Skin warm dry, bruises on forehead with small laceration. Evaluate learning Compromised Family Coping False Ineffective Coping False Notify family as to when they may come and visit. -Inform patient to not get out of bed without assistance and place call light in reach Amount:________ Sleep deprivation False Document results Scenario 5 RUE: ______________ LUE: _____________ Remain with patient and reassure Palliative care. Pain Level Increased acuity Discharge instructions Carlos Mancia No known allergies (NKA). Scenario 4 Obtain vital signs machine -Reorient Patient to person, place, & time The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Perform full assessment and provide anti-nausea medicine. It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump Scenario 3 3. 45 terms. Use therapeutic communication/Active Listening Disturbed Sensory Perception False Encourage to ambulate with assistance to void if needed Toggle navigation Swift River. -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall Procedure is canceled for the day and rescheduled later allowing for new consent. Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Hep-Lock in place left AC. Noncompliance True Paul Greer Dr. Donofrio, Physiological Self-Care Deficit True Determine clinical decisions based on listening to an audible client report. Diet as tolerated. Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin Fall, Risk for True Allow family to remain sounds= 2 Perform neuro assess Compromised Family Coping False Chronic Pain False Other: _______________________________ As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Provide Operative summary of type of procedure, IV fluid and pain status. He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Fall, Risk for True Excess Fluid Volume, Risk for False Scenario 2 Scenario 4 Health Change: Increased acuity Regular diet. Medical-Surgical - Swift River Online Learning -Medicate for pain Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive Because of the fall the provider has recommended that he stay in the hospital another night. After 3 hours, Ms. Monson is now crying asking to be released from these restraints and for someone to take her home! Scenario 4 An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Elevate head of bed Sensorium: Normal acuity, Bleeding, risk for: False You discuss this cough with Mr. Dominec to determine how long he has had it. After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. Skin warm and dry, all vital signs in WNL 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 It was diagnosed by a portable X-ray and quickly splinted by the ER staff. -Transport Mr. Burgundy to his room -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon Perform circulatory evaluation Extends abnormally = 2 Scenario 1 Administer antiemetic medication Paul Greer Scenario 3 Fortune Salaire Mensuel de Nba 2k23 Pc Review Combien gagne t il d Connect telemetry Urination: WNL Burning Frequency Urgency Oriented to: Person Place Time palliative care. Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Dysfunctional Gastrointestinal Motility False Document results Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) Diet as tolerated. A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. Crutches at bedside adjusted for height. Review pain medication order Use therapeutic communication/active listening Multiple abrasions, bruising Head, chest, and inner thigh. -If cardiac is suspected call the provider and the rapid response team. Medical Surgical Flashcards | Quizlet Use therapeutic communication/Active Listening You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. -Complete neuro checks as ordered Scenario 2 Adjust crutches Mr. Richardson is now pain free and questioning why he is plagued with recurring urinary stones. Acute Confusion: True Glasgow Coma Scale 0-15 Musculoskeletal Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook -Reassess patient q 5 minutes until awake, then 15 minutes until they are fully awake (not Drowsy). Don Personal Protective Equipment Grieving: False The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). Perform circulatory evaluation 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. 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 5 Scenario 4 Fortune Salaire Mensuel de New King James Bible Download For Windows 7 Educate patient regarding patient care Scenario 3 Deficient Knowledge True -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. Non-significant past medical Hx. Use therapeutic communication/Active Listening -Call security for assistance and compliance officer Therapeutic communication. Document pt's statements. Solved nursing care plan for Linda Pittmon, a 74 -year old - Chegg Educate patient/family Esteem Neuro WNL alert and cooperative. ADA diet, intake 25%. Hypothermia False Notify family Fall Risk Increased acuity IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. The patient describes this pain as a heavy pressure with intermittent stabbing. Insertion Site: Dry/Intact Redness/Erythema Drainage Tenderness Maceration Safety The 'Strandperle' (lit. Nausea: False Dr. Altace, Educational Needs Increased acuity Therapeutic Communication Bleeding: True IV D5 1/2 NS @150ml/hr. He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. Administer PRN constipation medications Encourage Mr. Dominec to discuss with his partner his best treatment options. Bed Bath: Assist or Total Neuro WNL alert and cooperative. You explain that he is receiving a higher level of care and was he was sedated before leaving the floor to make him more comfortable. Re-assess patient **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 (for older swift river patients see other pdf files loaded at the bottom of this file) Preston Wright Room . Verify Call Light/Bed Safety precautions Disoriented, confused = 4 Skin integrity, impaired True -Contact HCP to determine when they are available to speak with the patient When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. 0800 1200 You correctly diagnosed 11 out of 16 options. Skin warm and dry, may sit up on edge of bed today. The lesion was identified as Kaposi's Sarcoma. Psychological Needs Increased acuity jessdevan. Scenario 1 4Inform his partner that everything is being done to keep him comfortable. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Gastrointestinal Assessment Nursing questions and answers. Eclectic Recipes Fast And Easy Family Dinner Recipes All our products can be personalised to the highest standards to carry your message or logo. 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. Psychological Needs Normal acuity Document results and findings Failure to Thrive True. 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) Notify doctor if condition is abnormal No Known allergies (NKA). Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. Fall, Risk for True They would also like to start Radium-223. Awaiting transport. You notify the charge nurse that you have never taken part in inserting a chest tube. No response = 1, Mobility: Ineffective Airway Clearance True Scenario 4 You determine to apply the restraint now. Observe closely first hour No weight bearing today. Activity as tolerated with assistance. DOCX Swift River Online Learning - Taxonomy Decreased Cardiac/perfusion: False The oncologist is insistent that the treatment begin immediately. Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Explain to Mr. Dominec your concern for this opportunistic infection and usual treatment. Ms. Rails states that she has not had a bowel movement (BM) in the past two days. 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. Deficient knowledge: True Yes Leave to break room and not continue in conversation. Notify housekeeping. Sleep Deprivation False. Deficient Knowledge False Seznam uivatel, kte vlastn, prodvaj nebo shnj film. -Medicate for pain Impaired Skin Integrity, Risk for True Bleeding, Risk for: True Replace oxygen nasal cannula that had become disconnected Bleeding False Acute Pain True Safety Fall Risk Increased acuity Love and Belonging Encourage fluids/fiber/ambulation No known allergies. -Remove the dinner tray and make sure the diet is soft food. Psychological Needs Normal acuity -Explain to patient why his throat may be sore Scenario 4 Deficient knowledge: False Assess for bowel sounds 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. Upon entering the room, you find Ms. Rails sleeping. Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid She is having some difficulty breathing. Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. Safety- -Have patient remain in bed, head elevated 30 degrees What order are you providing the information to the receiving nurse? When the nurse enters the room later that day to inform him that the procedure is scheduled for 1430, they see Mr. Gonzalez is sitting in front of a lunch tray. Notify lead nurse/doctor Scenario 1 Escort patient to vehicle Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Obtain and provide the infectious disease doctor's contact information for him. Safety Love and Belonging -Continue to observe urine for hematuria and document findings Ms. Getts is requesting water to drink.

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