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";s:4:"text";s:30109:"Remain with patient Senario 2 Blood Pressure, 7a-7p Total: 7p-7a Total: Evaluate learning GI WNL. Pain Scale: 0 to 10: _______________ Expresses fatigue, fear, concern, and desire for recovery. Scenario 2 Fall, Risk for True Safety Failure to Thrive True. Upon entering the room, the patient appears to be trying to get out of bed -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. High fall risk. Health Change Increased acuity Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Scenario 5 Rich Dad, Poor Dad (Robert T. Kiyosaki) The Methodology of the Social Sciences (Max Weber) Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.) . Deficient Knowledge False Patient and family upset regarding dx. Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Awaiting transport. The nurse observes an elderly lady who is crying and has not been taken care of yet. Taking HIV Meds prophylaxis. Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Administer antiemetic medication The charge nurse asks you to assume the patient's nursing care. Impaired comfort: True Aggravating Factors: The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Nausea/Vomiting: Yes No Nursing questions and answers. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Evaluate patient learning Mr. Greer has just returned from surgery. Hopelessness: True This shop has been compensated by Inmar Intelligence and its advertiser. Document results/findings Swift River Clinical Practice Chamberlain University Expert James Moore Category: Nursing Description Full Document Jose Martinez Room 301 Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain while watching a state rival football game earlier in the evening. There is an order to apply a waist belt restraint if needed. Scenario 1 Electrolyte Imbalance False Health Change Increased acuity -Assess patient LOC, by walking patient and asking them to take deep breaths. Notify doctor and charge nurse Oral Care Peripheral Neurovascular Dysfunction: False Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. Scenario 4 -Reassure patient that he will be moved to a private room as soon as possible Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. Skin warm and dry, may sit up on edge of bed today. Scenario 3 LUE: Non-pitting Pitting ___+ -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 Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. Perform circulatory evaluation 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. Noncompliance False Notify family : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. You notify the charge nurse that you have never taken part in inserting a chest tube. The 'Strandperle' (lit. Scenario 3 Some hair on the left side of his head has been burned off, as well. Scenario 5 Reapply restraints Educational Needs Increased acuity The lesion was identified as Kaposi's Sarcoma. Scenario 1 Disturbed Body Image True -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Grieving True Escort patient I need to be reporting!" 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) Strict I&O and strain all urine, filters in bathroom. Sensorium Normal acuity, Physiological Tom Richardson, 46yr-old. Vital signs are: B/P 112/78, temp. Impaired Skin Integrity, False Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. He was recently diagnosed with stage III prostate cancer. Following isolation precautions, you notice several family members are by his bedside and none of them are wearing face masks as requested by sign on door. Deficient Fluid Volume True Noncompliance True. 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. Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. Document Results, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. 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 Educate pt regarding changes to POC Assess toe movement and capillary refilling Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours. Esteem No known allergies (NKA). Palliative care. Senario 5 Scenario 3 A few hours after speaking with the sitter about the patient needing complete observation, you notice the sitter outside of the room talking on the phone. Ambulates with minimal assistance. Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. Scenario 1 Upon assessment, you determined that she is confused to person, time, and place but is easily directable. 50% intake. Notify doctor **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 . Notify lead nurse/doctor Cardiovascular Assessment Assume role in response team of documenter Remind physician to wash his hands before examining the patient Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. Needs frequent reminding due to determination to do things herself without assistance. -Set-up for stat portable chest x-ray Scenario 5 -Explain procedure to the patient Encourage fluids Notify doctor Spanish interpreter available at extension 61178. Determine clinical decisions based on listening to an audible client report. Failure to Thrive True. Impaired Skin Integrity False Do not disturb Clear liquid diet. Genitalia: WNL (skin intact, no lesions) Abnormalities Describe: __________________________ Scenario 5 Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. Offer masks to visitors IV Assessment/ N/A Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. r/o Tuberculosis. Scenario 1 Provide a few chairs if possible for her family to also be comfortable Physiological- Sa fortune s lve 1 900,00 euros mensuels Scenario 1 Notify doctor if condition is abnormal 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. -Ask Mr. Burgundy to lower his tone as it can be disturbing to other patients Swift River Medical-Surgical. -Recheck Tilts after the NS bolus is complete.T Mr. Greer has just been visited by his wife. Ineffective Coping False Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Comfort/Pain Assessment Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. The patient asks the nurse to explain about these medications and why they are in such a hurry. Place patient on PCA pump Place call light and check bed for safety -Document and contact nursing supervisor/Charge nurse Fall, Risk for True Safety You determine to apply the restraint now. It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. The patient is asking you where her son is, the last place she saw him was right before the explosion. Pulses: Strength & Symmetry Edema: Infection, Risk for False Her husband and children remain with her in the surgical holding area awaiting transport to the OR. Ambulates with assistance. 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. The oncologist is recommending Docetaxel as opposed to an orchiectomy. Rapid Response team arrived including anesthesia. Impaired Gas Exchange True Dr. Altace, Physiological- Paul Greer No response = 1, Mobility: -Restart the IV and draw CBC Scenario 1 Administer antipyretic meds Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: Acute Confusion: True His VS are BP 122/64, P 89, R 12, SpO2 93%. Sensorium: Normal acuity, Bleeding, risk for: False Scenario 5 Educate patient Full assessment Notify doctor for Foley catheter Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. Physiological- Acute Pain True When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Offer nutrition and/ or toileting Wound clean dry and intact. Ms. Rails shares with you her fear of being discharged home to an abusive husband. ExplanationAnxiety/ fear True sounds= 2 Acute Confusion False The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. Sensorium Increased acuit, Physiological river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . Deficient Knowledge False Observe closely first hour Elevate head of bed Scenario 4 Scenario 1 Prior to changing shift, you enter the patient's room to complete a full assessment, and Ms. Monson is now crying asking to for someone to take her home! Document results and findings -Obtain chest tube tray and set-up pleurovac Verify call light/bed safety precautions -Use therapeutic communication/active listening Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Fall Risk Increased acuity Fear: True 1. Notify doctor Skin warm dry, bruises on forehead with small laceration. Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Scenario 1 Vital signs- Dysfunctional Gastrointestinal Motility False RUE: ______________ LUE: ______________ Skin warm and, dry, all vital signs in WNL except 115 pulse, which is normal for him. Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. Readiness for Self-Care Enhancement True 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) Safety Decreased Cardiac/perfusion: False He has been taking his HIV medication daily. -Check on patient/sitter hourly -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. Explain to her family and provide contact information. Scenario 2 Scenario 2 Love and belonging Love and Belonging Insert Foley catheter Obtain translator Glasgow Coma Scale 0-15 Musculoskeletal -Perform admission assessment This information is HIPAA protected and you cannot share anything with them. Impaired Mobility True Fall, Risk for True Provide for physical and thermal comfort. Notify Doctor for pain medz Senario 5 Psychological Needs: Increased acuity Infection, Risk for True -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. 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. Love and belonging Extends abnormally = 2 Esteem When completing the shift change neuro check, you notice the patient's left pupil is sluggish. Secondary: Assess vital signs, auscultate heart, lungs, and bowl sounds. Sa fortune s lve 2 216,00 euros mensuels Water/Flush: No known allergies (NKA). Fall, Risk for False -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. Scenario 4 Scenario 1 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. Fatigue True Ineffective Self-Health Management True -Instruct Mr. Burgundy and his cameraman to stop immediately RUE: ______________ LUE: _____________ Impaired Mobility True -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. Vital signs -Temp 98.6, BP, Erma Willis, a 65-year-old woman with a history of adenocarcinoma and multiple past episodes of related secondary infections, was admitted to the medical-surgical unit this morning with a diagnosis, Reflective Journal VCBC Post work Cellular Regulation VCBC Post Work Start Assignment Due No Due Date Points 10 Submitting a file upload Please submit your post work to Canvas within 48 hours of, Typically the concept of cellular regulation Involves the study of cancer and related diagnoses. -Medicate for pain Begin post op education for day one The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. Remain with patient Health Change Increased acuity Full assessment Non-significant past medical Hx. Yes Productive Non-productive Describe Sputum: _______________________ Imbalanced Nutrition: True Anxiety False Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent appendectomy in the evening as soon as there is space available in the OR. Sa fortune s lve 10 000,00 euros mensuels 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 Gown and mask Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Genitourinary Assessment His difficulty voiding finally motivated him to seek care. Senario 3 Safety His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. Amount: _______ She receives the pre-op medication. No Scenario 2 Scenario 3 -Advise patient not to get up and walk on his own Love and Belonging Sit at an eye level. Neuro WNL alert and cooperative. The pathology report shows no cancerous lesions. Encourage fluids -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. Provide information for MD to call family at home and explain what has just happened The oncologist is insistent that the treatment begin immediately. Document results , a 58-year-old male patient presents to the ER CO CP 10/10. Scenario 5 Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. Request time she can arrive and staff to help with transfer Adjust crutches Skin moist, respiratory bilateral wheezes and rhonchi. Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Scenario 1 Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Bladder distention Pelvic pain Low back/flank pain Bleeding: True Self-Care Deficit: True Sarah Getts -Discuss with sitter that patient needs continual observation Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. Tom Richardson No known allergies (NKA). 1. The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. Vital sign assessments They would also like to start Radium-223. Anxiety True Urine Color: Clarity: Odor: Reassure patient and help explain any new orders from physician to patient Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Spiritual Distress False. Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. Scenario 4 Combien gagne t il d argent ? 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. Verify call light/bed safety precautions Explain reason for assessment and procedure Patient and family upset regarding dx. Verify call Light/bed safety precautions Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Neuro WNL's, alert and cooperative. Scenario 1 156 terms. Impaired comfort: True Leave to break room and not continue in conversation. -Notify charge nurse of patient's deteriorating condition IV NS is started, and lab work is sent. Scenario 2 Scenario 3 Use therapeutic communication/Active Listening He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. -Complete full assessment, to include neuro Scenario 2 Senario 2 -Evaluate patient's understanding of teaching palliative care. Deficient knowledge: True Sleep Deprivation False. No known allergies (NKA). Psychological Needs Increased acuity You notice she is crying and is expressing fear that she "will always have this pain and numbness" and she doesn't think she can cope. Physical Mobility, Impaired True Full assessment of patient. Scenario 4 Self-Care Deficit False The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Administer PRN constipation medications Notify lead nurse/doctor Grieving: False. Scenario #3. Check PRN pain order Include patient condition change in shift report Compromised Family Coping: False After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. She has just been transported from recovery. Release restraints/full range of motion Provide comfort in pre-surgical room Mr. Dominec. Scenario 5 Bleeding Risk for: False Safety Increased acuity, Physiological Offer nutrition/toilet Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion This will treat any cancer that may have metastasized to the bone. Assess Sleep deprivation: False Senario 3 Continue.Robert Sturgess Room 305 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. He does not want to return to the nursing home, and does not wish to burden or live with his children. LOC Normal acuity Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). Paul Greer Scenario 1 Document results Bleeding, Risk for True Scenario 2 Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown Document results Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Ineffective airway clearance True Notify doctor 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. He is having some difficulty hearing and complains of ringing in his ears. He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. -Ensure there is suction in the room, and check Oral Mucosa: Tongue: Teeth: Document results Health Change: Increased acuity But that's changing. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Document results. Scenario 1 Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting 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. Grieving False Chronic Confusion False At Risk, Impaired Comfort False Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch. Decisional Conflict False His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" Scenario 5 Scenario 3 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 Health Change Increased acuity Pain Level Normal acuity Wash and glove hands He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Vital assessment Iron forms a sulfide with the approximate formula Fe7S8\mathrm{Fe}_7 \mathrm{~S}_8Fe7S8. Vital Assessment 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. 97.4, Resp 16 and Pulse Ox 94%. Scenario 2 Imbalanced Fluid Volume, Risk for True 45 terms. Senario 2 Dr. Brown, Educational Needs Increased acuity Safety- Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Document results He has a 20-year one pack history of smoking. Scenario 3 Scenario 5 Scenario 4 The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Senario 4 Biopsies were sent to determine the treatment. -Complete incident report. Bleeding, Risk for True Report this activity immediately to the hospital privacy officer Imbalance nutrition: True Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need Fall, Risk for True Explain to Mr. Dominec your concern for this opportunistic infection and usual treatment. Also worth mentioning is the 'Alter Schwede' - a 217t . Skin warm dry, bruises on forehead with small laceration. Palliative care. -Continue to observe urine for hematuria and document findings Verify call light/ bed safety precautions Amount:________ Respiratory Rate: WNL Tachypnea Bradypnea Ineffective Airway Clearance True Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Stat lithotripsy treatment ordered. His overall health is good, and he has known he has been HIV positive for the past five years. Arthur Thomason Multiple abrasions, bruising Head, chest, and inner thigh. Tear, Ecchymosis, Contusions, Bruising Re-assess patient Deficient knowledge: False Scenario 3 Dr. Anderson, Educational Needs Increased acuity Pain Level: Increased acuity -Remove the dinner tray and make sure the diet is soft food. Therapeutic Communication IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Your coworkers are asking you questions about Mr. Dominec. Assist patient Safety- He also states he is feeling weak. Full assessment Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. The patient describes this pain as a heavy pressure with intermittent stabbing. Evaluate understanding. Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. Scenario 5 -Check patency of Foley catheter, urine color, and ensure it is secure to the patient's leg Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. Widespread Color Change: N/A pallor cyanosis jaundice erythema Visual assess Dr. Suculo, Physiological Notify Physical Therapy (PT) You discuss this cough with Mr. Dominec to determine how long he has had it. Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. You are now preparing for discharge, place steps in order: Senario 1 Educate patient regarding condition Dr. Donofrio. -When the HCP arrives, stay in the room to determine whether you can continue care with the patient Wash and glove hands Combien gagne t il d argent ? Electrolyte Imbalance True Blood, Glucose 185, 4 units of insulin sliding scale for coverage. Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10. Fatigue True Sleep Deprivation False Chronic Sorrow False Bleeding False Provide verbal report to team members who respond to rapid response He is currently febrile with temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound tenderness in right lower quadrant, has elevated WBC's and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. Scenario 3 He is questioning the nurse as to why he has been admitted for heartburn. Shock False If patient statement differs from the surgical consent she has signed, notify surgeon immediately Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Scenario 4 Cardiovascular has pacer with rate of 82bpm on demand. It is now the second day post op and he is given discharge information. Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Week #7 Assignment - Incentive Spriometer . Pain re-assessment Check surgical consent for correct procedure and make sure operative site in marked. Imbalanced Nutrition True Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Nathaniel Gonzalez Mr. Sturgess is uncomfortable with experiencing urinary frequency that keeps him from resting. 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. Impaired skin integrity: False, Anxiety: True Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Scenario 2 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! Non-significant past medical Hx. Scenario 2 Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Fear True -Reapply the NC that he was admitted with at 2L Educate patient/family Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Fall, risk for True Normal Sinus Rhythm on telemetry. Document Results/Findings Fall Risk: Increased acuity IV D5 1/2 NS @150ml/hr. -Explain to the patient that he has a procedure, and he cannot eat. Impaired mobility: False Health Change Increased acuity Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive All opinions are mine alone. Full assessment including both lying/standing He also complains that his throat is still very sore. 3. Respirations Disturbed Sensory Perception False Impaired Mobility False Pain Level Increased acuity Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. ";s:7:"keyword";s:27:"robert sturgess swift river";s:5:"links";s:633:"The Glass Menagerie Laura Unicorn Quotes,
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