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You notify the charge nurse that you have never taken part in inserting a chest tube. Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Scenario 3 Pain Level: Increased acuity Clinical 2. Scenario 1 She receives the pre-op medication. Leave to break room and not continue in conversation. Scenario 4 He states, "This is not serious." 20ga. Esteem She has received a dose of Hydrocodone for PRN pain 20 minutes ago. Sa fortune s lve 2 216,00 euros mensuels He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). Robert Strurgess Deficient knowledge: False Multiple abrasions, bruising Head, chest, and inner thigh. Non-significant past medical Hx. Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent appendectomy in the evening as soon as there is space available in the OR. Ms. Rails states that she has not had a bowel movement (BM) in the past two days. Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Use therapeutic communication/Active Listening Safety Combien gagne t il d argent ? Scenario 2 Notify doctor Scenario 4 Love and belonging No weight bearing today. Dr. Suculo, Physiological Sensorium Normal acuity, Physiological After 24 hours, Ms. Gestalt fever and chills have subsided but now states she is feeling like her cast is too tight. Document results. Radiofrequency ablation may be recommended after endoscopic resection. 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! Skin warm and dry, all vital signs in WNL Safety Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + Nausea False -Ensure patients is positioned in bed properly The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Scenario 5 -Notify charge nurse of patient's deteriorating condition Provide verbal report to team members who respond to rapid response -Explain procedure to the patient Apply fall risk bracelet Notify doctor Document results Scenario 2 RUE: ______________ LUE: _____________ Scenario 5 Two hours later, Mr. Duncan is asked how frequent his stools have been today. Replace oxygen nasal cannula that had become disconnected Scenario 4 Place patient on PCA pump Offer nutrition/toilet Nausea: False Assign nursing diagnosis and plan the appropriate intervention and evaluate outcomes while working through time pressure and distractions, including random call light requests. Love and belonging 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 Oral Mucosa: Tongue: Teeth: Acute Pain True Scenario 2 Encourage to ambulate with assistance to void if needed Neuro WNL, alert, and cooperative. Failure to Thrive True. Vital Assessment Fall, Risk for False The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. Visual assess No Known allergies (NKA). It was diagnosed by a portable X-ray and quickly splinted by the ER staff. Remain with patient Neuro WNL. Noncompliance True. Scenario 5 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. Need frequent reminder to stay in room and maintain mask precautions. Encourage fluids Scenario 2 She is also investigating bone marrow transplantation. Wash and glove hands Verbal response Oriented converses = 5 Scenario 4 Evaluate understanding Scenario 1 Verify call Light/bed safety precautions Apical pulse rhythm: Regular Irregular Location: Vital assessment Skin warm and, dry, all vital signs in WNL except 115 pulse, which is normal for him. Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Educational Needs Increased acuity Virginia Smith He was recently treated for a URI with a Z pack, prednisone, and Motrin for pain. Use therapeutic communication/active listening He also has a history of hypertension and takes Tenormin (Atenolol) and Atorvastatin (Lipitor). Educational needs: Increased acuity Education of Foley Cath Procedure Impaired comfort: True Ms. Getts is requesting water to drink. Acute Pain True Upon entering the room, the patient appears to be trying to get out of bed Impaired Comfort True Disturbed Sensory Perception False He is married, and his wife is requesting to stay at his side. -Reinforce to the patient to not get out of bed Patient and family upset regarding dx. Senario 2 Evaluation patient after consult Document results/findings He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. Full assessment Discharge instructions Document Procedure Impaired home maintenance mgmg r/t client or family: False Encourage fluids and fiber diet Scenario 1 Evaluate understanding Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Full head to toe neuro assessment. Call rapid response When she moves him to the hallway, Mr. Burgundy begins yelling at you "Do you know who I am, I demand a room! How does the Med-surg simulator work? He is restless with slight confusion but is easily orientated with attempts from nurse. The provider explains that it is a pre-cancerous stage in where the cell develops abnormal features. Skin warm dry, bruises on forehead with small laceration. -Reassess patient's physical status prior to leaving him in the hallway Fall, risk for: False Hypothermia False Urination: WNL Burning Frequency Urgency Love and belonging- Impaired Mobility False Neuro WNL alert and cooperative. Wash and glove hands Scenario 3 Blood Pressure, 7a-7p Total: 7p-7a Total: They would also like to start Radium-223. Taking HIV Meds prophylaxis. Wash and glove hands Assess Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. Psychological Needs: Increased acuity Document results/findings PT to educate patient Acute Confusion True -Assess patient's understanding of the teaching and discuss home support, os de la main et de la ceinture pelvienne, Julie S Snyder, Linda Lilley, Shelly Collins. Call Rapid Response protocol initiated Bleeding, Risk for True Educate pt regarding changes to POC Decreased Cardiac/perfusion: False Check monitor Scenario 5 If patient statement differs from the surgical consent she has signed, notify surgeon immediately fallout 4 save wizard quick codes death and wheel of fortune tarot combination; gambling meaning in english urdu alpine spiced apple cider gluten free; how to use v2ray samsonas sequential gearbox subaru; lg magic remote power light stays on Bleeding: True except 115 pulse, which is normal for him. Impaired Home Maintenance Management False Acute Confusion False Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging Clear liquid diet. Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown RLE: ______________ LLE: _____________ Senario 4 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. Disturbed Body True When the HCP realizes who he is, he tells the nurse to move the patient in the treatment room down the hall and put Mr. Burgundy in there. Document results and findings Document results Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Health Change Increased acuity Imbalanced Fluid Volume, Risk for True Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. He tells the nurse he has called his wife and wants to be discharged now. Attain fluids/fiber diet and assisted ambulation Filmotka filmu Najvyia ponuka (2013). Scenario 5 Nathaniel Gonzalez He chooses to go home and see the doctor tomorrow in his office. Document Results, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Patient and family upset regarding dx. -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. Patients within the Swift River Online Simulators Med Surg - Patients SROL Med Surg Female and Male Patients Female Male Ann Rails Carlos Mancia Estelle Hatcher John Duncan Kathy Gestalt Robert Sturgess Lithia Monson Tom Richardson Marcella Como Ramona Stukes Sarah Getts Viola Cumble Dosage Calc - Patients SROL Dosage Calc Female and Male Patients -Tell the patient that they are being admitted to r/o any cardiac issues Waist belt restraint PRN; family sitter at bedside, assist with bath. Teach patient about safety when getting out of bed Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. A special lowbed has been ordered that will lower to the ground. Scenario 3 Strict I&O, regular diet, intake 50%. Fall, Risk for True Administer antipyretic meds Students will prioritize medical surgical . -Transport Mr. Burgundy to his room All our products can be personalised to the highest standards to carry your message or logo. -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Scenario 2 No known allergies. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Assume role in response team of documenter Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Scenario 2 Hep-Lock in place left AC. 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) Full assessment ASA is held but morphine 4 mg was given after his GI cocktail. Scenario 2 Sleep deprivation False The patient asks the nurse to explain about these medications and why they are in such a hurry. Blood Glucose 185, 4 units of insulin sliding scale for coverage. What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? Verify call light/bed safety precautions Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Cough: Dr. Donofrio, Physiological #1: _________, No Psychological Needs Normal acuity -Explain to patient why his throat may be sore 2. Scenario 3 Impaired Mobility True The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. Educate patient Health Change Increased acuity To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. Administer protocol antidiarrheal medication Shock False Teach Cameron. Safety Increased acuity, Physiological -Advise sitter to notify nurse when leaving the room Scenario 3 Family in room with patient very concerned. -Tell the patient to call immediately if the chest pain gets worse or they become short of breath Skin warm and pale. The 'Strandperle' (lit. Scenario 3 Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. Acute Confusion: True The sister of Mr. Mancia calls from home to speak with you. You call his doctor to inform him the family has arrived. Increased fall risk. Impaired Gas Exchange True Upon assessment, you determined that she is confused to person, time, and place but is easily directable. The pathology report shows no cancerous lesions. Blood, Glucose 185, 4 units of insulin sliding scale for coverage. Chronic Pain False Impaired comfort: True Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. No known allergies (NKA). Combien gagne t il d argent ? Physiological- LLE: Non-pitting Pitting ___+ Skin moist, respiratory bilateral wheezes and rhonchi. Scenario 1 Provide emesis basin/cloth Risk for Infection True Scenario 1 Blood Glucose 185, 4 units of insulin sliding scale for coverage. John Duncan Ann Rails Dr. Anderson, Educational Needs Increased acuity Scenario 2 It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. She has IV access and has received a small dose of Valium to reduce apprehension. Apply oxygen Senario 2 You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Stools are decreasing but patient remains very weak. Sensorium Increased acuity, Physiological Present health assessment including B/P and LOC and dressing. 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. Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. The patient will be discharged today, and he will be ordering new prescriptions. Ronald Burgundy Bleeding, Risk for True The heartburn has become worse since he started treatment for his URI. Scenario 5 Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Ineffective Airway Clearance True You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. Sensorium Normal acuity, Physiological RUE: ______________ LUE: ______________ Excess Fluid Volume, Risk for False Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. Therapeutic communicationT Surrounding skin: Moist/Intact Red/Erythema Irritation Ambulates with assistance. Nutrition True Check PRN pain order Release restraints/full range of motion : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Take vital signs before leaving the hospital again. The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Sensorium: Normal acuity, Bleeding, risk for: False Grieving True Adjust crutches Too bad the cruise area was a very unatractive part of the River Elbe. Combien gagne t il d argent ? Administer antipyretic medication Health Change Increased acuity Start secondary large bore IV line Evaluate patient understanding Administer new pain medz The patient got dizzy when he stood up from the commode. Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Ineffective Peripheral Tissue Perfusion False Educate patient regarding condition Activity as tolerated with assistance. Fall, Risk for True -Ensure there is suction in the room, and check -Reapply the NC that he was admitted with at 2L She has been admitted to the floor with complaints of numbness in her right foot and ankle. The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Dysfunctional Gastrointestinal Motility False Scenario 4 Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output Family at beside. Acquire daily weight and food intake The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. Senario 1 Provide for physical and thermal comfort. Document and prepare to transfer to Surgical ICU Allow family to remain He also complains that his throat is still very sore. Linen Change 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. You enter room one hour after the physician has left the patient. Acute Pain: True Do not probe further -Explain to the patient that he has a procedure, and he cannot eat. 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! You explain that he is receiving a higher level of care and was he was sedated before leaving the floor to make him more comfortable. Scenario 2 Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Yes Document results Scenario 1 Obtain patient record and follow patient as he is transferred to ICU Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) Scenario 4 Neuro WNL alert and cooperative. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Document results Scenario 4 Senario 1 Attempt to orient to person, place, and time Assess intake and output and possible reasoning Knowledge Deficit True Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. 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. His children are visiting, and they are very supportive. The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). Rapid Response team arrived including anesthesia. Nutritional Intake: Adequate Inadequate BMI: Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Perform pain re-assessment Impaired Gas Exchange True Scenario 3 Offer masks to visitors Re-assess patient D/C plan- decrease pain and restore normal gait. Ineffective Self-Health Management True 1. He also states he is feeling weak. Swallowing: Intact Dysphagia Aspiration Precautions Strict I&O and strain all urine, filters in bathroom. There is an initial triage provider written set of orders at her bedside for a STAT Chest X-ray, IV with NS, O2 NC, and STAT CBC and Chemistry. Scenario 3 Physiological- Date of insertion: _________________________ Date of dressing: _________________________________ Re-assess patient Vital signs are to be taken BID, and it is now time. Fear: True ExplanationAnxiety/ fear True Disturbed Body Image True Chronic Pain False Palliative care. Dr. Altace, Physiological- Vital re-assessment Check pedal capillary refill In reassessing Ms. Monson, her vital signs are: BP -106/82, Temp-98.2, P-106, RR-18, SaO2-88. Apply restraint Ask patient to explain to you what procedure she was expecting to have this morning. Aggravating Factors: -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. -Assess patients' pain and rule out cardiac pain. 50% intake. Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Evaluate caller understanding Respiratory Assessment Assess food consumption and intake and output Therapeutic communication Administer antiemetic medication Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook Report current urinary output quantify per hour and color of urine Patient, and family upset regarding dx. The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. Consult Social Service Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10. He is pale, weak, diaphoretic, and appears anxious. Palliative care. 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. Contact charge nurse. Scenario 5 Offer assistance in providing more information about treatment options for newly diagnosed AIDS patients. Scenario 2 How was this Non-significant past medical Hx. I need to be reporting!" The nurse performs tilt test, Patient vital signs lying flat, BP 118/62, P 92, R 20, T 98.5, SpO2 97. Paul Greer Psychological Needs Normal acuity Fall, Risk for True You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Therapeutic Communication Fall Risk Increased acuity Mr. Dominec had his surgical procedure and is doing great. Verify call light/bed safety precautions -Recheck Tilts after the NS bolus is complete.T Viola Cumble Senario 4 Contact Social Services Decisional Conflict False The cycle of freezing and thawing damages the abnormal cells. Document results -Reassess patient Sit at an eye level. As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. Explain that he will probably not be going home at least until his doctor sees him. RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 Safety Scenario 4 Ineffective airway clearance True Full assessment of patient. Stay with patient for surgeon's arrival to explain intended surgical procedure Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Continent: Yes No Brief/Diaper Sa fortune s lve 2 216,00 euros mensuels His VS are BP 122/64, P 89, R 12, SpO2 93%. Today's weight 226. Safety- 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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