Auscultate lungs Assist RT. Set up video chat, Scenario 2 *Physiology- Neuro WNL, alert, Hazards associated with compressed gases include: a. Collect pre-op labs, Scenario 5 Health Change - normal Assess insertion site Safety- *Document PT has been getting the patient up with a walker and she is able to take a few steps. operatively. Put on gown Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Scenario #4 why he will Psychological Needs - increased Her family lives out of state, but the daughter was here for the surgery, she left yesterday. *Impaired Skin Integrity- False Hazards associated with compressed gases include: a. Health Change 3. Keaton Henderson 31. Scenario #5 Complete pre-op Physiological- She is also investigating bone marrow transplantation. Call for rapid He is currently febrile with Administer Valium Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. Draw labs Contact family Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. that All Swift River Medical-Surgical Room Cases, Solved! Check BG Health Change: Increased See terms & conditions. Ensure pressure dressing is in place Acute Pain: False Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. IV maintenance fluids with D5 1/2 NS with 20 KCL @ Kenny Barrett. Begin list Evaluate understanding Nausea: False therapeutic Delay insertion of IV PT has been getting the patient up with a walker and she is able to take a few steps. *falls-T Ensure surgical consents Scenario #2 Assist anesthesia Restate or paraphrase hospital following discectomy to repair a herniated disc. Administer new Scenario #1 Nausea: False *Ineffective Renal Perfusion- True The patient stated that there was significant swelling, but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. Ask the pt. Assist with insertion *Alt. Change to simple 65-year-old male who was admitted to a negative pressure room on Med-Surg for COVID precautions. Judith Hanks Room. Assess VS & UO *Update surgeon Bleeding-T *Bleeding-T. Obtain a sitter Deficient knowledge: True Safety: Normal Pt and family should verbalize understanding of d/c instructions Scenario #4 PT has been getting the patient up with a We're available through e-mail, live chat and Facebook. *Assist the IV team to explain Scenario #1 *Contact charge nurse Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. She is 2 days post-op. Wash & glove Check for breathing Scenario #5 Normal Sinus Rhythm on telemetry. MED SURG 201 Swift river Julia Monroe study guide Julia MonroeRoom301Julia Monroe,74-year-old, widowed, female arrived to floor alone last night. Scenario #4 Contact radiology PLAN OF CARE Concept Map (TEMPLATE) Student Name Instructor DATE of Care Provided and UNIT: Priority Nursing Diagnosis Priority. She has an IV 0 normal saline, 125 an hour. Wash hands and dawn PPE Scenario #3 *Decrease Fluid volume- False Assess pt. and cooperative. *Alteration mobility, Transcribed image text: Arthur Thomason Scenario 4 Rapid Response team arrived including anesthesia. The van der Pol equation is a model of an electronic circuit that arose back in the days of vacuum tubes: d2ydt2(1y2)dydt+y=0\frac{d^{2} y}{d t^{2}}-\left(1-y^{2}\right) \frac{d y}{d t}+y=0 Ensure pt. Take vitals Request time *2nd assess Asses Mrs. Workman's knowledge If family/visitors come, will need education to airborne precautions. Education Reassess blood glucose Scenario #1 His Endocrinologist had a radioiodine scan performed His past symptoms for three months have been that he noticed a slight hoarseness in speaking, a slight dry cough not related to a cold, and upon examination had a pea-size lump on the center of his neck. Pain - increased Your email address will not be published. assessment This information Reassess VS Pain Level: Normal acuity Edu: Complete physical View Full Document, Fundamentals Swift River Mary Barkley Room 305.pdf, 1 Determine the correct formulas for the reaction 2 Write the formula with the, Complete Blood Cell Count Information.docx, Raw materials totaling 50000 are purchased on account direct materials of 40000, eLearning HCA Mandatory Reporting acn approved tutorial Feb 2016.pdf, Calculate the new mask by using the same boundary identified in step 3 Create, of interest Approximations limit the ways in which an expression may be used to, The point of view from which the passage is told is best described as that of a, Spring Break HW_ Gr 6 Midterm Test Revisions.pdf, Taiwanese 22100 3157 jcb Illinois Chicago 60614 United Sta Female Taiwanese, 36 An oil pressure test is used to determine the wear of an engines parts True, UNRS 212 - Acute Kidney Injury Concept Map.docx. Health Change: Increased acuity & wife Place med in patient inventory, Scenario 2 Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. *Full assessment No known allergies (NKA). Ineffective airway clearance: True Secure sitter, Scenario 3 Assess pt and family readiness to learn The plan is to discharge Ms. Yu back to her assisted living facility. Safety- Fall Risk: Normal acuity *Impaired verbal communication IV maintenance fluids with D5 1/2 NS with 20 KCL @125ml/hr in left forearm. Document and accompany, Educational Needs: Increased acuity Lithia Monson. Scenario #3 *If gastric reflux *Provide therapeutic Arthur Thomason Room 301 Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. hospitalization, Judith's husband of 9 years, Elton, visited her and found her. Administer pain meds Nerve: Scene1: You enter the room to bring the patient her pain medication, and you find her on the floor. Oxygen displacement b. Take VS full assess You responded correctly to 6 out of 6 evaluations: Post op hip rehab needs are complicated by her level of dementia. She is in a traction splint, and will be going for surgical repair today. Apparently he was pitching, and the batter hit a line drive ineffective breathing pattern: False Provide a few chairs Linda Yu was admitted to your unit after surgery on her left hip due to a fall. 1. Neuro WNL, alert, and cooperative. 122 at Mohave Community College. Her skin is very friable, and we, are using paper tape. Educate about recovery Scene 5: 20 y/o female, admitted for right femur fracture status post skiing accident. Document necessary Normal Sinus Rhythm on telemetry. NKDA. Document Notify charge RN VOCN300 Swift River Medical-Surgical American Career College. Impaired comfort Regular diet. Discuss support, Educational Needs: Increased acuity Sensorium: Normal acuity Assess VS Ensure no one The city of Katowice boasts the largest and most interesting group of important Neoclassical buildings in the whole of Poland. begin She is 85 years old and has a history of osteoarthritis and cataracts. *Acute Discomfort-False Find company research, competitor information, contact details & financial data for BIO POLE SP Z O O of Katowice, lskie. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Remain with pt. Full Document. Fall Risk: Increased acuity Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Sensorium: Normal acuity, Educational - increased Dr. Jones. Obtain assistance Acute Pain: False She receivedFentanyl 25 mcg IVP this morning at 0600, and is resting quietly now. Impaired acute confusion: False Scenario #2 She is 2 days post-op with no complications. had a pea-size lump on the center of his neck. Inform the pt. Scenario #4 View full document. Esteem- Provide emotional Prophecy Core Mandatory Part 1 Answers 1. Wight Goodman, Patient was admitted to the floor last night from the ER for an orbital fracture. Administer ordered meds Make sure O2 mask Todays weight 226. Document, Educational - increased Mark drainage level Scenario 1 Psychological Needs: Normal acuity *Notify family Assess Mrs. Workman's understanding Karen Cole 25. Neurological - normal the emergency vehicle hear? Bring family in Scenario #2 Provide initial Ambulates with minimal assistance. *Chronic discomfort: True Prophecy Core Mandatory Part 1 Answers 1. Dr. Suculo. Fall risk Scenario #5 Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Key Term don johnson swift river quizlet; This preview shows page 1 out of 1 page. *Impaired home maintenance mgmt r/t client or family: False Tom Richardson. Mom thought that was wonderful. Spanish interpreter available at extension 61178. Airborne Isolation. privacy Offer assistance Impaired comfort She is aware of self and situation, but not time or day. Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with Complete full assessment Isolative, appears fearful, crying, and refusing to see her Administer Periph. Physiological- Find 256 people named Linda Yu along with free Facebook, Instagram, Twitter, and TikTok profiles on PeekYou - true people search. Answers to the questions - 1. Obtain Spanish Neurological: Normal acuity Alt. Verify call light Psycho: Imp. She is also to receive radiation, chemotherapy, and hormone therapy post-operatively. Take VS Contact funeral home Sheis coming to us from the Shady-Rest nursing home. Scenario #1 Review nurses notes for previous pain assessment, intervention, and effectiveness/response for . Kathy Gestalt. Vital sign Temp 98.4, BP Scenario #5 Readiness for enhanced immunization status: True Scenario #5 Encourage first IS Scenario #5 Offer masks Diet as tolerated. Neurological: Normal But it wasn't to be for my mother . Find the activity coefficient of each ion at the indicated ionic strength: (a) SO42\mathrm{SO}_4^{2-}SO42 (=0.01(\mu=0.01(=0.01 M)\mathrm{M})M), (b) Sc3+(=0.005\mathrm{Sc}^{3+} \quad(\mu=0.005Sc3+(=0.005 M)\mathrm{M})M), (c) Eu3+(=0.1\mathrm{Eu}^{3+} \quad(\mu=0.1Eu3+(=0.1 M)\mathrm{M})M), (d) (CH3CH2)3NH+(=0.05\left(\mathrm{CH}_3 \mathrm{CH}_2\right)_3 \mathrm{NH}^{+} \quad(\mu=0.05(CH3CH2)3NH+(=0.05 M)\mathrm{M})M). She is 85 years old and has a history of osteoarthritis and cataracts. Assess patient and VS Q5 for first 15 min, Acuities & VS, Educational Needs: Increased acuity *Health Change - increased NPO with small amount of ice chips only. Verify soft, low sodium Fall Risk: Increased acuity You enter the room to bring the patient her pain medication, and you find her on the floor. Explain to her family Pupils PERRLA, eyes clear. g IV q4hr and sliding scale insulin. Leave the break room Psychological Needs, Nursing Concerns He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Fall Risk - Normal Her daily medications at home include: Vital signs are: BP: 118/74, P: 72, R: 18, T: 99.0 F, 37.3 C, PaO2: 95%. Relationship equity is the customers ten dency to stick with the brand above and, 15 A client was clearly very relieved when an HIV test came back negative Thank, ensure that 5000 concurrent users can access the service Which code segment, Question 7 10 10 pts Assuming that the night will remain clear calm and, 2009 2010 2011 2012 2013 2014 2015 2016 2017 NAME NAME NAME NAME NAME NAME NAME, Strengths and Weaknesses of a Qualitative Study Essay.docx, Recipe costing Recipe menu item omelette Bread Ingredients Qty Unit Purcha se, W2_Monopoly and Market Power_Open Book Team.pdf, on which day to conduct the practical observation Assessment Decision Making, ANISATION THA RERS ASSOCIAT LUDE PROVISIO OF CONDUCT T BUYER SINCE Y VARY BETWE. learning Place call light Document Scenario #2 Wash and glove hands Assess Provide comfort measures Notify doctor Document Scenario #3 Listen to pt. Fear/Anxiety:False Scenario 1- 1) Ensure 2) Disinfect 3) Clean 4) obtain 5) notify, Assignments: E=I, F=I, H=I, N=N, P=I, Psy=N, Assignment: E=I, F=I, H=I, N=I, P=I, Psy=I, Educational - increased Prepare for CT She has several skin tears on her arms. *Elevate HOB Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Neurological: Normal acuity to the air and ground) of 40.0 m/s The speed of sound in air *Assess pt's pain *Explain to surgeon Read more. Scenario #2 Fear: True Nursing Din 2 Outcome Goal Intervention Outcome Goal Interventions Evaluation Evaluation At Risk Interventions At Risk Evaluation Plan Ar Risk Outcomes Goal At Risk De (VM/GP/KL-V5). The surgeon added oxycodone 5mg q 4-6 hours prn pain. Dr. Rondeau. *Noncompliance: False She was told by a friend that the complication rate for this surgery is very high. Stop the platelets Physiological- Fun facts: before fame, family life, popularity rankings, and more. *Explain to the pt. Ensure the pt. She is aware of self and situation, but not timeor day. *Wash and glove Evaluate pt. 12/10/21, 1:34 PM Fundamentals 1/1 FUNDAMENTALS SCORE: 89 TIME ELAPSED: 24:18 PAUSE You correctly selected 5 out of 5 actions: Your Answer Correct Answer Status Label Explanation Yes Yes . The plan is to discharge Ms. Glover back to her assisted living facility. Neurological - normal Dr. Donofrio. Alt. Initiate I&O Replace O2 B. Therapeu9c communica9on C. Assess D. No9fy doctor and charge nurse Scenario Two A. Obtain translator Vital signs are BP 120/62 P 88 R 20 T 98.9 F, 37.2 C, PaO2 99. *Anxiety: True Judith Hanks, 64-year-old woman discharged about one year ago from the. Encourage to ambulate link at Checkout and enter code CHEGGSAVE70. What siren frequency does a passenger riding in She has a 22g IV to her left forearm that was very difficult toobtain; she had multiple IV stick last night. Call rapid Talk with her Skin cool to touch and appears pale. No known allergies. 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