Diet as tolerated. Document results Evaluate understanding 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.) . Full head to toe neuro assessment. Scenario 2 Neuro WNL alert and cooperative. Scenario 2 This will treat any cancer that may have metastasized to the bone. Scenario 4 Scenario 5 Apply nasal cannula You are the now the Surgical ICU nurse assigned to her. Use therapeutic communication/active listening Lithia Monson Pulses: Strength & Symmetry Edema: Ruth Cummings Trustee Vice Chair Audit Chair . Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Safety Increased acuity, Physiological Incomprehensible Document results ADA diet, intake 25%. The charge nurse tells you to get the Mr. Burgundy to the hallway because six more patients are inbound, and we need to clear out our trauma-bays. DSD (dry sterile dressing), forehead laceration clean and dry intact. Urination: WNL Burning Frequency Urgency Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. -Perform admission assessment Don Personal Protective Equipment The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Bleeding, Risk for True When the HCP realizes who he is, he tells the nurse to move the patient in the treatment room down the hall and put Mr. Burgundy in there. Scenario 4 Full assessment Powerlessness True. Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Sleep deprivation False You explain that his condition has worsened and now he has been taken to ICU. Notify lead nurse/doctor Senario 4 Infection, risk for: False. No known allergies (NKA). Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. 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. Fall, risk for: True Verify call light/bed safety precautions Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Pain Level Increased acuity Fatigue True Health Change Increased acuity Notify doctor Document results Esteem Allow husband to come into recovery for a quick one-minute visit. Full assessment 1. Obtain patient record and follow patient as he is transferred to ICU Sleep Deprivation False Fortune Salaire Mensuel de New King James Bible Download For Windows 7 Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + Peripheral Neurovascular Dysfunction False. Mrs. Pittmon states she has had numbness for years but "now I can't . Senario 2 Impaired Skin Integrity False Document results and findings Strict I&O, regular diet, intake 50%. Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. Senario 2 We have more than 20 years' experience in the industry providing a quality service to our clients We pride ourselves on our customer-orientated service and commitment to delivering high end quality goods within quick turnaround times. Assessment of bowel movement Scenario 1 Hopelessness: True No known allergies (NKA). Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Senario 3 Full assessment Hypothermia False Teach patient about safety when getting out of bed Report and document results 3. Mr. Duncan's wife meets you in hall asking what she could bring her husband to eat from home. Wife at bedside. Assist patient Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. -Restart the IV and draw CBC -Complete full assessment, to include neuro -Notify charge nurse of patient's deteriorating condition Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. 0800 1200 Scenario 3 Offer assistance Bleeding: True Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Swift River Clinical Practice Chamberlain University - Homework Score Document findings Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook Verify call light/ bed safety precautions Scenario 5 Your coworkers are asking you questions about Mr. Dominec. Nutritional Intake: Adequate Inadequate BMI: Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Compromised Family Coping False and the GI cocktail given in the ER did relieve his CP but not completely. Noncompliance False Scenario 5 Alert and cooperative. Provide a few chairs if possible for her family to also be comfortable Scenario 2 Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: Emergency intubation and assisted breathing is provided for Mr. Thomason -Assess for fall risk The nurse observes an elderly lady who is crying and has not been taken care of yet. -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need Urostomy: N/A Urostomy/Ileal conduit 00 Comments Please sign inor registerto post comments. The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. She has been admitted to the floor with complaints of numbness in her right foot and ankle. Deficient Knowledge False Scenario 5 The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). Educate patient Fear/Anxiety True. Refer call to contact health department Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Impaired Urinary Elimination True The surgeon has suggested Androgen-deprivation therapy (ADT) with surgical castration (orchiectomy). Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown Contact Social Services If patient statement differs from the surgical consent she has signed, notify surgeon immediately Encourage fluids Fall Risk Increased acuity Scenario 3 Scenario 4 Scenario 5 Disoriented, confused = 4 Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage Mr. Sturgess does not have a living will or durable power of care completed. Bowel Movement Total: x________________, Hygiene Times Scenario 2 Suprapubic Insertion site: WNL S/S Infection : ____________________ Provide information for MD to call family at home and explain what has just happened Psychological Needs Normal acuity Anxiety True Safety Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Tap patient and ask, "Are you okay?" Vital assessment Call Rapid Response protocol initiated Scenario 4 Scenario 3 His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. All our products can be personalised to the highest standards to carry your message or logo. Safety Document results Swift River Med Surg Scenarios Answers - Homework Score She has received a dose of Hydrocodone for PRN pain 20 minutes ago. Flexes & withdraws = 4 After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. Health Change Increased acuity Acute Pain True Ask patient to explain to you what procedure she was expecting to have this morning. Senario 3 VS: BP 158/90, HR 89, R 18, T 97.8 F. Document pt's statements. Scenario 1 Skin cool to touch and appears pale. Deficient Knowledge True Employ therapeutic communication: present reality Notify lead nurse/doctor Fortune Salaire Mensuel de Ticketmaster Beyonce Koln Combien gagne t il Contact dietary consult Psychological Needs Increased acuity Shock False Aggravating Factors: No known allergies (NKA). The oncologist is recommending Docetaxel as opposed to an orchiectomy. The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. Use therapeutic communication/Active Listening Request sitter/family member to bedside -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon Document results Imbalanced Nutrition False Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch. Document teaching moment. Fear True RUE: ______________ LUE: _____________ Scenario 5 ADA diet, intake, 25%. The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Blood Glucose 185, 4 units of insulin sliding scale for coverage. Pain Level Increased acuity Evaluate patient understanding Senario 2 -Complete head-to-toe assessment while patient is on the floor. Senario 5 Decreased Cardio Tissue Perfusion False Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Scenario 5 They feel that you should share with them if he was a "real AIDS" patient or not. -Assess patient's ABC (airway, breathing, circulation) Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice Encourage fluids/fiber/ambulation Noncompliance: False Fortune Salaire Mensuel de Ubah Kalimat Efektif Online Combien gagne t Medical-Surgical - Swift River Online Learning Vital signs- Scenario 3 Re-assess patient Safety Mr. Duncan is now complaining of feeling "dizzy" when he stands. Scenario 1 Skin integrity at risk True His overall health is good, and he has known he has been HIV positive for the past five years. Senario 1 Ineffective Renal Perfusion, Risk for True Extends abnormally = 2 Assess intake and output and possible reasoning In reassessing Ms. Monson, her vital signs are: BP -106/82, Temp-98.2, P-106, RR-18, SaO2-88. Senario 5 -Complete neuro checks as ordered -Remove the lunch tray and ensure pre-operative consent has been signed. Ineffective self-health mgmt: False, Disturbed body: False Scenario 3 They wanted to know and pressure you for the information. 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. Respiratory Rate: WNL Tachypnea Bradypnea Visual assess Peripheral Neurovascular Dysfunction False IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Stay with patient for surgeon's arrival to explain intended surgical procedure 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. Mr. Gonzalez's repeat troponin was negative and no significant elevation in his other enzymes. Apical pulse rhythm: Regular Irregular Location: Assess vital results -Place patient on O2 Nasal Canula Bleeding, Risk for True Document results and findings Contact Social Services You are concerned about preventing the patient from falling. Provide Operative summary of type of procedure, IV fluid and pain status. Her pitcher has already been filled three times this shift. Educate patient regarding patient care -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 He has a history of hypertension and is not compliant with medication. -Medicate for pain Fall, Risk for True Pain Level Increased acuity The dinner tray is waiting for the patient in his room, and the nurse notices it is a regular diet. Several hours later, Mr. Duncan is now complaining of nausea. Toggle navigation Swift River. The oncologist is insistent that the treatment begin immediately. Skin warm and dry, daily dressing changes, T-tube without drainage. Wash and glove hands -Instruct Mr. Burgundy and his cameraman to stop immediately Physiological- He has a 20-year one pack history of smoking. They were also concerned about the next patient going into that room and the use of the lavatory. Educational Needs Increased acuity Scenario 1 Impaired Mobility True Senario 1 You, his prior nurse, notice the family and respond to them. 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". Waist belt restraint PRN; family sitter at bedside, assist with bath. -Explain procedure to the patient Acute Pain False Document results/findings He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Wash and glove hands Swift River Med-Surg Flashcards | Quizlet Assess for bowel sounds Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. Scenario 5 Administer protocol antidiarrheal medication Obtain Spanish signs & brochure ASA is held but morphine 4 mg was given after his GI cocktail. Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Her husband and children remain with her in the surgical holding area awaiting transport to the OR. It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump Ms. Rails states that she has not had a bowel movement (BM) in the past two days. Scenario 2 Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Impaired Gas Exchange True Dr. Donofrio. Health Change Increased acuity Rapid Response team arrived including anesthesia. -Tell the patient that they are being admitted to r/o any cardiac issues Temperature is now 102.8. Sensorium Increased acuity, Physiological Two housekeepers, who were refusing to clean the room, are in the break room. Normal Sinus Rhythm on telemetry. Check surgical consent for correct procedure and make sure operative site in marked. 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. Disturbed Sensory Perception False Ineffective Self-Health Management True Remind the nursing staff that the patient is NPO. Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. His orthostasis is normalized after a second liter of NS was administered. Wound clean dry and intact. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Scenario 3 The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Sensorium Normal acuity, Physiological Scenario 2 Full assessment Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Vital assessment Stat lithotripsy treatment ordered. Yes Carlos Mancia He is having some difficulty hearing and complains of ringing in his ears. Do not disturb Chronic Pain False Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . Neuro WNL alert and cooperative. Bleeding, Risk for False Decreased Cardiac/perfusion False Paul Greer Allow for non-compliance of request Social worker with patient this morning. Scenario 3 Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid Disturbed body False Fall, risk for: True Place pt on PCA pump Document conversation Anxiety True Ineffective Airway Clearance True Do not probe further Read PT report Dr. Rondeau, Educational Needs Increased acuity You notify the charge nurse that you have never taken part in inserting a chest tube. Scenario 1 All opinions are mine alone. Check pedal capillary refill Record intake and output Regular diet. Administer antipyretic medication Fall, risk for: False Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Notify doctor for Foley catheter The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. Pupils PERRLA, eyes clear. Document Procedure Impaired Mobility, Risk for True Increased fall risk. -Contact HCP to determine when they are available to speak with the patient Vital Assessment Dysfunctional Gastrointestinal Motility False Blood Glucose 185, 4 units of insulin sliding scale for coverage. 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 Sit at an eye level. His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" When completing the shift change neuro check, you notice the patient's left pupil is sluggish. RLQ: RUQ: LUQ: LLQ: Deficient knowledge: False He has not had his BP medication today. Notify Physical Therapy (PT) -Start IV Family in room with patient very concerned. You return to the break room on your floor. Intermittent/Continuous Other: Provide comfort and pain measures The nurse performs tilt test, Patient vital signs lying flat, BP 118/62, P 92, R 20, T 98.5, SpO2 97. Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. Impaired Skin Integrity, Risk for True : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Swift River Reflection Questions 1 - Swift River - Course Hero Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Imbalanced Nutrition True No known allergies (NKA). Scenario 3 Scenario 4 Educate caller regarding HIPAA He has partial thickness burns to his left arm and the left side of his face. Scenario 1 Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. Educate patient 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. Document and provide copy for Mr. Dominec to share with his follow up appointment tomorrow. Pain Level Increased acuity -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall Scenario 5 Apply restraint Today's weight 226. His partner is not with him at this time but will arrive soon to facilitate his discharge home. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Scenario 4 Chronic Pain False Ms. Rails shares with you her fear of being discharged home to an abusive husband. He is married, and his wife is requesting to stay at his side. Oriented to: Person Place Time It is unclear if he lost consciousness. -Explain to the patient that he is now considered stable, you are taking him to the hallway, and he will be admitted to an impatient room within a few hours Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. Verify call light/bed safety precautions Dr. Altace, Educational Needs Increased acuity Wash and glove hands Solved nursing care plan for Linda Pittmon, a 74 -year old - Chegg Allergic to sulfa drugs. Fall, Risk for True Acute pain: False IV Assessment/ N/A Full assessment Psychological Needs Normal acuity 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. Physical Mobility, Impaired True IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. Notify doctor if condition is abnormal Report this activity immediately to the hospital privacy officer Viola Cumble Scenario 2 Bleeding False Strict I&O and strain all urine, filters in bathroom. He also states he is feeling weak. Scenario 5 Acute Confusion True IV NS is started, and lab work is sent. Infection, Risk for True Scenario 3 Deficient Knowledge True -Advise patient not to get up and walk on his own Scenario 1 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.

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