from appendectomy and care to wound. You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. No known allergies (NKA). Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting Shock, Risk for: False No response = 1, Range of Motion: Full, Limited Today's weight 226. Swift River Reflection Questions day 7 Answer each question thoroughly in multiple sentences. Report this activity immediately to the hospital privacy officer Grieving: True Fall Risk: Increased acuity Scenario 2 Surrounding skin: Moist/Intact Red/Erythema Irritation Scenario 3 The nurse performs tilt test, Patient vital signs lying flat, BP 118/62, P 92, R 20, T 98.5, SpO2 97. 2Provide comfort in pre-surgical room Mr. Dominec. Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch. Fall, risk for: False Acute Pain True No Known allergies (NKA). -Transport Mr. Burgundy to his room Notify lead nurse -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Temp 98, BP 114/67, P 115, RR 20, SaO2 98%. Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Respiratory Assessment Check physician orders -Check on patient/sitter hourly Offer nutrition/toilet Identify patient Love and belonging Gait: ______________________________, Skin Integrity Assessment Amount: _______ Scenario 4 Upon entering the room, you find Ms. Rails sleeping. 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. Chronic Sorrow False Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. He has a 20-year one pack history of smoking. Assess food consumption and intake and output Scenario 4 Fall, risk for: True #1: _________, No Airborne Isolation. Paul Greer Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin No known allergies. Strict I&O, regular diet, intake 50%. 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. Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Deficient Fluid Volume False Vital sign assessments Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Combien gagne t il d argent ? Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. Scenario 4 Swift River MedSurg 1.pdf - MED-SURG SCORE: 100 TIME Psychological Needs Increased acuity Perform circulatory evaluation Impaired skin integrity: False, Anxiety: True Physiological Palliative care. Fall Risk Increased acuity Wash and glove hands Sleep Deprivation False Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. -Assess patient's ABC (airway, breathing, circulation) Provide a few chairs if possible for her family to also be comfortable IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. -Instruct Mr. Burgundy and his cameraman to stop immediately -Medicate for pain The pain makes him short of breath. Scenario 2 Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. He tells the nurse he has called his wife and wants to be discharged now. Deficient Fluid Volume True Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Fall, Risk for True Document Procedure Scenario 1 Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid Begin post op education for day one -Reassess patient Inform his partner that everything is being done to keep him comfortable. Discuss follow up with his doctor. You call his doctor to inform him the family has arrived. Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Blood-tinged mucous, productive cough. Document results

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