The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. Strict I&O and strain all urine, filters in bathroom. Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice Educate patient regarding patient care Kathy Gestalt Health Change Increased acuity 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. river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . 2Provide comfort in pre-surgical room Mr. Dominec. Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Palliative care. No known allergies (NKA). Today's incentive spirometry Tidal Volume is 1250ml, improvement over yesterday's 900ml. Palliative care. Bed Bath: Assist or Total Respiratory Rate: WNL Tachypnea Bradypnea Blood Glucose 185, 4 units of insulin sliding scale for coverage. Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. Anxiety True Assign nursing diagnosis and plan the appropriate intervention and evaluate outcomes while working through time pressure and distractions, including random call light requests. Swallowing: Intact Dysphagia Aspiration Precautions 45 terms. Administer antipyretic medication Educate patient Impaired Mobility True IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. -Continue to observe urine for hematuria and document findings Aggravating Factors: Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Scenario 5 Administer protocol antidiarrheal medication Swift River Nursing Simulation - Homework Writing Services Grieving False Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. 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. Assess It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump Offer nutrition/toilet Health Change Increased acuity -Notify charge nurse of patient's deteriorating condition Anxiety True -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. Safety Increased acuity, Physiological Educate patient Acute Pain: True Impaired Skin Integrity, Risk for False Peripheral Neurovascular Dysfunction: False Robert Sturgess Scenarios Swift River.docx - Course Hero Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. -Start an IV Decreased Cardio Tissue Perfusion False Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. Mr. Greer has just returned from surgery. Remind the nursing staff that the patient is NPO. Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output Enter the email address you signed up with and we'll email you a reset link. You call his doctor to inform him the family has arrived. Psychological Needs Increased acuity Sleep Deprivation False 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.) . Verbal response Oriented converses = 5 Scenario 2 Assess Release restraints/full range of motion No The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. Scenario 1 Scenario 4 Determine clinical decisions based on listening to an audible client report. His coughing, to clear his airway, appears ineffective. Tear, Ecchymosis, Contusions, Bruising -Call security for assistance and compliance officer August 13, 2020 // by Angela McGowan. Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10. Solved nursing care plan for Linda Pittmon, a 74 -year old - Chegg -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon Impaired Skin Integrity, Risk for False Therapeutic communication -Obtain chest tube tray and set-up pleurovac No Known allergies (NKA). Blood, Glucose 185, 4 units of insulin sliding scale for coverage. DOCX Swift River Online Learning - Taxonomy No known allergies (NKA). Make-Up Clinic Day 3 MS - Swift River Assignment: Make-up Day 3 Swift The patient will be discharged today, and he will be ordering new prescriptions. Psychological Needs: Increased acuity Mr. Dominec had his surgical procedure and is doing great. Vital assessment Skin warm and pale. Fear True Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Scenario 4 Noncompliance True Inappropriate words = 3 Compromised Family Coping False Document Results/Findings Scenario 1 Impaired Home Maintenance management r/t client or family False The 'Strandperle' (lit. Safety Scenario 4 Stoma: N/A Colostomy Ileostomy Effluent Consistency: Provide verbal report to team members who respond to rapid response Chronic Confusion False 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 The surgeon has suggested Androgen-deprivation therapy (ADT) with surgical castration (orchiectomy). They wanted to know and pressure you for the information. Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. -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. Verify call light/bed safety precautions Grieving: True Remain with patient Full head to toe neuro assessment. Notify doctor if condition is abnormal Scenario 4 Verify Call Light/Bed Safety precautions 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. Najvyia ponuka (2013) | Filmotka | SFD.sk Full assessment RUE: ______________ LUE: _____________ Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F Pulses: Strength & Symmetry Edema: Educate patient/family Review pain medication order Check PRN pain order He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. Scenario 1 Fatigue True Dr. Roopes, Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Vital signs - Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Apply nasal cannula Determine from medical record if partner is aware of his recent AIDS diagnosis. Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Mr. Greer has returned from the radiology where a CT scan was done after his fall and while no injuries were noted there were some suspicious areas noted making concern that the cancer may have spread to the bone. Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Mrs. Pittmon states she has had numbness for years but "now I can't . Document findings Sa fortune s lve 10 000,00 euros mensuels except 115 pulse, which is normal for him. Psychological Needs Normal acuity Auscultate peripheral pulses and ROM. Love and belonging Use therapeutic communication/Active Listening Senario 2 Place patient on PCA pump Crutches at bedside adjusted for height. This shop has been compensated by Inmar Intelligence and its advertiser. Validate NPO Status Electrolyte Imbalance False Patient, and family upset regarding dx. Remain with patient Pain Level Increased acuity Scenario 2 He has a 20-year one pack history of smoking. Full assessment Color:__________ NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. Disturbed Body True Now, third day post-op, Mrs. Stukes appears sad and depressed upon entering the room. Notify lead nurse/doctor Scenario 2 Love and Belonging Scenario #3. You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. The charge nurse asks you to assume the patient's nursing care. Strict I&O, regular diet, intake 50%. Two housekeepers, who were refusing to clean the room, are in the break room. Neuro WNL alert and cooperative. Evaluate understanding. Attain fluids/fiber diet and assisted ambulation Talk with her stating surgery is over and she did great. 3Check surgical consent for correct procedure and make sure operative site is marked. Diet as tolerated. No Known allergies (NKA). LUE: Non-pitting Pitting ___+ Wash and glove hands Risk for Infection True Combien gagne t il d argent ? Senario 2 Evaluate outcome of dietary plan Physiological- Due to this, the provider would like him to stay in the hospital for observation. Educate patient Scenario #2. No response = 1, Range of Motion: Full, Limited Bleeding, Risk for False Document results and findings His, Joyce Workman Room 303 Joyce Workman Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. Widespread Color Change: N/A pallor cyanosis jaundice erythema Explain that he will probably not be going home at least until his doctor sees him. Check monitor Renal diet. Take vital signs before leaving the hospital again. Toggle navigation Swift River. Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown -Remove the dinner tray and make sure the diet is soft food. Fear: True Scenario 5 Impaired Mobility, Risk for True Ineffective Peripheral Tissue Perfusion False **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 . Mr. Duncan's wife meets you in hall asking what she could bring her husband to eat from home. Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin Obtain translatorT Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Senario 5 BP 154/89, P 94 F, R 22, T 98.3F, SaO2 95% on room air. Incomprehensible You are the now the Surgical ICU nurse assigned to her. Self-Actualization Scenario 5 Therapeutic communicationT Scenario 1 The Elbe River - hamburg.com Social Isolation, Risk for True 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) Senario 2 Assess pain Bleeding, Risk for False It is now third day post-op, the order is for Ms. Cumble to stand by bedside on both legs for 5 minutes, three times a day. Impaired Mobility False She has arrived in pre-op and about to have surgery this morning. 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. Scenario 3 Nathaniel Gonzalez 3. She has been admitted to the floor with complaints of numbness in her right foot and ankle. Fall, Risk for False Psychological Needs Increased acuity Senario 3 Fall, Risk for True Sensorium Normal acuity, Physiological IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. You also notice the patient is more difficult to orient. Glasgow Coma Scale 0-15 Musculoskeletal He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Multiple abrasions, bruising Head, chest, and inner thigh. Sleep Deprivation False. Deficient Knowledge False -Complete full assessment, to include neuro Acute pain: False You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Safety Contact dietary consult Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Excess Fluid Volume, Risk for False The cycle of freezing and thawing damages the abnormal cells. 2. Skin warm dry, bruises on forehead with small laceration. GI WNL. Increased fall risk. D/C plan- decrease pain and restore normal gait. She is having some difficulty breathing. (PDF) Playful citizens: utopian intersections of play, sex and Radiofrequency ablation may be recommended after endoscopic resection. Secondary: Assess vital signs, auscultate heart, lungs, and bowl sounds. -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. Perform full assessment and provide anti-nausea medicine. -Place patient on 100% O2 Consult Social Service IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. Scenario 1 Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Scenario 5 Esteem Nausea False Scenario 4 Shock False Nausea False NPO with small amount of ice chips only. Swift River Clinical Practice Chamberlain University - Homework Score Provide comfort measures Continent: Yes No Occasional Incontinence Frequent Incontinence Brief -Assess patients' pain and rule out cardiac pain. 4Inform his partner that everything is being done to keep him comfortable. Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries.
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