No known allergies. Apply restraint Safety Odor: __________, No -Provide the patient with the time when HCP will come discuss options with him Document results -Medicate for pain 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. The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. The patient is awake alert and oriented. IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Educate patient Scenario 5 Blood Glucose 185, 4 units of insulin sliding scale for coverage. Palliative care. He replies, "six times in the past four hours". Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ Continent: Yes No Brief/Diaper Vital Assessment Document results Ms. Gestalt is now complaining of fever and chills. Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration Seek clarification His left humerus is fractured and splinted. Scenario 5 -Assess if the contents of lunch tray are intact. Fortune Salaire Mensuel de Nba 2k23 Pc Review Combien gagne t il d Swift River Reflection Questions day 7 Answer each question thoroughly in multiple sentences. Use therapeutic communication/Active Listening Scenario 3 Full assessment Decreased cardio tissue perfusion: False He also states he is feeling weak. Hopelessness False. Bleeding, Risk for True You return to the break room on your floor. -Teach the patient that there are several interventions for complications post-prostatectomy to include erectile dysfunction, post-op prostatectomies, and self-care involved with a foley catheter at home. Senario 2 Nutritional Intake: Adequate Inadequate BMI: Contact head nurse or supervisor in the OR to evaluate new situation 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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Yes Productive Non-productive Describe Sputum: _______________________ Sa fortune s lve 10 000,00 euros mensuels It is now two weeks later; Mrs. Smith has returned. Tom Richardson Due to this, the provider would like him to stay in the hospital for observation. Tap patient and ask, "Are you okay?" -Assess for fall risk You arrive in room to check on her, after washing hands. The patient is being prepared for discharge and his IV has been removed. His orthostasis is normalized after a second liter of NS was administered. Blood Pressure, 7a-7p Total: 7p-7a Total: Construct dietary consult (plan) -Explain that Docetaxel is a hormone therapy that suppresses the testosterone that your testicles produce producing similar results as surgical intervention. Report current urinary output quantify per hour and color of urine Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Educate about recovery from appendectomy and care to wound. -Set-up for stat portable chest x-ray The cycle of freezing and thawing damages the abnormal cells. -Using therapeutic communication inform Mr. Greer that there are many treatment options, and not to leave until the HCP can come and speak with him Scenario 1 Stay with patient for surgeon's arrival to explain intended surgical procedure Neck: ______________ Self-Care Deficit True Scenario 3 Mr. Gonzales H/H is 12.7/38. Deficient Diversional Activity False Genitalia: WNL (skin intact, no lesions) Abnormalities Describe: __________________________ -Start IV Blood Glucose 185, 4 units of insulin sliding scale for coverage. Blood-tinged mucous, productive cough. Scenario 2 Non-significant past medical history. Anxiety True Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ It was diagnosed by a portable X-ray and quickly splinted by the ER staff. Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A - Qwivy Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). You arrive in room to find Ms. Monson talking to herself. She shares concern about patient's wife who is now coughing and having night sweats. Deficient Knowledge False The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. Dr. Rondeau, Educational Needs Increased acuity Upon entering the room, the patient appears to be trying to get out of bed Allow husband to come into recovery for a quick one-minute visit. Obtain recent chest X-ray reports and recent ABG's for physician to review , a 58-year-old male patient presents to the ER CO CP 10/10. August 13, 2020 // by Angela McGowan. Bowel Movement Total: x________________, Hygiene Times You are the now the Surgical ICU nurse assigned to her. Upon entering the room, you find Ms. Rails sleeping. Elevate head of bed Retrieve cast removal tool Inform patient about the progression and risk a PCP infection has for a patient with AIDS. Educate patient regarding changes to POC Bladder distention Pelvic pain Low back/flank pain Strict I&O, regular diet, intake 50%. Today's weight 226. Listen to patient concerns 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. Fall Risk Increased acuity Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Electrolyte Imbalance False Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. Adjust crutches Activity as tolerated with assistance. Educate patient He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Respiratory Effort: Relaxed, Regular, Non-labored Pursed lip breathing Labored -Call security for assistance and compliance officer Scenario 2 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. No known allergies (NKA). Hypothermia False Impaired Mobility True Social worker with patient this morning. Provide a few chairs if possible for her family to also be comfortable -Reassess patient's physical status prior to leaving him in the hallway Scenario 2 Isolative, appears fearful, crying, and refusing to see her husband. Urination: WNL Burning Frequency Urgency -Notify charge nurse Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. Administer pain medications Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Scenario 2 Administer protocol antidiarrheal medication Encourage fluids/fiber/ambulation Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + Scenario 1 Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. Deficient knowledge: False Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin Renal diet. Document results You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Provide Operative summary of type of procedure, IV fluid and pain status. Esteem Senario 2 Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Scenario 2: 1Educate about recovery from appendectomy and care to wound. Urine Color: Clarity: Odor: -Ensure patients is positioned in bed properly Health Change Increased acuity The patient describes this pain as a heavy pressure with intermittent stabbing. No known allergies (NKA). Scenario 2 Exam January 9 Spring 2020, questions - Studocu Monitor and evaluate fluid intake He is having some difficulty hearing and complains of ringing in his ears. PT to educate patient Lithia Monson When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Disturbed body False Ineffective Peripheral Tissue Perfusion False Evaluate understanding Decreased Cardiac/perfusion: False Pain Level Increased acuity Scenario 4 Excess Fluid Volume, Risk for False Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Notify doctor -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Senario 4 Nausea False Imbalanced Nutrition False -Explain procedure to the patient She has IV access and has received a small dose of Valium to reduce apprehension. The surgeon has suggested Androgen-deprivation therapy (ADT) with surgical castration (orchiectomy). Skin integrity at risk True Swift River Medical-Surgical. 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. The nurse performs tilt test, Patient vital signs lying flat, BP 118/62, P 92, R 20, T 98.5, SpO2 97. Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Scenario 4 Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. Scenario 1 Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch. Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. Wash and glove hands Imbalanced Nutrition True Flexes abnormally = 3 Educate pt regarding changes to POC Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. Administer antipyretic medication Taking HIV Meds prophylaxis. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. After 24 hours, Ms. Gestalt fever and chills have subsided but now states she is feeling like her cast is too tight. Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Scenario 4 Attain fluids/fiber diet and assisted ambulation The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. She has arrived in pre-op and about to have surgery this morning. Grieving False Senario 1 Obtain urinary screen Acute Pain True Make-Up Clinic Day 3 MS - Swift River Assignment: Make-up Day 3 Swift Wife at bedside. Scenario 5 Allergic to sulfa drugs. Senario 4 Place call light and check bed for safety He was recently diagnosed with stage III prostate cancer. Auscultate peripheral pulses and ROM. Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Lithia Monson Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Chronic pain: True Full assessment Notify charge nurse that discharge will probably not occur today. Psychological Needs: Increased acuity Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Acute Pain False Scenario 3 Deficient knowledge: True Scenario 4 Swift River Nursing Simulation - Homework Writing Services 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. Verify call light/bed safety precautions BP 154/89, P 94 F, R 22, T 98.3F, SaO2 95% on room air. Ms. Cumble states that she has not had a BM for three days. Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Bed Bath: Assist or Total Mrs. Pittmon states she has had numbness for years but "now I can't . 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. Swift River Medical-Surgical Flashcards | Quizlet 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. No known allergies (NKA). Safety -Assess patient's ABC (airway, breathing, circulation) Chronic Pain False Ruth Cummings Trustee Vice Chair Audit Chair . Sa fortune s lve 2 000,00 euros mensuels Record intake and output Vital signs are to be taken BID, and it is now time. Dr. Anderson, Educational Needs Increased acuity -Complete full assessment, to include neuro IV Assessment/ N/A Skin moist, respiratory bilateral wheezes and rhonchi. Constipation, Risk for True Verify call light/bed safety precautions Impaired home maintenance mgmg r/t client or family: False Bleeding, Risk for False -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. Mr. Duncan's wife meets you in hall asking what she could bring her husband to eat from home. Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Evaluate understanding When completing the shift change neuro check, you notice the patient's left pupil is sluggish. Explain to her family and provide contact information. -Attempt to orient to person, place, and time Report this activity immediately to the hospital privacy officer Senario 3 Localizes pain = 5 Psychological Needs Increased acuity He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. Scenario 2 The Elbe River - hamburg.com Anterior: ___________________________________ Posterior: ____________________________________ His children are visiting, and they are very supportive. Notify lead nurse Airborne Isolation. Provide verbal report to team members who respond to rapid response 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! -Obtain chest tube tray and set-up pleurovac Dr. Small at bedside with patient and family. Therapeutic Communication Emergency intubation and assisted breathing is provided for Mr. Thomason -If cardiac is suspected call the provider and the rapid response team. Document results Obtain Spanish signs & brochure Assume that the oxidation state of sulfur is 2-22 and that iron atoms exist in both +2+2+2 and +3+3+3 oxidation states. When she moves him to the hallway, Mr. Burgundy begins yelling at you "Do you know who I am, I demand a room! except 115 pulse, which is normal for him. Encourage Mr. Dominec to discuss with his partner his best treatment options. -Notify HCP of fall, complete incident report : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Gown and mask No Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Dr. Donofrio, Physiological The patient is asking you where her son is, the last place she saw him was right before the explosion. -Place patient on 100% O2 Health Change Increased acuity The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). 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. Document results 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. Present health assessment including B/P and LOC and dressing. Report to charge nurse/ head nurse the need for staff education. Widespread Color Change: N/A pallor cyanosis jaundice erythema Also worth mentioning is the 'Alter Schwede' - a 217t . Noncompliance False The patient will be discharged today, and he will be ordering new prescriptions. Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Escort patient Assessment of bowel movement Now, third day post-op, Mrs. Stukes appears sad and depressed upon entering the room. is a 57 y/o who has been admitted for a radical prostatectomy. RS Vclinical Flowsheet - Student Name : Date: NUR 113 Assessment Swift Acquire daily weight and food intake Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Nr 325 final exam quizlet chamberlain - gqqa.wikinger-turnier.de Document conversation Skin warm dry, bruises on forehead with small laceration. Patient and family upset regarding dx. -Complete initial post-op assessment Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. He has been taking his HIV medication daily. Check monitor Document results and findings Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Scenario 3 Eclectic Recipes Fast And Easy Family Dinner Recipes -Ask the patient if it is okay to discuss his care in front of his children. Other: _______________________________ -Discuss with family sitter if there are any other family members who can help with monitoring Lithia The heartburn has become worse since he started treatment for his URI. 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. Request time she can arrive and staff to help with transfer 4Inform his partner that everything is being done to keep him comfortable. Neuro WNL alert and cooperative. Scenario 4 Scenario 4 Assess pain The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. Scenario 3 Sensorium Normal acuity, Physiological -Draw a repeat CBC per HCP order to determine current Hemoglobin status His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. NURS 320 Med_Surg_Swift_River **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 Tear, Ecchymosis, Contusions, Bruising -Explain to patient why his throat may be sore -Ask Mr. Burgundy to lower his tone as it can be disturbing to other patients Vital assessment 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. Safety- Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Scenario 4 Talk with her stating surgery is over and she did great. Fall, Risk for True Patient, and family upset regarding dx. Impaired comfort: True Clear liquid diet. Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Acute Pain True Impaired Skin Integrity, Risk for False Scenario 2 Mrs. Stukes is feeling nauseated. Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Scenario 4 Deficient Knowledge False Fall, Risk for False 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. Full assessment including both lying/standing Pain Level Normal acuity Scenario 2 He insists that he is not hungry and refuses assistance with his meal. Pain Level: Increased acuity Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid Capillary Refill: _________ seconds Cardiovascular Assessment Mr. Greer has just been visited by his wife. 00 Comments Please sign inor registerto post comments. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes.
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