Perform pain reassessment Scenario 3 Students will prioritize medical surgical . She has just been transported from recovery. -Ensure the bed is in lowest position, the side rails are up, the call light is in reach, and ask the patient if they need anything before you leave the room His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" Esteem Safety Swift River: Sign In Fall Risk Increased acuity Evaluate understanding Scenario 1 Acute Pain: True Senario 5 Bleeding False Anxiety False Provide comfort measures Attempt to orient to person, place, and time Ask patient to explain to you what procedure she was expecting to have this morning. Course Hero is not sponsored or endorsed by any college or university. Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Connect telemetry Review pain medication order Self-Care Deficit True Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. He replies, "six times in the past four hours". Scenario 2 Knowledge Deficit True Psychological Needs Increased acuity Scenario 5 Remain with patient Document results Activity as tolerated with assistance. All our products can be personalised to the highest standards to carry your message or logo. He tells the nurse he has called his wife and wants to be discharged now. Provide comfort in pre-surgical room Mr. Dominec. Also worth mentioning is the 'Alter Schwede' - a 217t . Deficient Knowledge True Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. Visual assess Constipation, risk for: True Odor: __________, No Nr 325 final exam quizlet chamberlain - gqqa.wikinger-turnier.de Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Neuro WNL alert and cooperative. -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need Encourage to ambulate with assistance to void if needed Imbalanced Nutrition True -Complete incident report. Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage -Determine when a hospital provided sitter will be necessary No known allergies (NKA). Swallowing: Intact Dysphagia Aspiration Precautions -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Scenario 5 Cough: -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 Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive Fortune Salaire Mensuel de Ubah Kalimat Efektif Online Combien gagne t Verbal response Oriented converses = 5 Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. Educational Needs Increased acuity Notify family Dr. Donofrio, Physiological Use therapeutic communication/Active Listening Senario 2 Senario 2 Toileting, Medications List/Times of Medications/Routes of medication, Neurological Assessment Refer call to contact health department Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. Scenario 1 Swift River Med Surg Scenarios Answers - Homework Score Scenario 5 Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Call Rapid Response protocol initiated -If cardiac is suspected call the provider and the rapid response team. Perform full assessment and provide anti-nausea medicine. Obtain translator The pain makes him short of breath. : 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. Monitor and evaluate fluid intake Impaired home maintenance mgmg r/t client or family: False Fear True -Tell the patient that they are being admitted to r/o any cardiac issues 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. river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . Stools are decreasing but patient remains very weak. 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. new-patients-swift-river-med-surg-covid-new-patients-charlie-raymond Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Scenario 4 Reapply restraints Pain, Acute True Nutritional Intake: Adequate Inadequate BMI: Non-significant past medical Hx. Impaired comfort: True Multiple abrasions, bruising Head, chest, and inner thigh. Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Alert and cooperative. Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." 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. Self-Care Deficit False Evaluation patient after consult Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles Ineffective Airway Clearance True Encourage Mr. Dominec to discuss with his partner his best treatment options. Esteem This shop has been compensated by Inmar Intelligence and its advertiser. Waist belt restraint PRN; family sitter at bedside, assist with bath. -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 Decreased Cardio Tissue Perfusion False Health Change Increased acuity Apical pulse rhythm: Regular Irregular Location: Patient and family upset regarding dx. Safety- Document results and findings The dinner tray is waiting for the patient in his room, and the nurse notices it is a regular diet. -Explain procedure to the patient Radiofrequency ablation may be recommended after endoscopic resection. Taking HIV Meds prophylaxis. -Reassess patient Patient and family upset regarding dx. He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Chronic Pain False He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. Provide emotional support. Sensorium Increased acuit, Physiological Swift River Nursing Simulation - Homework Writing Services Tunneled, site _______________ Implanted port, accessed _____________________ You are the now the Surgical ICU nurse assigned to her. Inspect cast site Reassure patient and help explain any new orders from physician to patient Pain Level Increased acuity Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. swift river assignment: day swift river assignments dosage minimum score 90 med minimum score 80 minimum score 90 robert sturgess linda yu linda pittmon carlos Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Keiser University Silver Creek High School (Colorado) Oral Care Inform and educate spouse of dietary orders Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Take vital signs before leaving the hospital again. Scenario 4 Nursing questions and answers. Impaired Home Maintenance Management False Non-significant past medical Hx. Notify family as to when they may come and visit. Bleeding, Risk for False Love and Belonging Sleep Deprivation False Sa fortune s lve 1 900,00 euros mensuels Assess Pain and numbness in legs for one week. Neuro WNL alert and cooperative. Identify patient Decreased cardio tissue perfusion: False Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. Scenario 4 Notify lead nurse/doctor Wash and glove hands Pulses: Strength & Symmetry Edema: VS: BP 158/90, HR 89, R 18, T 97.8 F. Scenario 5 Love and belonging- A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. Scenario 5 Scenario 2 Family at beside. Fortune Salaire Mensuel de Nba 2k23 Pc Review Combien gagne t il d Tom Richardson, 46yr-old. Surrounding skin: Moist/Intact Red/Erythema Irritation Senario 1 Failure to Thrive False. Grieving False is a 57 y/o who has been admitted for a radical prostatectomy. She has IV access and has received a small dose of Valium to reduce apprehension. Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion Sleep deprivation False Assess vital results 1Perform full assessment and provide anti-nausea medicine. Vital signs taken by automatic B/P Cuff q 15 minutes You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. -Document and contact nursing supervisor/Charge nurse Document results/findings -Use therapeutic communication/active listening -When the HCP arrives, stay in the room to determine whether you can continue care with the patient Grieving: True Hafencity Riverbus (Hamburg) - All You Need to Know BEFORE You Go The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. 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. Scenario 3 Blood Glucose 185, 4 units of insulin sliding scale for coverage. Hopelessness True The sister of Mr. Mancia calls from home to speak with you. Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes Scenario 4 LLE: Non-pitting Pitting ___+ Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Widespread Color Change: N/A pallor cyanosis jaundice erythema Senario 2 Include patient condition change in shift report Acute Pain False Strict I&O and strain all urine, filters in bathroom. Notify doctor for Foley catheter -Explain to the patient that he has a procedure, and he cannot eat. Senario 4 Ruth Cummings - The Nathan Cummings Foundation Remind the nursing staff that the patient is NPO. Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. Chronic Pain True jasmine . Temp Educate pt regarding changes to POC 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 . No known allergies. Evaluate patient understanding Scenario 5 Scenario 3 While assessing the patient, Mr. Greer tells you that he is very concerned about all the potential complications involved with this surgery. -If gastric reflux is suspected administer PRN antacids (GI cocktail) Chronic Pain False Scenario 4 Perform neuro assess The Elbe River - hamburg.com Scenario 3 Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. LUE: Non-pitting Pitting ___+ Vital signs -Temp 98.6, BP, Erma Willis, a 65-year-old woman with a history of adenocarcinoma and multiple past episodes of related secondary infections, was admitted to the medical-surgical unit this morning with a diagnosis, Reflective Journal VCBC Post work Cellular Regulation VCBC Post Work Start Assignment Due No Due Date Points 10 Submitting a file upload Please submit your post work to Canvas within 48 hours of, Typically the concept of cellular regulation Involves the study of cancer and related diagnoses. Assist physician in physical exam of patient Clear liquid diet. 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. You enter room one hour after the physician has left the patient. Allow husband to come into recovery for a quick one-minute visit. Scenario 5 Chronic Pain False Full assessment of patient. Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Scenario 2 You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. -Complete full assessment, to include neuro -Complete head-to-toe assessment while patient is on the floor. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Check surgical consent for correct procedure and make sure operative site in marked. Scenario 4 45 terms. Impaired Gas Exchange True Full assessment Sensorium Increased acuity, Physiological Psychological Needs Increased acuity Tear, Ecchymosis, Contusions, Bruising Too bad the cruise area was a very unatractive part of the River Elbe. Scenario 4 Apply nasal cannula Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Fear: True Reassure patient of options Evaluate outcome of dietary plan Senario 4 Tap patient and ask, "Are you okay?" Medical Surgical Flashcards | Quizlet Yes Fall, Risk for True Scenario 3 Record intake and output 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! Pulse Obtain urinary screen -Assess patient's ABC (airway, breathing, circulation) His left humerus is fractured and splinted. You notice she is crying and is expressing fear that she "will always have this pain and numbness" and she doesn't think she can cope. Leave to break room and not continue in conversation. Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant.
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