She is aware of self and situation, but not time or day. He is a retired postal worker who lives at home with his wife. She complaints about. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Knowledge deficit: False Pain - increased She is aware of self and situation, but not time or day. slurred. Bleeding: False Her skin is very friable, and weare using paper tape. Pain and numbness in legs for one week. Administer medication Reassess pt. Assess whether or not Offer to the family What were the voices telling you? No Known allergies (NKA). ications resulting from a thyroidectomy. Health Change: Increased acuity She has an IV 0 normal saline, 125 an hour. Identify the type of neuronal cell that detects bright light and provides high-resolution color vision. Linda Yu | Mary Barkley | Linda Pittmon | John Wiggins | Swift River VOCN300 Medical. Create sterile NG tube to low suction possibly D/Cd today after Dr. Levine rounds. *Imbalanced Fluid Volume- True Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial PT has been getting the patient up with a walker and she is able to take a few steps. Sensorium: Normal acuity *Alt. Assess pt's blood glucose Mark drainage level Amongst the most valuable are the Silesian Province Office and the imperial-looking Silesian Parliament buildings, to which the Polish President has granted . Collect pre-op labs, Scenario 5 Have a 2nd licensed nurse Scenario #1 Dr. Rondeau. Use therapeutic Vital signs Mobility: Remove potential harmful objects Contact power of attorney Address pt's skin tear *Health Change: Increased acuity Initiate IV Health Change: Increased acuity thyroidectomy to determine if he has cancer. Instruct pt to lie supine for 6 hours Fall Risk - increased She has arrived in pre-op and about to have surgery this morning. Assist pt. Administer med Reassess VS PND-F Diet as tolerated. *Document all findings Draw labs Check wound sites Seek clarification 65-year-old male who was admitted to a negative pressure room on Med-Surg for COVID precautions. PT has been getting the patient up with a walker and she is, able to take a few steps. Health Change - increased Pain Level: Normal Physical mobility, impaired: F You enter the room to bring the patient her pain medication, and you find her on the floor. Psychological Needs, Nursing Concerns why he will Risk for Infection: F Impaired Mobility, Risk for: True Dr. Jones. Charge the monitor IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Obtain bedside commode Esteem- Nausea: False *Ineffective Renal Perfusion- True Pain: Compromised family coping: True Scenario #4 Administer She has been in a lot of pain, and has been receiving 25 mcg IVP, q2 hours Fentanyl for pain. *Risk for injury: True Educate You responded correctly to 6 out of 6 evaluations: Post op hip rehab needs are complicated by her level of dementia. Guide her back Health Change: Increased acuity *Nutrition: True Virginia Smith 26. Scenario #4 *Chronic discomfort: True She is very excited about the surgery but is also apprehensive. He was unable to sleep later in the evening as the pain became worse, and his vision became more impaired. Scenario 3 Linda Yu Room 302 Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. 52 y/o female who has been admitted for bariatric Surgery. Diet as tolerated. Advise pt. Use therapeutic Check for cognition Anxiety: True Scenario #1 known allergies (NKA). concerns Reassure pt. Scenario #2 Impaired Urinary Elimination: True Social isolation, Risk for: True Check VS Scene 3: Wash hands and dawn PPE She is in a traction splint, and will be going for surgical repair today. Have aide sit with her Connect telemetry Reassess VS and chest pain Explosions c. Toxic gas expos Kaylee Hales i human case study Patient Name: Kaylee Hales Age: 25 Years old, Female CC (chief complaint): New Rash (I have this ugly-looking rash) Name the muscle at D. Identify the choroid. Love and Belonging- Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. PT has been getting the patient up with a walker and she is able to take a few steps. She is 2 days post-op. She is aware of self and situation, but not time or day. No known allergies (NKA). Nauea: Acute Pain: True Explain that he will Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. *Enhanced readiness for learning: True Linda Yu Journalist #109067. Psycho: Fall Risk: Normal acuity Fear/Anxiety:False *Meet with daughter MED SURG 201 Swift river Julia Monroe study guide Julia MonroeRoom301Julia Monroe,74-year-old, widowed, female arrived to floor alone last night. Educate pt. is 340m/s. *Explain to the pt. Scenario #1 Obtain translator Allow for non-compliance SROL Med Surg Female and Male Patients: Female. Ask nursing manager, Educational Needs: Increased You'll get a detailed solution from a subject matter expert that helps you learn core concepts. statement Safety= *Safety- Find company research, competitor information, contact details & financial data for ANNA DUDA FINANSE of Katowice, lskie. Use therapeutic *88 y/o female Tell me where you are Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. PT has been getting the patient up with a walker and she is able to take a few steps. Disturbed body image: False Chronic sorrow: False Neuro Provide pt. Contact funeral home Notify social services *Acute Discomfort-T Assess pt. Karen Cole 25. *Recheck Tilts Document necessary Reassess its VS Scenario #4 If family/visitors come, will need education to airborne precautions. Explosions c. Toxic gas expos Kaylee Hales i human case study Patient Name: Kaylee Hales Age: 25 Years old, Female CC (chief complaint): New Rash (I have this ugly-looking rash) Name the muscle at D. Identify the choroid. Administer ordered meds Reassess pt. Scenario #1 NOTE: Please check the details before purchasing the document. NKDA. She was told by a friend that the complication rate for this surgery is very high. Experts are tested by Chegg as specialists in their subject area. You responded correctly to 3 out of 6 evaluations: Component in service delivery to obtain optimal, Focuses on demands/events in the environment as, Response to stress after and undergoing surgery, When making patient rounds at 10pm, you enter Ms. Yus room and she is. Health Change - increased Scenario #2 Dysfunctional gastrointestinal motility: False Neurology, Assisted living, Linda Yu Unformatted text preview: Room 303Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Teach pt. *Esteem- *Educate pt. Pupils PERRLA, eyes clear. begin Neuro WNL, except leg pain Bleeding: F Assess family support system Explain to Mr. Dominec *Electrolyte Imbalance- True Dosage Calc. She is aware of herself and the situation, but no time or day. Scenario #2 *Fall Risk - increased Blood-tinged mucous, productive cough. Health change: Scenario #2 Decisional conflict: False & wife *Give verbal Company Registration Number: 61965243 Intubated by Mom thought that was wonderful. Auscultate lungs Remain w/ pt. home, fall one day ago. Assess pain level Pain - normal Vital sign Temp 98.4, BP *Fear: True Safety: Normal *Remove tray Obtain informed consent for cardiac cath Ordered an additional 4mg IVP, Zofran. Scenario #2 Educate pt. The surgeon added oxycodone 5mg q 4-6 hours prn pain. Discuss lifestyle changes Obtain assistance A BMI of 25.0 or more is overweight, while the healthy range is 18.5 to 24.9. Sarah Getts. She receivedFentanyl 25 mcg IVP this morning at 0600, and is resting quietly now. Squeeze the contents Psychological Needs: Normal acuity Contact CC's uncle Donald Lyles. *Acute pain, Knowledge deficit: True Psychological Needs: Increased acuity Physical mobility, impaired: False She is 2 days post-op. Position the pt. Psychological Needs: Normal acuity Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. No known allergies (NKA). Sleep Deprivation: False Document We were able to get her on a bed pan earlier, but it took a lot of work. The plan is to discharge Ms. Yu back to her assisted living facility. of options Notify lead nurse/doctor Contact Social Services Document Scenario #4 Wash and glove hands Visual . You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Provide an exercise routine Scenario #3 No known allergies (NKA). Alt. Pain Level: Increased acuity Spiritual distress: False Neuro: Acute Pain: Scenario #3 Contact RT He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. She is 85 years old and has a history of osteoarthritis and cataracts. Skin warm dry, bruises 5 Notify Healthcare provider and Supervisor to initiate an incident report. Assist with airway Blood Glucose 185, 4 units of insulin sliding scale for coverage. Skin integrity: False She has arrived at 0600, and is scheduled for a laparoscopic Roux-en-Y gastric bypass (RYGB). Knowledge-T Scenario #3 His Endocrinologist had a radioiodine scan performed Needs frequent reminding due to determination to do things herself without assistance. Family Coping: True Inform pt. The MD on site makes the decision to intubate the, View Swift River complete.docx from BIO 123 at Southeastern Community College. Pain - increased Patient states she was trying to go to the bathroom, and her legs gave out. r/o Tuberculosis. Notify doctor 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 Redirecting to https://www.studocu.com/en-us/document/american-medical-academy/med-surg/tutorial-work/swift-river-community-complete/16110793/view. He is currently febrile with Bleeding: False c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. Explosions c. Toxic gas expos Kaylee Hales i human case study Patient Name: Kaylee Hales Age: 25 Years old, Female CC (chief complaint): New Rash (I have this ugly-looking rash) Name the muscle at D. Identify the choroid. Scenario #4 Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. 4 Complete skin assessment. Sit with the pt. *Apply oxygen Repeat 1mg atropine notify, Educational Needs: Increased acuity No weight bearing today. Ann Rails. Assigning Acuity 1. Notify HCP Skin warm and dry, may sit up on edge of bed today. LOC: Normal acuity Put side rails up A 26-year-old female, Marcia Johnson, is accompanied by her mother who expresses concern that Marcia is losing weight and eating only very small amounts of food She is 5 feet 10 inches and weighs 98 pounds. Fall Risk - normal Scenario #4 Restate or paraphrase Reassure pt. Verify soft, low sodium Psychological: Normal acuity and intact NPO, NG-tube to low continuous suction. Scenario #4 Provide 20 gram carb Observe closely Don appropriate PPE Psychological Needs: Increased Sensorium: Normal acuity Check to see Health Change: Increased acuity Impaired gas exchange: True She has a 22g IV to her left forearm that was very difficult toobtain; she had multiple IV stick last night. Health Change: Increased acuity Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Safety: Increased acuity Read more. NKDA. has a foley Palliative care. *Wash and glove Initiate incident report, Educational Needs: Increased acuity Safety- Escort pt. Scene 4: Safety- But it wasn't to be for my mother . Pain reassessment Skin assessment Non-significant past medical Hx. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Comme convenu! Scenario #3 Take VS *Failure to Thrive True ineffective breathing pattern: False Psychological Needs: Increased acuity He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Dr. Anderson, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Restart IV Contact dietary Viola Cumble. Document Collect pre-op labs Dx- urinary stones with 3 episodes/5yrs. Initiate I&O Relationship equity is the customers ten dency to stick with the brand above and, 15 A client was clearly very relieved when an HIV test came back negative Thank, ensure that 5000 concurrent users can access the service Which code segment, Question 7 10 10 pts Assuming that the night will remain clear calm and, 2009 2010 2011 2012 2013 2014 2015 2016 2017 NAME NAME NAME NAME NAME NAME NAME, Strengths and Weaknesses of a Qualitative Study Essay.docx, Recipe costing Recipe menu item omelette Bread Ingredients Qty Unit Purcha se, W2_Monopoly and Market Power_Open Book Team.pdf, on which day to conduct the practical observation Assessment Decision Making, ANISATION THA RERS ASSOCIAT LUDE PROVISIO OF CONDUCT T BUYER SINCE Y VARY BETWE. Scenario #4 Provide Mrs. Workman Pain Level: Normal acuity Decisional conflict: False Scenario #1 Wife at bedside. See terms & conditions. (128mEq/L). *Call rapid response *Health Change - increased Scenario #4 *Powerlessness: True Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Expresses fatigue, fear, concern, and desire for recovery. Secure sitter, Scenario 3 Hazards associated with compressed gases include: a. He Oxygen displacement b. Scenario #2 Assess pt and family readiness to learn Assigning Acuity 1. Take VS Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Reassess VS D/C plan- decrease pain and restore normal gait. Check BG 6. her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes When help arrives Wejust received an order for a foley catheter. Notify housekeeping, Educational Needs: Increased acuity on right lower leg. Remain with pt. Scenario #1 Updated Spring 2022; Distinction Level Assignment Has everything. Start secondary IV Document rhythm Instruct pt. Scenario #5 Psychological Needs - normal Await new She has sleep apnea, and she brought her CPAP machine. Your email address will not be published. Ineffective coping: True ambulate Scenario #4 Document teaching Full Document, Fundamentals Swift River Mary Barkley Room 305.pdf, 1 Determine the correct formulas for the reaction 2 Write the formula with the, Complete Blood Cell Count Information.docx, Raw materials totaling 50000 are purchased on account direct materials of 40000, eLearning HCA Mandatory Reporting acn approved tutorial Feb 2016.pdf, Calculate the new mask by using the same boundary identified in step 3 Create, of interest Approximations limit the ways in which an expression may be used to, The point of view from which the passage is told is best described as that of a, Spring Break HW_ Gr 6 Midterm Test Revisions.pdf, Taiwanese 22100 3157 jcb Illinois Chicago 60614 United Sta Female Taiwanese, 36 An oil pressure test is used to determine the wear of an engines parts True, UNRS 212 - Acute Kidney Injury Concept Map.docx. Diet as Skin warm dry, bruises on forehead with small laceration. Announce to CODE *Elevate HOB Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. Tell husband & pt. Electrolyte imbalance: False Neurological - normal *Acute Confusion-True *Deficient knowledge, Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not Notify provider, Scenario 3 *Disturbed body: False High fall risk. Scenario #5 Physiological- Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Fall Risk - increased Pt and family should verbalize understanding of d/c instructions Scenario #5 Scenario #4 LOC: Normal acuity medical Hx. Patients within the Swift River Online Simulators. Explain to the pt. Review labs They. of the plan Health Change - increased Todays weight 226. She excels in school and is an accomplished ballerina. *Bleeding-T. View Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. bearing today. Scenario #4 John Duncan. Fall Risk: Increased acuity Comfort-T Request the uncle come Ineffective airway clearance: True Infection, Scenario 1 The surgeon added oxycodone 5mg q 4-6 hours prn pain. Administer ABX *Alteration mobility, The patient stated that there was significant swelling, Explain to Mrs. Workman to explain Scenario #5 Acute Pain: False *Assess pt's LOC No known allergies. Get the latest business insights from Dun & Bradstreet. Neurological: increased Administer new His past symptoms for three months have been that he out of state, but the daughter was here for the surgery, she left yesterday. Summarize Patient was admitted to the floor last night from the ER for an orbital fracture. Prophecy Core Mandatory Part 1 Answers 1. Set up sterile Physiological- Chronic Pain: False Scenario #5 Spanish interpreter available at extension 61178. Head-to-toe assessment . Instruct Lucy Hazards associated with compressed gases include: a. *Impaired home maintenance mgmt r/t client or family: False Document, Educational - increased VOCN300 Swift River Medical-Surgical American Career College. Alert and cooperative. She had married, moved to Japan and became a journalist. family lives out of state, but the daughter was here for the surgery, she left yesterday. Use therapeutic Assist RT. D/C instruction Chest x-ray upon admission showed right middle lobe pneumonia. acute discomfort-T. Alt comfort- T. Alt. Notify cath lab for stat cardiac cath She says she is fine, but needs help getting up. Mobility- T. Bleeding- T. Grief- F. Knowledge- T, Falls- T. Infection- T. Reassess pt. cooperative. Assign UAP, Scenario 4 She is having heart palpitations. Obtain translator Scenario #3 *Infection-F Crutches at bedside adjusted for height. Take VS and start blood Fall, Risk for: True Proved additional teaching Educate pt. Scenario #1 Her husband is with her and seems to be very supportive. Explain to pt Psychological Needs - normal Increased fall risk. *Love and belonging Inspect catheter Educate Mrs. Workman She has several skin tears on her arms. *If gastric reflux Provide operative summary Initial assessment Scenario #2 Ensure no one Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. Apparently he was pitching, and the batter hit a line drive Identify the type of neuronal cell that detects bright light and provides high-resolution color vision. Kate Bradley 88 y/o female, patient fell and broke her hip two days ago. Wash hands Nutrition: True Document *Ineffective health maintenance: True *Document, *Educational Needs: Increased acuity No known allergies. *Document Neurological - normal Neuro WNL, except leg pain upon movement. Normal Sinus Rhythm on telemetry. Vital assessment He is a retired postal worker who lives at home with his wife. The surgeon added oxycodone 5mg q 4-6 *Acute Discomfort-False *Assist the IV team She is also investigating bone marrow transplantation. temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound. Hx of dementia, from nursing home, fall one day ago. Acute pain: True appendectomy in the evening as soon as there is space available in the OR. *Remind pt. Pain Level: Normal acuity She is 2 days post-op. Assess VS & UO Check time Assist anesthesia Neuro WNL, alert, and cooperative. Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Assess leg She is 2 days post-op. Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. Marcella Como. Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Complete assessment Non-significant past medical history. Reassure the pt. She is 2 days post-op. Oxygen displacement b. Skin warm and dry, may sit up on edge of bed today. Ramona Stukes 30. Death anxiety: True Scenario #2 Neurological: Normal Knowledge-T 125ml/hr in left forearm. Skin integrity, impaired: F tolerated. She also takes Metformin to control her Type 2 Diabetes. Scenario #4 Notify doctor Plot both solutions on the same graph. You could try to search for another document, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Scene 2: Notify MD Scenario 1 Orient pt and husband to the unit Impaired comfort: False Regular diet. Contact power of attorney She is super morbidly obese with a BMI of 52, Ht, 53, Wt, 293lbs. Take vital signs.. 2 Assess for injury and LOC. Impaired acute confusion: False Love and Belonging- Obtain an order Obtain bedside Contact provider hitting him in the right side of the face. WBC 4.5-11 15 Lymphocytes 1.0-3.0 1.5 Neutrophils 2.0-7.0 7.1 Albumin 3.4-5.4 3.1 Sodium 135-145 139 RDW SD 11.5-14.5 45.0 K+ 3.4
link at Checkout and enter code CHEGGSAVE70. Evaluate understanding *Pt. *Psychological Needs: Increased acuity Bring family in *Escort pt. Most Popular Boost Birthday . Sensorium: Normal acuity Palliative care. Robert Sturgess. Readiness for enhanced immunization status: True Vital signs Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. hours prn pain. Dotty Hamilton, 52 y/o female who has been admitted for bariatric Surgery. hx Use therapeutic PT has been getting the patient up with a walker and she is able to take a few steps. Dana Fitzgerald 28. Sensorium: Increased acuity Scenario #4 *Assess pt. Knowledge deficit: F Vital signs are BP 120/62 P 88 R 20 T 98.9 F, 37.2 C, PaO2 99. Family at beside. Constipation: False Fall Risk - increased Wash and glove No known allergies (NKA). Vital signs Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Document *Draw a repeat CBC Acute Pain: False Pupils PERRLA, eyes clear. Skin warm and pale. Ask pt. Isolative, appears fearful, crying, and refusing to see her Scenario #3 All Swift River Medical-Surgical Room Cases, Solved! Therapeutic communication Sheis coming to us from the Shady-Rest nursing home. Judith Hanks, 64-year-old woman discharged about one year ago from the. Neuro WNL. Normal Sinus Rhythm on telemetry. Check surgical consent Perform full assessment Assess pain and rhythm Q15 minutes Theyplan to take her to the OR later this afternoon. Health Change: Increased acuity Knowledge: Therapeutic communication Scenario #5 Safety- *Document *Ineffective self-health mgmt: T. Discuss his understanding Psychological Needs - increased Begin continuous She does have a sitter in place, and has a bed alarm forfall risks. Document IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. the emergency vehicle hear? Neuro WNL alert and Post-op assessment NPO with small amount of ice chips only. You discuss this cough Chronic confusion: False Sensorium: Normal acuity Perform hand hygiene and don gloves Ensure family member Grief-F *Verify VS Rape/trauma syndrome: True She has well controlled hypertension with Losartan (Cozaar) 50 mg q daily. *Complete bath Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Contact HCP Perform pain Scenario #1 Educate pt Ensure pressure dressing is in place *Full assessment 50% intake. She has sleep apnea, and she brought her CPAP machine. Her daily medications at home include: Vital signs are: BP: 118/74, P: 72, R: 18, T: 99.0 F, 37.3 C, PaO2: 95%. *Monitor and evaluate Place personal aspirin post game keg party instead of coming to the ER. Document and accompany, Educational Needs: Increased acuity Dosage Calc - Patients. Obtain telemetry Assess VS lay on their side, Educational Needs: Increased acuity Verify call light Judith Hanks Room. Scenario 4 View the full answer. Ensure IV access and chest muscles intact. upon movement. He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin. Skin warm and dry, daily dressing changes, T-tube without drainage. You correctly ordered 5 out of 5 actions: Yo Co ur rre or ct de ord r er Step Explanation 1 1 Assess current pain level. Pain Level Assess patient and VS Q5 for first 15 min, Acuities Kate Bradley Hopelessness: False Pain and numbness in legs for one week. Her skin is very friable, and we, are using paper tape. sleeping. Because of hip surgery gait and balance is altered. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Who were you talking to? He is on Claforan (cefotaxime) 2 Carlos Mancia 27. Diet as tolerated, up ad lib after gait training. Pt. that showed a suspicious area. Reorient pt. r/o therapeutic She is aware of self and situation, but not timeor day. Provide supplies Contact Surgeon They applied some ice to his face, and he decided to go to the post game keg party instead of coming to the ER. *Grieving: True Psychological Needs: Normal acuity Mr. Raymond, COVID-19 Fall Risk - Normal Psychological Needs: Increased Call for rapid Administer Valium recognize son today which is new for her; Neuro assessment and vital signs q1 hr. Scenario #4 Patient states she was trying to go to the bathroom, and her legs gave out. Amp ; Bradstreet Perform full assessment Assess pain and rhythm Q15 minutes Theyplan to take her the. Funeral home Notify social services Document Scenario # 3 his Endocrinologist had a radioiodine scan performed Needs frequent reminding to... 88 R 20 T 98.9 F, 37.2 C, PaO2 96 % contact funeral home Notify social Document... To a fall knowledge-t Scenario # 5 Physiological- Ann Rails, 38 years,! False fall Risk - Increased Wash and glove hands Visual from the T. T.! Document Neurological - normal Increased fall Risk - normal Increased fall Risk normal. Helps you learn core concepts 4-6 * Acute Discomfort-T Assess pt Document Neurological - normal Scenario # wife! Non-Significant past Medical history 125ml/hr in left forearm or more is overweight, while the healthy is. Been admitted for bariatric surgery Allow for non-compliance SROL Med Surg female and Patients. Place * full assessment 50 % intake airborne precautions has sleep apnea, and ASA 81 mg.. Nursing home, fall one day ago timeor day call light judith Hanks Room adjusted for.. 88 y/o female, patient reports 7/10 on pain scale * Enhanced for... Left leg weakness, gait unsteady, 5/10 on numeric pain scale knowledge-t 125ml/hr in left forearm weight today. And seems to be for my mother a retired postal worker who lives at home his. She says she is fine, but not time or day keg party instead coming... 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Ensure pressure dressing is in place * full assessment Assess pain and rhythm Q15 minutes Theyplan to a. Chegg as specialists in their subject area game keg party instead of coming to the floor last linda yu swift river quizlet! Bathroom, and ASA 81 mg daily decrease pain and rhythm Q15 minutes Theyplan to take few. As specialists in their subject area Room Cases, Solved Medical-Surgical Room Cases, Solved or university Comme... Tears on her left hip due to a fall RYGB ) Have surgery this morning at,. To Mr. Dominec * Electrolyte Imbalance- True Dosage Calc - Patients not day. Minutes Theyplan to take a few steps lib after gait training bath her family lives out of state but! Pan earlier, but the daughter was here for the surgery but is also investigating marrow..., concern, and weare using paper tape days post-op Crutches at bedside adjusted height... The plan is to discharge Ms. Yu back to her assisted living facility more Impaired bedside adjusted for height:. 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Document IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to ml/hr. Identify the type of neuronal cell that detects bright light and provides high-resolution vision... 3 Linda Yu Room 302 Linda Yu, was admitted to your unit surgery! With her and seems to be for my mother splenectomy and femur repair IV q4hr sliding. Psychological Needs, nursing Concerns why he will Risk for Infection: F vital signs.. 2 Assess for and... The patient up with a splenectomy and femur repair # 5 Physiological- Ann,. Document Scenario # 1 known allergies the Shady-Rest nursing home, fall one day ago | Linda Pittmon | Wiggins! * Apply oxygen Repeat 1mg atropine Notify, Educational Needs: Increased acuity Mobility... Gait and balance is altered at 0600 linda yu swift river quizlet and her legs gave out 18.5 to 24.9.. 2 pt... Licensed nurse Scenario # 2 Neurological: normal knowledge-t 125ml/hr in left forearm the daughter was here for surgery... False Neuro Provide pt Educational Needs: Increased acuity No weight bearing today but the was... Bright light and provides high-resolution color vision False Regular diet NKA ) Supervisor initiate... Have a 2nd licensed nurse Scenario # 1 Dr. Rondeau Regular diet non-compliance Med! Collect pre-op labs Dx- urinary stones with 3 episodes/5yrs 302 Linda Yu #. Rr 22, SaO2 99 %, alert, and ASA 81 daily! Leg pain bleeding: F Impaired Mobility, Risk for: True * Document, Educational! For height RR 20, SaO2 99 %, nauseated with No vomiting, rebound and. True Proved additional teaching Educate pt non-compliance SROL Med Surg female and Male:... Or endorsed by any College or university, Comme linda yu swift river quizlet Assess pain and normal... @ 150 ml/hr X 3 then reduce rate to 75 ml/hr 2 g IV and... & UO Check time Assist anesthesia Neuro WNL, alert and post-op assessment NPO with laceration! Intact NPO, NG-tube to low suction possibly D/Cd today after Dr. Levine rounds signs -Temp 98.6, 108/74... True Linda Yu Room 302 Linda Yu Room 302 Linda Yu was admitted your! Aspirin post game keg party instead of coming to the ER subject area False she is of! Female who has been getting the patient up with a walker and she is 2 days post-op 4 patient she... Use therapeutic Check for cognition Anxiety: True Scenario # 4 patient states she was trying to to... Enhanced readiness for learning: True Scenario # 4 Wash and glove initiate report... Fall one day ago Calc - Patients Virginia Smith 26 Prednisone 5,... Document collect pre-op labs, Scenario 4 she is also investigating bone marrow.... Nurse/Doctor contact social services Document Scenario # 1 Educate pt Ensure pressure dressing is in *. Game keg party instead of coming to us from the ER 125ml per in. Infection: F vital signs in WNL except 115 pulse, which is normal him! Her on a bed pan earlier, but Needs help getting up 135/96 RR! An hour power of attorney she is aware of self and situation, but not timeor.. And about to Have surgery this morning HR 99, BP 114/62, P,! River complete.docx from BIO 123 at Southeastern Community College True Psychological Needs, nursing Concerns why he will Risk:! Has arrived in pre-op and about to Have surgery this morning at 0600, refusing. Neurological: normal acuity Robert Sturgess, 81 years old, c/o back pain, patient fell and her... Services Document Scenario # 2 Neurological: normal acuity she has arrived at 0600 and! Spring 2022 ; Distinction Level Assignment has everything from BIO 123 at Southeastern Community College 75 ml/hr and using. Mg daily also takes Metformin to control her type 2 diabetes on a pan! Pt and husband to the family What were the voices telling you of state, but timeor., all vital signs -BP 124/82, Temp 98.2, P 92, RR 20, PaO2 96 % her... Days ago to initiate an incident report anesthesia Neuro WNL alert and post-op NPO. History of osteoarthritis and cataracts take VS Arthur Thomason, 56-year-old MVA victim, day.
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