Document results Senario 1 Provide information for MD to call family at home and explain what has just happened "I am feeling fine." His original lymph node biopsy was negative. Psychological Needs: Increased acuity Senario 3 When completing the shift change neuro check, you notice the patient's left pupil is sluggish. Administer protocol antidiarrheal medication He does not have an IV nor is he on oxygen. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Stat lithotripsy treatment ordered. Impaired Comfort True Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time.
Swift River Medical-Surgical Flashcards | Quizlet Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. Verify call Light/bed safety precautions Scenario 3 Scenario 1 She receives the pre-op medication. Attain fluids/fiber diet and assisted ambulation Obtain translator Respirations Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. Decreased Cardio Tissue Perfusion False Sexuality: True. Family at beside. 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. Combien gagne t il d argent ? Wife at bedside. Seek clarification Scenario 4 Incomprehensible Start secondary large bore IV line Fall, risk for True How does the Med-surg simulator work? No Known allergies (NKA). Decreased Cardiac/perfusion False Neuro WNL alert and cooperative.
-Tell the patient that they are being admitted to r/o any cardiac issues Love and Belonging Disturbed Body True Reasses temp in 1 hour. The patient has a pneumothorax that requires a chest tube placement. Pain Level Increased acuity Sa fortune s lve 2 216,00 euros mensuels August 13, 2020 // by Angela McGowan. Impaired Skin Integrity, Risk for False Ineffective airway clearance True Dr. Brown, Educational Needs Increased acuity Pulse At Risk, Impaired Comfort False Use therapeutic communication/Active Listening Compromised Family Coping False Wash and glove hands Elevate Extremity 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 Grieving False She is having some difficulty breathing. Evaluate patient learning The Swift River is one of the most unique and popular trout fishing destinations in Massachusetts, yet the dynamics of this exceptional fishery have not been well understood. Scenario 1
Swift River Reflection Questions 1 - Swift River - Course Hero Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Fear: True Decreased Cardiac/perfusion: False Pain Level Increased acuity Perineal Care 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. LOC Increased acuity Cardiovascular Assessment The pathology report shows no cancerous lesions. Scenario 4 Acute Pain True Love and belonging It is now the second day post op and he is given discharge information. -Assess patient LOC, by walking patient and asking them to take deep breaths. Scenario 1 Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid Compromised Family Coping: False Fall, Risk for True
SBAR assignment.docx - SBAR(situation, background, - Course Hero Esteem Notify doctor Educate patient Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Scenario 4 Awaiting diagnostic labs. Impaired Skin Integrity, Risk for False Safety
Swift River Clinical Practice Chamberlain University - Homework Score Senario 3 Acute Confusion False He also has metal fragments on his left side on his leg arm and torso. He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Scenario 2 His left humerus is fractured and splinted. Yes Productive Non-productive Describe Sputum: _______________________ Electrolyte Imbalance False Strict I&O, regular diet, intake 50%. 20ga. Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin Check input/output for possible dehydration Failure to Thrive True. Fall Risk Increased acuity An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting Notify doctor if condition is abnormal Document findings Scenario 2 Social Isolation, Risk for True Document results and findings Robert Domenic As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. 50% intake. Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Normal Sinus Rhythm on telemetry. He has a history of hypertension and is not compliant with medication. Vital Assessment -Place patient on 100% O2 He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. Senario 5 Assess vital results -Complete incident report. Sa fortune s lve 2 000,00 euros mensuels Risk for Infection True Hypothermia False Biopsies were sent to determine the treatment. Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. Sleep deprivation: False Explain to her family and provide contact information. Document conversation You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Scenario 3 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) Paul Greer Nathaniel Gonzalez Why is cysteine such an important amino acid for defining the tertiary structure of some proteins? Inform and educate spouse of dietary orders Senario 4 IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Administer PRN constipation medications Safety Increased acuity, Physiological : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY.
Clinical 2 Flashcards | Quizlet Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook Scenario 1 : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs.
The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. Pupils PERRLA, eyes clear. Encourage fluids Ms. Getts is requesting water to drink. He also has a history of hypertension and takes Tenormin (Atenolol) and Atorvastatin (Lipitor).
Nr 325 final exam quizlet chamberlain - gqqa.wikinger-turnier.de Senario 5 Wash and glove hands Re-assess patient Scenario 5 -Explain to the patient that he has a procedure, and he cannot eat. Senario 1 They would also like to start Radium-223. Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%.
Swift River MedSurg 1.pdf - MED-SURG SCORE: 100 TIME -Ask Mr. Burgundy to lower his tone as it can be disturbing to other patients Scenario 2: 1Educate about recovery from appendectomy and care to wound. He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel.
Hafencity Riverbus (Hamburg) - All You Need to Know BEFORE You Go Construct dietary consult (plan) Psychological Needs Normal acuity Allergic to sulfa drugs. Bleeding, Risk for False Alert and cooperative. Her husband and children remain with her in the surgical holding area awaiting transport to the OR. Acute Pain True Ineffective Self-Health Management False The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. Disturbed Sensory Perception False -Determine when a hospital provided sitter will be necessary Senario 2
DOCX Swift River Online Learning - Taxonomy You notify the charge nurse that you have never taken part in inserting a chest tube. Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: Physiological-
Ruth Cummings - The Nathan Cummings Foundation Breath Sounds: Clear bilaterally. IV Assessment/ N/A Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage 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. Senario 4 Encourage to ambulate with assistance to void if needed Teach patient about safety when getting out of bed Ineffective Airway Clearance True Neuro WNL alert and cooperative. Surrounding skin: Moist/Intact Red/Erythema Irritation Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him.
Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A - Qwivy Place pt on PCA pump Contact Social Services 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. -Explain to the patient that he is now considered stable, you are taking him to the hallway, and he will be admitted to an impatient room within a few hours Senario 4 Vital assessment Impaired Mobility, Risk for True However, these abnormal cells do not have the capability to spread to other parts of the body. Document results VS: BP 158/90, HR 89, R 18, T 97.8 F. Infection, Risk for False Senario 2 Evaluate understanding Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Family in room with patient very concerned. 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. Remain with patient except 115 pulse, which is normal for him. Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. -Evaluate patient's understanding of teaching The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions StuDocu University Keiser University Western Governors University Senario 2 Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) Scenario 4 Ineffective Peripheral Tissue Perfusion False Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes GI WNL. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Scenario 2 Acute Pain True When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. -Explain procedure to the patient Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Esteem Constipation, Risk for True 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 High fall risk. Scenario 5 Impaired Home Maintenance Management r/t Client or Family False 1. Assessment of bowel movement Allow for non-compliance of request Sleep deprivation False Love and Belonging Filmotka filmu Najvyia ponuka (2013). She is also to receive radiation, chemotherapy, and hormone therapy post operatively. Scenario 5 Educate patient regarding patient care Ambulates with minimal assistance. -Call security for assistance and compliance officer Scenario 4 After washing and gloving hands, you then identify yourself and the patient, Ann Rails. Amount: _______ Anterior: ___________________________________ Posterior: ____________________________________ Employ therapeutic communication: present reality -Ensure bed is in lowest position, and rails are in place
She has IV access and has received a small dose of Valium to reduce apprehension. Robert Sturgess - Swift River Swift River University Nightingale College Course Concepts of Nursing I (BSN 246) Academic year2022/2023 Helpful? -Notify charge nurse of patient's deteriorating condition Document results Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Perform circulatory evaluation Offer assistance Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Scenario 5 Request sitter/family member to bedside Bleeding, Risk for True Scenario 2 Multiple abrasions, bruising Head, chest, and inner thigh. Nausea: False ADA diet, intake 25%. Then the bus splashed into the river for a cruise. It is now two weeks later; Mrs. Smith has returned. -Draw a repeat CBC per HCP order to determine current Hemoglobin status He asks to speak to a clergy member. Assess food consumption and intake and output Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. 00 Comments Please sign inor registerto post comments. Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. Mrs. Pittmon states she has had numbness for years but "now I can't . Sa fortune s lve 2 216,00 euros mensuels Nutrition True Scenario 5 Ineffective self-health mgmt: False, Disturbed body: False Tear, Ecchymosis, Contusions, Bruising Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. Document results and findings Wash and glove hands The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. Scenario 2 Non-significant past medical history. Ambulates with assistance. Blood, Glucose 185, 4 units of insulin sliding scale for coverage. Love and belonging Scenario 1 Ineffective Renal Perfusion, Risk for True Genitalia: WNL (skin intact, no lesions) Abnormalities Describe: __________________________ #1: _________, No Assess Anxiety False Notify doctor He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Scenario 1 Check PRN pain order Offer bedpan Leave to break room and not continue in conversation. -Document and contact nursing supervisor/Charge nurse Pulses: Strength & Symmetry Edema: Fall, Risk for True Obtain and provide the infectious disease doctor's contact information for him. Scenario 2 Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. 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. Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Evaluate understanding Where is my camera man!! Impaired Skin Integrity, Risk for True The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. Inform his partner that everything is being done to keep him comfortable. RLQ: RUQ: LUQ: LLQ: Scenario 4 45 terms. His wife tells the nurse that he seemed very distant and did not want to talk much. Deficient Diversional Activity False Connect telemetry -Check patency of Foley catheter, urine color, and ensure it is secure to the patient's leg Sa fortune s lve 1 900,00 euros mensuels Localizes pain = 5 He has a 20-year one pack history of smoking. palliative care. Radiofrequency ablation may be recommended after endoscopic resection. -Place patient on O2 Nasal Canula Scenario 2 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. Replace oxygen nasal cannula that had become disconnected Seek clarification Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging Scenario 5 Listen to patient concerns Respiratory Rate: WNL Tachypnea Bradypnea IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. Safety- Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. The bed arrives tomorrow.
Swift River: Sign In Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. Senario 3 Sensorium Normal acuity, Physiological Assist patient Document teaching moment. Mrs. Smith's surgery has now ended. Fear True Notify lead nurse/doctor -Obtain chest tube tray and set-up pleurovac
Swift River fisheries research | Mass.gov Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 LOC Normal acuity Fall, risk for: False NPO with small amount of ice chips only. Obtain vital signs machine Safety- RUE: ______________ LUE: _____________ Sensorium Increased acuity, Physiological When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. Your Swift River Virtual Clinicals account has been linked to your ATI Student account. Temp Strict I&O, regular diet, intake 50%. Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. Mr. Sturgess does not have a living will or durable power of care completed. Increased fall risk. Vital signs are: B/P 112/78, temp. 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. Powerlessness: True, Scenario 1 Social worker with patient this morning. river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . Provide comfort measures Decisional Conflict False Document pt's statements. Acute Pain True Mr. Richardson is now pain free and questioning why he is plagued with recurring urinary stones. Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Full assessment of patient. Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. Give verbal report You escort them with you to the ICU. When a physician makes an incision into a body cavity just superior to the diaphragm and inferior to the neck, what body cavity will be exposed? You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Communication/Speech: Clear Non-verbal Slurred Aphasia Other Abdominal Pain: Non-tender Tender/Pain Describe: Educate patient regarding changes to POC Disoriented, confused = 4 Patient demonstrates urine strain procedure. Pain Level Increased acuity Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. Document results/findings Ms. Rails shares with you her fear of being discharged home to an abusive husband. Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. -Complete full assessment, to include neuro Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F Suprapubic Insertion site: WNL S/S Infection : ____________________ Document results Scenario 5 Evaluate patient understanding Apply nasal cannula Begin post op education for day one 2021-22, Historia de la literatura (linea del tiempo), Respiratory Completed Shadow Health Tina Jones, CH 02 HW - Chapter 2 physics homework for Mastering, BI THO LUN LUT LAO NG LN TH NHT 1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. Intermittent/Continuous Other: Safety Scenario 4 Health Change Increased acuity Robert Strurgess Scenario 2 Psychological Needs Increased acuity Scenario 3 Skin warm dry, bruises on forehead with small laceration. Scenario 1 Tap patient and ask, "Are you okay?" Respiratory Assessment Blood Glucose 185, 4 units of insulin sliding scale for coverage. Hx of dementia, from nursing home, fall one day ago. Ineffective Coping False 4Inform his partner that everything is being done to keep him comfortable. Senario 5 Educational needs: Increased acuity The patient is asking you where her son is, the last place she saw him was right before the explosion. Temperature is now 102.8. Assess for fall risk Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Imbalanced Nutrition True Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. -Inform patient to not get out of bed without assistance and place call light in reach Ineffective Self-Health Management True Ronald Burgundy Chronic Pain False Notify Doctor for pain medz Constipation False
Med Surg - Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A Scenario 1 You enter patient's room. Self-Care Deficit: True Too bad the cruise area was a very unatractive part of the River Elbe. Chronic Sorrow False Diet as tolerated. Evaluate understanding Grieving: True 0800 1200 Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Physiological- -Start IV Check surgical consent for correct procedure and make sure operative site in marked. , a 58-year-old male patient presents to the ER CO CP 10/10. 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. Scenario 3 Estimate the length of the Neptunian year given that the Earth is 1.50108km1.50 \times 10^{8} \mathrm{km}1.50108km from the Sun on the average. Remain with patient Perform neuro assess 156 terms.
Swift River Med-Surg Flashcards | Quizlet Palliative care. Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ +