Scenario 3 Contact dietary consult He also complains that his throat is still very sore. Educational Needs Increased acuity Mr. Dominec had his surgical procedure and is doing great. -Use therapeutic communication/active listening Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. Determine clinical decisions based on listening to an audible client report. Fall, Risk for True Sensorium Normal acuity, Physiological Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. List the nursing care order. Self-Care Deficit True Document results and findings Pain Level Increased acuity Use therapeutic communication/Active Listening Imbalanced Nutrition: True Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Upon entering the room, you find Ms. Rails sleeping. Request sitter/family member to bedside Diet as tolerated. Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Bleeding: True Scenario 5 He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. You, his prior nurse, notice the family and respond to them. Perineal Care Consult Social Service Fall, risk for: False Scenario 1 -Take initial vital signs (room air Pulse Ox) Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Dr. Altace, Educational Needs Increased acuity -Attempt to orient to person, place, and time Grieving: False. Family in room with patient very concerned. Airborne Isolation. Assist patient He was initially sedated with versed 2mg, and Fentanyl 100 mg by the EGD nurse, but the patient was not tolerating the procedure, so anesthesia was called to administer propofol. Capillary Refill: _________ seconds Health Change Increased acuity Impaired Mobility False The surgeon has just visited with Mr. Greer 2-days post op and has informed him that the lymph node biopsies have confirmed that the cancer has metastasized, and he will need further treatment. Grieving False Scenario 1 -Discuss effectiveness of sitter Psychological Needs Normal acuity Release restraints/full range of motion Read PT report Scenario 5 Decreased Cardiac/perfusion False Document and provide copy for Mr. Dominec to share with his follow up appointment tomorrow. Palliative care. No Known allergies (NKA). -Assess patient's understanding of the teaching and discuss home support, os de la main et de la ceinture pelvienne, Julie S Snyder, Linda Lilley, Shelly Collins. The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. Nutrition True Ambulates with assistance. Flexes abnormally = 3 Urination: WNL Burning Frequency Urgency Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage Imbalanced Nutrition True Acute Confusion False Mr. Richardson is now pain free and questioning why he is plagued with recurring urinary stones. 97.4, Resp 16 and Pulse Ox 94%. Senario 5 All our products can be personalised to the highest standards to carry your message or logo. Linen Change Ronald Burgundy Discharge instructions Mrs. Smith's surgery has now ended. You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." She is having some difficulty breathing. He asks to speak to a clergy member. Fall, Risk for False Perform circulatory evaluation Blood Glucose 185, 4 units of insulin sliding scale for coverage. Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage Pain Level Increased acuity The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. There is an order to apply a waist belt restraint if needed. Scenario 4 Our Swift River Simulations are designed to help students and practicing nurses master their skills of Prioritization, Delegation, and Sequential thinkingwithout the requirement of being onsiteor even having to download software. Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Failure to Thrive False. Tap patient and ask, "Are you okay?" Sa fortune s lve 2 000,00 euros mensuels Contact charge nurse. Notify doctor if condition is abnormal You enter room one hour after the physician has left the patient. Disturbed Sensory Perception 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. -If gastric reflux is suspected administer PRN antacids (GI cocktail) Senario 4 Scenario 1 Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. 156 terms. Discuss his understanding about the plan of care. Impaired comfort: True Safety Need frequent reminder to stay in room and maintain mask precautions. Emergency intubation and assisted breathing is provided for Mr. Thomason Impaired Home Maintenance Management False His coughing, to clear his airway, appears ineffective. Vital signs taken by automatic B/P Cuff q 15 minutes Scenario 4 Remain with patient and reassure 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. Awaiting transport. Temperature is now 102.8. LUE: Non-pitting Pitting ___+ NPO with small amount of ice chips only. Respirations Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion Scenario 5 Failure to Thrive True. Bladder distention Pelvic pain Low back/flank pain Scenario 1 You correctly diagnosed 11 out of 16 options. Sleep deprivation: False -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. DSD (dry sterile dressing), forehead laceration clean and dry intact. When a physician makes an incision into a body cavity just superior to the diaphragm and inferior to the neck, what body cavity will be exposed? Infection, Risk for False Administer antipyretic medication The heartburn has become worse since he started treatment for his URI. Scenario 5 Fear/Anxiety True. Scenario 1 The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. -Advise patient not to get up and walk on his own Stoma: N/A Colostomy Ileostomy Effluent Consistency: An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Clinical 2. Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice Scenario 2 The pain makes him short of breath. Check surgical consent for correct procedure and make sure operative site in marked. You are about to call the Surgical ICU and give report. The pathology report shows no cancerous lesions. Use therapeutic communication/Active Listening Replace oxygen nasal cannula that had become disconnected You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Safety Increased acuity, Physiological Blood-tinged mucous, productive cough. Scenario 3 Obtain patient record and follow patient as he is transferred to ICU -Evaluate patient's understanding of teaching Start secondary large bore IV line Constipation False Provide comfort measures No Known allergies (NKA). Full assessment Reasses temp in 1 hour. He insists that he is not hungry and refuses assistance with his meal. Full assessment Full assessment : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Scenario 4 Obtain translator ADA diet, intake 25%. You call his doctor to inform him the family has arrived. Nathaniel Gonzalez Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. You discuss this cough with Mr. Dominec to determine how long he has had it. Check monitor Crutches at bedside adjusted for height. Give verbal report Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. -Elevate head of bed and place the patient on Pulse oximetry. Impaired skin integrity: False, Anxiety: True Physiological- No known allergies (NKA). Fall Risk Increased acuity Increased fall risk. Ms. Gestalt is now complaining of fever and chills. Apply restraint Deficient knowledge: True Some hair on the left side of his head has been burned off, as well. Scenario 2 Health Change Increased acuity Seek clarification Mrs. Pittmon states she has had numbness for years but "now I can't . Assess Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Notify lead nurse/doctor Nausea False Disturbed body False sounds= 2 Bowel Movement Total: x________________, Hygiene Times Renal diet. Impaired Urinary Elimination True Psychological Needs: Increased acuity They would also like to start Radium-223. Vital assessment Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. Health Change Increased acuity Scenario 4 LOC Normal acuity Adjust crutches They were also concerned about the next patient going into that room and the use of the lavatory. Full assessment Reassure patient of options Amount: _______ -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall Scenario 3 -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. Your coworkers are asking you questions about Mr. Dominec. student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. Scenario 3 When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. Inform his partner that everything is being done to keep him comfortable. Upon entering room, you wash/glove hands. Ms. Rails states that she has not had a bowel movement (BM) in the past two days. 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 Scenario 4 Palliative care. Ineffective Airway Clearance True Document findings Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. 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