Check monitor Lithia Monson Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles Excess Fluid Volume, Risk for False IV NS is started, and lab work is sent. No response = 1, Range of Motion: Full, Limited Verbal command = 3 Impaired Skin Integrity False Scenario 4 Scenario 2 Senario 2 Impaired comfort: True Notify doctor Anxiety True Dr. Brown, Educational Needs Increased acuity Obtain patient record and follow patient as he is transferred to ICU You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. Urination: WNL Burning Frequency Urgency Listen to patient concerns He does not have an IV nor is he on oxygen. She is also investigating bone marrow transplantation. Self-Care Deficit False Esteem At Risk, Impaired Comfort False When completing the shift change neuro check, you notice the patient's left pupil is sluggish. Ms. Rails states that she has not had a bowel movement (BM) in the past two days. Scenario 4 Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Evaluate patient learning He has not had his BP medication today. Scenario 3 He has been ruled out for an MI. Full assessment Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Bladder distention Pelvic pain Low back/flank pain -Obtain chest tube tray and set-up pleurovac Tunneled, site _______________ Implanted port, accessed _____________________ Encourage fluids Scenario 2 Nausea/Vomiting: Yes No Abdominal Pain: Non-tender Tender/Pain Describe: Skin warm and dry, daily dressing changes, T-tube without drainage. ADA diet, intake, 25%. Breath Sounds: Clear bilaterally. Senario 5 Powerlessness: True, Scenario 1 Identify patient 45 terms. Scenario 5 Educational Needs Increased acuity Scenario 3 Deficient Knowledge False 20ga. Safety Scenario 2 Determine from medical record if partner is aware of his recent AIDS diagnosis. Comfort/Pain Assessment Robert Sturgess - Swift River Swift River University Nightingale College Course Concepts of Nursing I (BSN 246) Academic year2022/2023 Helpful? Several hours later, Mr. Duncan is now complaining of nausea. Anxiety True They were also concerned about the next patient going into that room and the use of the lavatory. She has IV access and has received a small dose of Valium to reduce apprehension. The nurse arrives and sees a tent is being erected as a triage area, and ambulances are lined up delivering trauma patients. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Flexes & withdraws = 4 Patient and family upset regarding dx. Electrolyte Imbalance False Patient demonstrates urine strain procedure. Other: _______________________________ Failure to Thrive: True. Impaired Mobility True Allow for non-compliance of request There is an order to apply a waist belt restraint if needed. Health Change Increased acuity Impaired Comfort True Evaluate understanding Normal Sinus Rhythm on telemetry. Educate patient/family 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. Pain Level Increased acuity Safety Increased acuity, Physiological Powerlessness True. Full assessment including both lying/standing Clinical 2. The patient has a pneumothorax that requires a chest tube placement. Disturbed Sensory Perception True Inappropriate words = 3 You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Palliative care. Scenario 3, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Notify doctor and charge nurse Offer assistance in providing more information about treatment options for newly diagnosed AIDS patients. Hopelessness False. Urine Color: Clarity: Odor: Scenario 3 LOC Increased acuity Bed Bath: Assist or Total Notify lead nurse/doctor Remain with patient and reassure Call rapid response No response = 1, Muscle Strength: WNL, Flaccid, Contracted Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. -Draw a repeat CBC per HCP order to determine current Hemoglobin status Ineffective Self-Health Management False Failure to Thrive True. Scenario 1 Scenario 5 Students will prioritize medical surgical . Senario 2 Remain with patient Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Health Change Increased acuity Safety ExplanationAnxiety/ fear True Record intake and output His difficulty voiding finally motivated him to seek care. Wash and glove hands Elevate Extremity Scenario #2. Remain with patient The sister of Mr. Mancia calls from home to speak with you. Pain Level Normal acuity Odor: __________, No Impaired mobility: False You are the now the Surgical ICU nurse assigned to her.
Home - Swift River Fall, Risk for False Check pedal capillary refill Procedure is canceled for the day and rescheduled later allowing for new consent. Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive Patients vital signs are BP: 100/58, P: 106, R: 28, PaO2: 92%, T: 97.1 F, 36.2 C. Impaired comfort: True In reassessing Ms. Monson, her vital signs are: BP -106/82, Temp-98.2, P-106, RR-18, SaO2-88. When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. 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 Senario 4 Sleep Deprivation False Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Pain and numbness in legs for one week. Begin post op education for day one Disturbed body False Explain reason for assessment and procedure Deficient knowledge: True Kathy Gestalt Love and Belonging Use therapeutic communication/Active Listening Stat lithotripsy treatment ordered. I need to be reporting!" Scenario 2 Talk with her stating surgery is over and she did great. Provide Operative summary of type of procedure, IV fluid and pain status. 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. What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). Evaluate understanding 1Perform full assessment and provide anti-nausea medicine. Psychological Needs Increased acuity The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. Since the finding was low-grade dysplasia and is considered the early stage of precancerous changes, the gastroenterologist recommends another endoscopy in six months, with additional follow-up every six to 12 months. Perform circulatory evaluation 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. 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. Remind the nursing staff that the patient is NPO. Safety- The nurse observes an elderly lady who is crying and has not been taken care of yet. 156 terms.
Swift River MedSurg 1.pdf - MED-SURG SCORE: 100 TIME -Have patient remain in bed, head elevated 30 degrees The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. -Remove the lunch tray and ensure pre-operative consent has been signed. Skin warm and pale. You arrive in room to find Ms. Monson talking to herself. Place call light and check bed for safety Assess Evaluate understanding No known allergies (NKA). Sa fortune s lve 1 900,00 euros mensuels A special lowbed has been ordered that will lower to the ground. NPO with small amount of ice chips only. 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) 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 . Compromised Family Coping False Provide verbal report to team members who respond to rapid response sounds= 2
Welcome [evolutionmkt.co.za] Pain Level Increased acuity Educational Needs Increased acuity
Microeconomics And Behavior Robert Frank 9th Edition Hopelessness True Evaluate understanding. Reorient Patient to person, place, & time Strict I&O, regular diet, intake 50%. Notify doctor No Known allergies (NKA). Chronic Pain False Document results/findings -Check on patient/sitter hourly Safety- Blood Glucose 185, 4 units of insulin sliding scale for coverage. Attempt to orient to person, place, and time How was this Obtain translatorT Notify lead nurse/doctor Document and provide copy for Mr. Dominec to share with his follow up appointment tomorrow. Swift River Medical-Surgical. He chooses to go home and see the doctor tomorrow in his office. Ineffective Peripheral Tissue Perfusion False Skin warm and dry, all vital signs in WNL Administer antipyretic medication Robert Domenic Neuro WNL, except leg pain upon movement. Vital signs- -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. Senario 4 Peripheral Neurovascular Dysfunction False The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Mr. Sturgess does not have a living will or durable power of care completed. His coughing, to clear his airway, appears ineffective. It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Senario 2 Fall Risk Increased acuity Electrolyte Imbalance, Risk for True Senario 1 Temperature is now 102.8. Wash and glove hands Bleeding, Risk for True -Reassess patients' vital signs, and place on q5 minutes continuous monitoring
Scenario 3 You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Family at beside. Scenario 4 Scenario 1 Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Senario 4 Compromised Family Coping False Sa fortune s lve 10 000,00 euros mensuels Assess for bowel sounds -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. Scenario 4 Deficient Fluid Volume True Obtain translator Provide comfort in pre-surgical room Mr. Dominec. Palliative care. Scenario 3 Fall Risk Increased acuity Temp Scenario 4 Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Ann Rails Use therapeutic communication/active listening Grieving False Dr. Donofrio, Physiological Her chart reports she was extubated upon arrival to the recovery area, received three units (3000 mL) of fluid, receiving O2 @ 4L via nasal cannula, has Foley Catheter in place draining QS clear yellow urine, responds to verbal stimulation, chest dressing in place remains dry and intact, and has just received a small dose of IV morphine for pain. Grieving: False. Decreased cardio tissue perfusion: False Chronic Pain True View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. Opening Title Production company Cast and crew Genre J A N U A R Y 2: The Killing of John Lennon: IFC First Take: Andrew Piddington (director/screenplay); Jonas Ball, Krisha Fairchild, Gunter Stern, Gail Kay Bell, Mie Omori, Robert C. Kirk: Crime, Drama: 4: One Missed Call: Warner Bros. Pictures / Alcon Entertainment / Kadokawa Pictures: Eric Valette (director); Andrew Klavan (screenplay . Senario 5 -Ask Mr. Burgundy to lower his tone as it can be disturbing to other patients Scenario 2 Mrs. Stukes is feeling nauseated. Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage Temp 98, BP 114/67, P 115, RR 20, SaO2 98%. Visual assess 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. Provide information for MD to call family at home and explain what has just happened Scenario 3 His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?"
Swift River Nursing Simulation - Homework Writing Services Paul Greer Chronic Pain False -Transport Mr. Burgundy to his room Notify lead nurse/doctor Fall, Risk for True Diet as tolerated. Provide emotional support. But that's changing. Multiple abrasions, bruising Head, chest, and inner thigh. This will treat any cancer that may have metastasized to the bone. Date of insertion: _________________________ Date of dressing: _________________________________
The Elbe River - hamburg.com Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. -Reorient Patient to person, place, & time
RS Flashcards | Quizlet Impaired Skin Integrity, Risk for True Fatigue True Connect telemetry Skin integrity at risk True Strict I&O and strain all urine, filters in bathroom. Ms. Cumble states that she has not had a BM for three days. Obtain urinary screen The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. Senario 3 Physiological- Fall, Risk for True 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. Notify lead nurse/doctor Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ Senario 5 Document results, Care of the Patient with a Cardiovascular or, NCLEX - Care of Patient with an Immune Disord, Quiz: Chapter 54, Care of the Patient with an, Chapter 54: Care of the Patient with an Immun, Chapter 17, Section 5; Providing First Aid fo.
new-patients-swift-river-med-surg-covid-new-patients-charlie-raymond His wife tells the nurse that he seemed very distant and did not want to talk much. 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 Scenario 4 He is restless with slight confusion but is easily orientated with attempts from nurse. Decreased Cardiac/perfusion: False 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. Evaluate learning Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Safety His original lymph node biopsy was negative. Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. Place pt on PCA pump Full head to toe neuro assessment. Respirations Scenario 2 Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Notify doctor if condition is abnormal Acute Pain True His orthostasis is normalized after a second liter of NS was administered. Obtain recent chest X-ray reports and recent ABG's for physician to review Skin integrity, impaired True It is now the second day post op and he is given discharge information. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Educate pt regarding changes to POC Ms. Rails shares with you her fear of being discharged home to an abusive husband. Scenario 1 -Set-up for stat portable chest x-ray Self-Actualization Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging You are about to call the Surgical ICU and give report. Vital re-assessment Scenario 4 Need frequent reminder to stay in room and maintain mask precautions. 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. -Reassess patient's physical status prior to leaving him in the hallway Scenario 3 Neuro WNL alert and cooperative. Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours. -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall Scenario 5 Document Procedure LUE: Non-pitting Pitting ___+ 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. Health Change Increased acuity No known allergies (NKA). Reapply restraints Fear/Anxiety True. Palliative care. Scenario 5 Full assessment Assess for bowel sounds
Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. Check input/output for possible dehydration Decreased Cardio Tissue Perfusion False Notify family No Known allergies (NKA). Offer bedpan His partner is not with him at this time but will arrive soon to facilitate his discharge home. Esteem #1: _________, No Do not probe further Shock False Scenario 1 Decreased Cardiac/perfusion False Wound clean dry and intact. Scenario 3 You are concerned about preventing the patient from falling. 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. Mr. Richardson is requesting assistance to ambulate to bathroom. Fatigue True Scenario 5 Mr. Richardson is now pain free and questioning why he is plagued with recurring urinary stones. Nausea: False Urostomy: N/A Urostomy/Ileal conduit -Notify HCP of fall, complete incident report -Elevate head of bed and place the patient on Pulse oximetry. Family in room with patient very concerned. Upon entering room, you wash/glove hands. Do not disturb 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.) . He is having some difficulty hearing and complains of ringing in his ears. Verify call light/ bed safety precautions Sa fortune s lve 2 216,00 euros mensuels He is married, and his wife is requesting to stay at his side. Document results Insertion Site: Dry/Intact Redness/Erythema Drainage Tenderness Maceration Her husband and two grown children are also with her as she is prepared with gown and head cap awaiting transport to the operating room. Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid 0800 1200 Mr. Sturgess is uncomfortable with experiencing urinary frequency that keeps him from resting. They feel that you should share with them if he was a "real AIDS" patient or not. The Physician tells you to have everything ready including a 22 French chest tube, and he will be in shortly to position the chest tube. Vital assessment 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. Bleeding, Risk for True Senario 3 Two housekeepers, who were refusing to clean the room, are in the break room. -Begin q15 minute neuro checks Fall, Risk for True
Fortune Salaire Mensuel de Ticketmaster Beyonce Koln Combien gagne t il Document results. Scenario #3. Obtain Spanish signs & brochure -Explain that Docetaxel is a hormone therapy that suppresses the testosterone that your testicles produce producing similar results as surgical intervention. Read PT report 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. Toggle navigation Swift River. Document results Assess pain Scenario 2 Vital sign assessments : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. 3. Patient and family upset regarding dx.
Robert Sturgess Scenarios Swift River.docx - Course Hero You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. Deficient Knowledge False Fall, Risk for True -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Intermittent/Continuous Other: Scenario 1 Toileting, Medications List/Times of Medications/Routes of medication, Neurological Assessment : 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. -Assess patient's ABC (airway, breathing, circulation) Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. Perform circulatory evaluation Construct dietary consult (plan) No Known allergies (NKA). Administer pain medications Report and document results -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. Report this activity immediately to the hospital privacy officer Don Personal Protective Equipment -Ask the patient if it is okay to discuss his care in front of his children. Safety Escort patient No known allergies (NKA). Chronic Sorrow False Perineal Care Scenario 2 LLE: Non-pitting Pitting ___+ Observe closely first hour Bleeding, Risk for False What order are you providing the information to the receiving nurse? Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Palliative care. Chronic Confusion False Scenario 4 Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. Next time we'll spend our 60 on some food and nice beers.
Solved nursing care plan for Linda Pittmon, a 74 -year old - Chegg The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. Infection, Risk for False Neck: ______________ Discription, Table 4 Cross-sectional, Longitudinal, and Sequential Developmental Designs, Engagement 1 Recognizing Research Strategies, A mental health worker with a Christian worldview.docx (Auto Recovered), NPO Breakfast: __________% Lunch ______________ %, Ethics and Social Responsibility (PHIL 1404), Care of the childrearing family (nurs420), Advanced Care of the Adult/Older Adult (N566), Business Professionals In Trai (BUSINESS 2000), Microsoft Azure Architect Technologies (AZ-303), Nurs & Healthcare I: Foundations [Lec] (NURS356), Accounting Information Systems (ACCTG 333), Bachelor of Secondary Education Major in Filipino (BSED 2000, FIL 201), Methods of Structured English Immersion for Elementary Education (ESL-440N), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), C228 Task 2 Cindy - Bentonville - Passed with no revisions, Lesson 4 Modern Evidence of Shifting Continents, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, Lesson 17 Types of Lava and the Features They Form, Lesson 9 Seismic Waves; Locating Earthquakes, Analysis of meaning and relevance of History from the millennial point of view, Entrepreneurship Multiple Choice Questions, (Ybaez, Alcy B.) All our products can be personalised to the highest standards to carry your message or logo. -Start IV
Swift River: Sign In jessdevan. Verify call light/bed safety precautions Upon entering the room, the patient appears to be trying to get out of bed
Eclectic Recipes Fast And Easy Family Dinner Recipes 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. Document Results/Findings Iron forms a sulfide with the approximate formula Fe7S8\mathrm{Fe}_7 \mathrm{~S}_8Fe7S8. PT to educate patient Pain Level Increased acuity Amount:________ Acute Pain True A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. Glasgow Coma Scale 0-15 Musculoskeletal Scenario 2: 1Educate about recovery from appendectomy and care to wound. The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg.