Cardiovascular has pacer with rate of 82bpm on demand. -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 Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Esteem Deficient Fluid Volume True -Ask Mr. Burgundy to lower his tone as it can be disturbing to other patients What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? Talk with her stating surgery is over and she did great. -If gastric reflux is suspected administer PRN antacids (GI cocktail) Explain to physician what interventions you have recently initiated She is with her physician. Scenario 5 Anxiety True Verbal command = 3 Scenario 5 -Advise sitter to notify nurse when leaving the room Determine clinical decisions based on listening to an audible client report. Reorient Patient to person, place, & time Sensorium Normal acuity, Physiological Wash and glove hands No Known allergies (NKA). Fall Risk Increased acuity -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall Arthur Thomason 1. Scenario 5 Sa fortune s lve 1 900,00 euros mensuels Obtain recent chest X-ray reports and recent ABG's for physician to review 3Check surgical consent for correct procedure and make sure operative site is marked. -Place patient on O2 Nasal Canula Diet as tolerated. Scenario 3 Scenario 3 Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Senario 3 Teach patient about safety when getting out of bed Dr. Jones. Replace oxygen nasal cannula that had become disconnected The cycle of freezing and thawing damages the abnormal cells. Swift River Clinical Practice Chamberlain University Expert James Moore Category: Nursing Description Full Document Jose Martinez Room 301 Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain while watching a state rival football game earlier in the evening. Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Electrolyte Imbalance, Risk for True Oral Mucosa: Tongue: Teeth: Monitor and evaluate fluid intake Dr. Donofrio. -Explain to patient why his throat may be sore Psychological Needs Increased acuity You are about to call the Surgical ICU and give report. Use therapeutic communication/active listening Lithia Monson Acute Confusion True Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. She has arrived in pre-op and about to have surgery this morning. 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. He also complains that his throat is still very sore. IV D5 1/2 NS @150ml/hr. You arrive in room to find Ms. Monson talking to herself. Request time she can arrive and staff to help with transfer Document results. Urine Color: Clarity: Odor: He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. Radiofrequency ablation may be recommended after endoscopic resection. You notify the charge nurse that you have never taken part in inserting a chest tube. -Notify HCP of fall, complete incident report Pain Level Increased acuity Other: _______________________________ Scenario 3 Re-assess patient 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) Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Scenario 2 The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. Fall Risk Increased acuity Re-assess patient 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. Psychological Needs Increased acuity Dr. Starks, Physiological Scenario 1 Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. #ozerysnackingrounds I am so excited to be partnering with Ozery Family Bakery today. Educate patient regarding condition Notify lead nurse/doctor Educate patient However, he quit three years ago when he remarried; he and his wife have a nine-month-old baby. Ms. Gestalt is now complaining of fever and chills. Anxiety True Skin warm and dry, daily dressing changes, T-tube without drainage. Notify housekeeping. Chronic Sorrow False Pregnancy and labor and delivery are not typically associated with the concept of cellular regulation, Patient: Donald Lyles,52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. Robert Domenic Offer assistance in providing more information about treatment options for newly diagnosed AIDS patients. river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . Scenario 4 While assessing the patient, Mr. Greer tells you that he is very concerned about all the potential complications involved with this surgery. Two hours later, Mr. Duncan is asked how frequent his stools have been today. jessdevan. After 3 hours, Ms. Monson is now crying asking to be released from these restraints and for someone to take her home! 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. You enter room one hour after the physician has left the patient. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Scenario 1 Impaired Mobility False Cardiovascular has pacer with rate of 82bpm on demand. 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 Scenario 4 -Reassess patient's physical status prior to leaving him in the hallway The nurse observes an elderly lady who is crying and has not been taken care of yet. -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. Senario 4 Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Three hours later, Ms. Getts is unsteady when standing by her bedside. Spanish interpreter available at extension 61178. Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Senario 3 Upon entering the room with a translator to admit him to the hospital, he is asked for address and phone number but refuses to comply. Then the bus splashed into the river for a cruise. -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. If family/visitors come, will need education to airborne precautions. Sit at an eye level. Seek clarification When the nurse enters the room later that day to inform him that the procedure is scheduled for 1430, they see Mr. Gonzalez is sitting in front of a lunch tray. -Discuss effectiveness of sitter It is unclear if he lost consciousness. In reassessing Ms. Monson, her vital signs are: BP -106/82, Temp-98.2, P-106, RR-18, SaO2-88. The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. Skin warm dry, bruises on forehead with small laceration. Impaired Urinary Elimination True -Perform admission assessment Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Scenario 1 He has a history of hypertension and is not compliant with medication. Constipation False LOC Normal acuity , a 58-year-old male patient presents to the ER CO CP 10/10. Evaluate understanding Scenario 4 -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. -Take initial vital signs (room air Pulse Ox) Verify call light/bed safety precautions Impaired Mobility True Constipation False What order are you providing the information to the receiving nurse? Administer antipyretic meds Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Senario 1 Acute Pain True Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. 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 . He also has a history of hypertension and takes Tenormin (Atenolol) and Atorvastatin (Lipitor). RLE: ______________ LLE: _____________ 20ga. Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. Infection, Risk for False Bleeding: True Skin warm and dry, all vital signs in WNL Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. Observe closely first hour Assume role in response team of documenter DSD (dry sterile dressing), forehead laceration clean and dry intact. Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. Scenario 2 Mrs. Stukes is feeling nauseated. Administer protocol antidiarrheal medication Full assessment Strict I&O, regular diet, intake 50%. Clear liquid diet. Our Swift River Simulations are designed to help students and practicing nurses master their skills of Prioritization, Delegation, and Sequential thinkingwithout the requirement of being onsiteor even having to download software. Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Assessment of bowel movement He is currently febrile with temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound tenderness in right lower quadrant, has elevated WBC's and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. Senario 5 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. Evaluate patient understanding Scenario 3 Ask patient to explain to you what procedure she was expecting to have this morning. Perform pain re-assessment Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Notify doctor and charge nurse Gait: ______________________________, Skin Integrity Assessment Impaired mobility: False Provide verbal report to team members who respond to rapid response Therapeutic Communication Alleviating Factors: Last pain medication: Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Sleep Deprivation False Verbal response Oriented converses = 5 She receives the pre-op medication. Assess food consumption and intake and output Scenario 1 Grieving: True Dr. Suculo, Physiological Evaluate understanding Impaired Skin Integrity False Vital signs are: B/P 112/78, temp. Oral Care Yes Extends abnormally = 2 Construct dietary consult (plan) Non-significant past medical history. Ms. Getts is requesting water to drink. You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. Place call light and check bed for safety IV Assessment/ N/A Scenario 3 Administer pain medications Skin warm and pale. Waist belt restraint PRN; family sitter at bedside, assist with bath. Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Deficient Knowledge False Encourage fluids and fiber diet His original lymph node biopsy was negative. Notify doctor if condition is abnormal Senario 2 Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. Use therapeutic communication/Active Listening Release restraints/full range of motion Why is cysteine such an important amino acid for defining the tertiary structure of some proteins? Scenario 4 Safety GI WNL. 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. Stay with patient for surgeon's arrival to explain intended surgical procedure -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need 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. Disturbed Sensory Perception False Scenario 3 Visual assessment Senario 4 Document Procedure Wash and glove hands Document pt's statements. Incomprehensible Course Hero is not sponsored or endorsed by any college or university. Senario 2 Document results and findings Scenario 4 Pain Level Normal acuity Obtain translatorT RLQ: RUQ: LUQ: LLQ: Excess Fluid Volume, Risk for False Fall, risk for: False Assist patient out of bed Psychological Needs: Increased acuity Full assessment including both lying/standing Scenario 3 Sleep deprivation: False Communication/Speech: Clear Non-verbal Slurred Aphasia Other A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. Genitourinary Assessment Date of insertion: _________________________ Date of dressing: _________________________________ Scenario 2 He is married, and his wife is requesting to stay at his side. r/o Tuberculosis. Provide information for MD to call family at home and explain what has just happened They would also like to start Radium-223. Attain fluids/fiber diet and assisted ambulation Bleeding, Risk for False A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. Document results and findings Verify call Light/bed safety precautions Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. He has been taking his HIV medication daily. Acute Pain True Full assessment She has been documented as being obese, new onset. -Remind patient to call for help is he need to get up and provide patient with a urinal. Regular diet. The patient got dizzy when he stood up from the commode. Perform neuro assess Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. Upon entering room, you wash/glove hands. Lithia Monson Remain with patient and reassure Regular diet. He is aware that he may not have an erection and may need depends for bladder incontinence. Obtain urinary screen Gown and mask August 13, 2020 // by Angela McGowan. Assess pain Use therapeutic communication/Active Listening Nathaniel Gonzalez 4Inform his partner that everything is being done to keep him comfortable. nursing care plan for Linda Pittmon, a 74 -year old female patient who is a noncompliant diabetic, and frequently stays at the local homeless shelter. Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown Neuro WNL, except leg pain upon movement. He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. Fall, Risk for True Electrolyte Imbalance False After washing and gloving hands, you then identify yourself and the patient, Ann Rails. Scenario 1 Fall, Risk for True 3. Hopelessness: True Senario 5 Dysfunctional Gastrointestinal Motility False She is also investigating bone marrow transplantation. Verify call light/bed safety precautions Evaluate medication effectiveness Educate patient Sleep deprivation False Dr. Donofrio, Physiological Notify Doctor for pain medz You question her while reviewing her operative consent and determine that everything is correct. -Contact HCP to determine when they are available to speak with the patient Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. Connect telemetry The provider explains that it is a pre-cancerous stage in where the cell develops abnormal features. Full assessment -Tell the patient to call immediately if the chest pain gets worse or they become short of breath Pain Level Increased acuity Neuro WNL alert and cooperative. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. The nurse arrives and sees a tent is being erected as a triage area, and ambulances are lined up delivering trauma patients. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. -Have patient remain in bed, head elevated 30 degrees Aggravating Factors: Review pain medication order Flexes & withdraws = 4 ADA diet, intake, 25%. Scenario 5 There is an order to apply a waist belt restraint if needed. RUE: ______________ LUE: _____________ Vital assessment Scenario 2 Apical pulse rhythm: Regular Irregular Location: No known allergies. His difficulty voiding finally motivated him to seek care. The oncologist is recommending Docetaxel as opposed to an orchiectomy. -Notify HCP of neuro findings No known allergies (NKA). Vital signs- PT to educate patient 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. Pulses: Strength & Symmetry Edema: Robert Sturgess - Swift River Swift River University Nightingale College Course Concepts of Nursing I (BSN 246) Academic year2022/2023 Helpful? -Complete initial post-op assessment Obtain vital signs machine Sa fortune s lve 2 000,00 euros mensuels Her husband and children remain with her in the surgical holding area awaiting transport to the OR. His children are visiting, and they are very supportive. Pain and numbness in legs for one week. 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. Use therapeutic communication/Active Listening Alert and cooperative. -Reassure patient that he will be moved to a private room as soon as possible The patient is awake, alert, and oriented. Scenario 3 -Ensure IV is patent, Lithia Monson Respiratory Assessment You return to the break room on your floor. Scenario 3 Safety Urostomy: N/A Urostomy/Ileal conduit Senario 2 Ms. Rails states that she has not had a bowel movement (BM) in the past two days. 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.) Educate patient regarding changes to POC Teach Cameron. -Assess for fall risk Color:__________ Ineffective Self-Health Management False Evaluate/modify plan of care Pain Level Increased acuity Document results and findings Ineffective Self-Health Management True Grieving False Vital assessment Bleeding, Risk for: True The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. 0800 1200 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. Some hair on the left side of his head has been burned off, as well. Skin integrity, impaired True Adjust crutches Self-Actualization Fear: True Increased fall risk. 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. You call his doctor to inform him the family has arrived. Shock False Document results Acute Pain False Combien gagne t il d argent ? Scenario 3 Deficient knowledge: True Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage Senario 5 Assist physician in physical exam of patient Wash and glove hands Self-Care Deficit True Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Knowledge Deficit True No Known allergies (NKA). Scenario 5 Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. Scenario #2. : 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.

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