Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Constipation, Risk for True -Ensure there is suction in the room, and check Scenario 4 Opening Title Production company Cast and crew Genre J A N U A R Y 2: The Killing of John Lennon: IFC First Take: Andrew Piddington (director/screenplay); Jonas Ball, Krisha Fairchild, Gunter Stern, Gail Kay Bell, Mie Omori, Robert C. Kirk: Crime, Drama: 4: One Missed Call: Warner Bros. Pictures / Alcon Entertainment / Kadokawa Pictures: Eric Valette (director); Andrew Klavan (screenplay . Wound site clean, dry and intact NPO, NG-tube to low continuous suction. -Ensure patient privacy and call for help and assist patient to bed once help arrives Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) Full assessment Acute Pain: True Fall, risk for: True Use therapeutic communication/active listening Chronic Pain False Non-significant past medical Hx. Reasses temp in 1 hour. A few hours after speaking with the sitter about the patient needing complete observation, you notice the sitter outside of the room talking on the phone. Document results Scenario 4 Neuro WNL alert and cooperative. Combien gagne t il d argent ? Disoriented, confused = 4 He is questioning the nurse as to why he has been admitted for heartburn. IV D5 1/2 NS @150ml/hr. Scenario 5 Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Scenario 2 The oncologist is insistent that the treatment begin immediately. Take vital signs before leaving the hospital again. Scenario 2 Administer PRN constipation medications Obtain translatorT Scenario 2 Safety -Ensure there is a full O2 tank on the gurney, place patient on Nasal Cannula Senario 3 Because of the fall the provider has recommended that he stay in the hospital another night. Kathy Gestalt Allow for non-compliance of request Scenario 2 The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. Offer assistance Sarah Getts Infection, Risk for False Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch. Request sitter/family member to bedside Provide information for MD to call family at home and explain what has just happened Encourage fluids You question her while reviewing her operative consent and determine that everything is correct. Emergency intubation and assisted breathing is provided for Mr. Thomason Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Scenario 4 Assume role in response team of documenter Provide Operative summary of type of procedure, IV fluid and pain status. Color:__________ -Ask the patient if it is okay to discuss his care in front of his children. Call rapid response Deficient Knowledge False Scenario 5 -Inform patient to not get out of bed without assistance and place call light in reach Scenario 1 Blood Glucose 185, 4 units of insulin sliding scale for coverage. He has partial thickness burns to his left arm and the left side of his face. Obtain translator -Complete initial post-op assessment -Medicate for pain Educate patient Impaired Skin Integrity, False Impaired Mobility False Insertion Site: Dry/Intact Redness/Erythema Drainage Tenderness Maceration Love and belonging Scenario 4 Amount:________ Notify Physical Therapy (PT) Bleeding False Report current urinary output quantify per hour and color of urine Renal diet. Document results -Draw a repeat CBC per HCP order to determine current Hemoglobin status Scenario 4 Fall, Risk for True Electrolyte Imbalance False Fall, Risk for True Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Waist belt restraint PRN; family sitter at bedside, assist with bath. Read PT report Dr. Altace, Educational Needs Increased acuity Stools are decreasing but patient remains very weak. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Safety- Gown and mask Palliative care. Neuro WNL alert and cooperative. Hep-Lock in place left AC. Scenario 5 Combien gagne t il d argent ? Respiratory Rate: WNL Tachypnea Bradypnea I need to be reporting!" 3. Pupils PERRLA, eyes clear. Senario 3 Administer protocol antidiarrheal medication Non-significant past medical history. Scenario 2 3Check surgical consent for correct procedure and make sure operative site is marked. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + No known allergies (NKA). Scenario 2 Noncompliance True Obtain patient record and follow patient as he is transferred to ICU : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Senario 4 -If gastric reflux is suspected administer PRN antacids (GI cocktail) Notify lead nurse/doctor Compromised Family Coping: False Provide for physical and thermal comfort. Pain Level Increased acuity Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Patient and family upset regarding dx. Provide a few chairs if possible for her family to also be comfortable No 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. Vital Assessment But that's changing. Odor: __________, No Disturbed Sensory Perception False Senario 5 Scenario 5 Vital signs taken by automatic B/P Cuff q 15 minutes Nausea: False Scenario 1 LOC Normal acuity Diet as tolerated, up ad lib after gait training. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. -Ensure IV is patent, Lithia Monson Ms. Rails states that she has not had a bowel movement (BM) in the past two days. Apical pulse rhythm: Regular Irregular Location: Document pt's statements. Gastrointestinal Assessment Inform patient about the progression and risk a PCP infection has for a patient with AIDS. Course Hero is not sponsored or endorsed by any college or university. 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. Anterior: ___________________________________ Posterior: ____________________________________ ADA diet, intake, 25%. Check PRN pain order Wash and glove hands Educational Needs Increased acuity Gait: ______________________________, Skin Integrity Assessment Alert and cooperative. Verify call light/bed safety precautions Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. Scenario 2: 1Educate about recovery from appendectomy and care to wound. 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 You discuss this cough with Mr. Dominec to determine how long he has had it. Sensorium Normal acuity, Physiological Temp 98, BP 114/67, P 115, RR 20, SaO2 98%. -Obtain chest tube tray and set-up pleurovac RLQ: RUQ: LUQ: LLQ: Skin moist, respiratory bilateral wheezes and rhonchi. Document results and findings Educate pt regarding changes to POC Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive -Assess patient's ABC (airway, breathing, circulation) Safety You enter room one hour after the physician has left the patient. References; Access My Virtual Clinicals; Medical-Surgical. Peripheral Neurovascular Dysfunction: False Contact charge nurse. He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. Pulse Fear/Anxiety True. Due to this, the provider would like him to stay in the hospital for observation. Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage Reapply restraints Sleep deprivation: False Acute pain: False Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. Waist belt restraint PRN; family sitter at bedside, assist with bath. Now, third day post-op, Mrs. Stukes appears sad and depressed upon entering the room. Observe closely first hour Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. -Assess patients' pain and rule out cardiac pain. Full assessment Document results/findings Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid Record intake and output Allergic to sulfa drugs. Use therapeutic communication/active listening Scenario 2 Acute Confusion True Educational Needs Increased acuity Safety Administer antipyretic meds He is having some difficulty hearing and complains of ringing in his ears. Assess vital results 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) Ineffective Airway Clearance True Scenario 5 Educate patient/family Self-Care Deficit False Scenario 2 Failure to Thrive: True. Dr. Donofrio. Verify call light/bed safety precautions John Duncan Scenario 3 Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. Fall, risk for: False 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. Excess Fluid Volume, Risk for False Bleeding, Risk for True Ann Rails Temp Scenario 1 Therapeutic communication. Check PRN pain order Document conversation Evaluate understanding Lithia Monson Scenario 3 Pain re-assessment You are concerned about preventing the patient from falling. Psychological Needs Increased acuity 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! It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump Disturbed Body Image True 97.4, Resp 16 and Pulse Ox 94%. Social worker with patient this morning. Continent: Yes No Occasional Incontinence Frequent Incontinence Brief Ms. Rails shares with you her fear of being discharged home to an abusive husband. In reassessing Ms. Monson, her vital signs are: BP -106/82, Temp-98.2, P-106, RR-18, SaO2-88. r/o Tuberculosis. -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 Love and belonging- Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Teach Cameron. At Risk, Impaired Comfort False Scenario 3 50% intake. Fall Risk Increased acuity No known allergies (NKA). Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only Electrolyte Imbalance False Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown The 'Strandperle' (lit. Evaluate understanding -Begin q15 minute neuro checks Scenario 3 Skin warm dry, bruises on forehead with small laceration. You call his doctor to inform him the family has arrived. Nathaniel Gonzalez Acute Confusion False Viola Cumble Constipation, risk for: True Impaired comfort: True Impaired mobility: False Multiple abrasions, bruising Head, chest, and inner thigh. As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Biopsies were sent to determine the treatment. The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. No Known allergies (NKA). ADA diet, intake 25%. Notify doctor Evaluate caller understanding Scenario 1 Mr. Richardson is requesting assistance to ambulate to bathroom. Scenario 4 Mrs. Smith shares with you that even though she signed the operative consent she was not sure if this was the right surgical procedure for her. 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? Escort patient Scenario 1 Remain with patient The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Educate patient regarding patient care Bleeding, Risk for False Safety Contact Social Services -Restart the IV and draw CBC John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Family in room with patient very concerned. Palliative care. Offer masks to visitors Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." Full assessment Strict I&O, regular diet, intake 50%. Assist physician in physical exam of patient Senario 5 Scenario 4 Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. "I am feeling fine." Ask patient to explain to you what procedure she was expecting to have this morning. Scenario 2 Provide emesis basin/cloth Senario 3 -When the HCP arrives, stay in the room to determine whether you can continue care with the patient IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. It is now two weeks later; Mrs. Smith has returned. Electrolyte Imbalance True -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need Discription, Table 4 Cross-sectional, Longitudinal, and Sequential Developmental Designs, Engagement 1 Recognizing Research Strategies, A mental health worker with a Christian worldview.docx (Auto Recovered), NPO Breakfast: __________% Lunch ______________ %, Ethics and Social Responsibility (PHIL 1404), Care of the childrearing family (nurs420), Advanced Care of the Adult/Older Adult (N566), Business Professionals In Trai (BUSINESS 2000), Microsoft Azure Architect Technologies (AZ-303), Nurs & Healthcare I: Foundations [Lec] (NURS356), Accounting Information Systems (ACCTG 333), Bachelor of Secondary Education Major in Filipino (BSED 2000, FIL 201), Methods of Structured English Immersion for Elementary Education (ESL-440N), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), C228 Task 2 Cindy - Bentonville - Passed with no revisions, Lesson 4 Modern Evidence of Shifting Continents, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, Lesson 17 Types of Lava and the Features They Form, Lesson 9 Seismic Waves; Locating Earthquakes, Analysis of meaning and relevance of History from the millennial point of view, Entrepreneurship Multiple Choice Questions, (Ybaez, Alcy B.) Upon entering room, you wash/glove hands. Scenario 1 Imbalanced Nutrition True He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. Scenario 4 He also complains that his throat is still very sore. Other: _______________________________ When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Offer nutrition and/ or toileting Esteem Don Personal Protective Equipment You correctly diagnosed 11 out of 16 options. Scenario 1 Perform circulatory evaluation Perform pain reassessment He is aware that he may not have an erection and may need depends for bladder incontinence.
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