Discuss his understanding about the plan of care. Yes Remain with patient Scenario 5 Encourage fluids Fear: True Give verbal report Scenario 1 Nausea: False You are concerned about preventing the patient from falling. Scenario 5 Scenario 1 Continent: Yes No Occasional Incontinence Frequent Incontinence Brief -Explain that Docetaxel is a hormone therapy that suppresses the testosterone that your testicles produce producing similar results as surgical intervention. Color:__________ Constipation False Verbal command = 3 It is now the second day post op and he is given discharge information. You, his prior nurse, notice the family and respond to them. August 13, 2020 // by Angela McGowan. She is having some difficulty breathing. Pain Level Increased acuity 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. Scenario 2 Senario 1 Safety Increased acuity, Physiological He is aware that he may not have an erection and may need depends for bladder incontinence. The patient describes this pain as a heavy pressure with intermittent stabbing. Scenario 4 Psychological Needs Normal acuity Imbalanced Nutrition True Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Urostomy: N/A Urostomy/Ileal conduit Educate about recovery from appendectomy and care to wound. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Your responsibilities are: Scenario 1 Noncompliance True Document results In reassessing Ms. Monson, her vital signs are: BP -106/82, Temp-98.2, P-106, RR-18, SaO2-88. Scenario 3 Use therapeutic communication/Active Listening What order are you providing the information to the receiving nurse? Psychological Needs Increased acuity Assist patient Fall Risk Increased acuity No weight bearing today. The charge nurse tells you she will send someone to assist you, and to get out 2mg of Versed to have ready to sedate the patient at time of procedure. GI WNL. Educate pt regarding changes to POC Educate patient/family This shop has been compensated by Inmar Intelligence and its advertiser. Two hours later, Mr. Duncan is asked how frequent his stools have been today. Review pain medication order Dr. Suculo, Physiological Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. RLQ: RUQ: LUQ: LLQ: Assess for fall risk Contact Social Services Educate caller regarding HIPAA -Reinforce to the patient to not get out of bed Compromised Family Coping False The pain makes him short of breath. Excess Fluid Volume, Risk for False Remain with patient and reassure Document results and findings You question her while reviewing her operative consent and determine that everything is correct. You arrive in room to find Ms. Monson talking to herself. -Tell the patient that they are being admitted to r/o any cardiac issues 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. and the GI cocktail given in the ER did relieve his CP but not completely. Stoma: N/A Colostomy Ileostomy Effluent Consistency: Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Disturbed Sensory Perception False Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. Scenario 1 -Ensure bed is in lowest position, and rails are in place It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Notify doctor if condition is abnormal r/o Tuberculosis. Cardiovascular has pacer with rate of 82bpm on demand. Inspect cast site Full assessment The 'Strandperle' (lit. -Instruct Mr. Burgundy and his cameraman to stop immediately Acute Confusion True Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Psychological Needs Increased acuity The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. Ineffective Self-Health Management True Scenario 1 20ga. Extends abnormally = 2 Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. -Assess patients' pain and rule out cardiac pain. 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. Patient and family upset regarding dx. Senario 3 Esteem Compromised Family Coping False Verify call light/bed safety precautions Perform pain reassessment 0800 1200 Upon entering room, you wash/glove hands. Notify doctor Senario 5 -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. -Notify charge nurse of patient's deteriorating condition Skin cool to touch and appears pale. The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Impaired Gas Exchange True 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. Scenario 3 Pain Level Increased acuity 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. Scenario 4 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. Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. -Discuss with family sitter if there are any other family members who can help with monitoring Lithia The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. Scenario 4 Psychological Needs Increased acuity Place call light and check bed for safety Iron forms a sulfide with the approximate formula Fe7S8\mathrm{Fe}_7 \mathrm{~S}_8Fe7S8. Escort patient to vehicle IV Assessment/ N/A Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. Safety- Scenario 4 If the source voltage for the a phase is Van=12080V\mathbf{V}_{a n}=120 \angle{ 80^{\circ}} \mathrm{V}Van=12080V, and the line impedance is zero, find the phase currents in the wye-connected source. Palliative care. Scenario 3 Report current urinary output quantify per hour and color of urine Health Change Increased acuity He replies, "six times in the past four hours". Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump Offer nutrition and/ or toileting Perform full assessment and provide anti-nausea medicine. Toggle navigation Swift River. Allow family to remain Bleeding False Scenario 3 Esteem Ruth Cummings Trustee Vice Chair Audit Chair . Re-assess patient Validate NPO Status Normal Sinus Rhythm on telemetry. No known allergies (NKA). Impaired Skin Integrity, False Scenario 4 Document results and findings Provide Operative summary of type of procedure, IV fluid and pain status. His orthostasis is normalized after a second liter of NS was administered. Explain that he will probably not be going home at least until his doctor sees him. Due to this, the provider would like him to stay in the hospital for observation. Neuro WNL's, alert and cooperative. 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. -Explain procedure to the patient Course Hero is not sponsored or endorsed by any college or university. His overall health is good, and he has known he has been HIV positive for the past five years. Radiofrequency ablation may be recommended after endoscopic resection. Family arrive one hour after event to his prior room and find Mr. Thomason's room is empty and have no idea of the events that have just occurred. Encourage fluids/fiber/ambulation Shock False Combien gagne t il d argent ? Suprapubic Insertion site: WNL S/S Infection : ____________________ Evaluate understanding The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. Senario 5 Scenario 1 Fall, Risk for False Pain re-assessment RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 Hypothermia False Notify doctor Sleep Deprivation False Dysfunctional Gastrointestinal Motility False He has a 20-year one pack history of smoking. Health Change Increased acuity -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Patient demonstrates urine strain procedure. Increased fall risk. LUE: Non-pitting Pitting ___+ Impaired Home Maintenance Management r/t Client or Family False Place patient on PCA pump A special lowbed has been ordered that will lower to the ground. NG tube to low suction possibly D/C'd today after Dr. Levine rounds. Widespread Color Change: N/A pallor cyanosis jaundice erythema Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Obtain vital signs machine Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. Yes Productive Non-productive Describe Sputum: _______________________ Senario 2 Seek clarification Acute pain: True Document results But that's changing. Establish second IV Lithia Monson Senario 4 Administer protocol antidiarrheal medication He was recently diagnosed with stage III prostate cancer. Sensorium Increased acuity, Physiological Safety- Chronic pain: True 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. Blood-tinged mucous, productive cough. Sit at an eye level. However, these abnormal cells do not have the capability to spread to other parts of the body. **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 (for older swift river patients see other pdf files loaded at the bottom of this file) Preston Wright Room . Educate patient Combien gagne t il d argent ? Assess vital results Senario 2 Therapeutic communication Nutrition True Offer bedpan Hopelessness False. Document results He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Scenario 1 Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Nausea: False Impaired Gas Exchange False Discharge instructions Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. ADA diet, intake 25%. Ms. Rails shares with you her fear of being discharged home to an abusive husband. Take vital signs before leaving the hospital again. Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Discuss follow up with his doctor. Therapeutic communicationT Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Document findings Senario 3 Cardiovascular Assessment Deficient knowledge: True Several hours later, Mr. Duncan is now complaining of nausea. Educational Needs Increased acuity jasmine . Sleep deprivation: False Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Esteem 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. You also notice the patient is more difficult to orient. Connect telemetry Skin integrity at risk True Urine Color: Clarity: Odor: -Check on patient/sitter hourly Skin warm dry, bruises on forehead with small laceration. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. -Advise sitter to notify nurse when leaving the room Place pt on PCA pump Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. -Start IV Acute Pain True -When the HCP arrives, stay in the room to determine whether you can continue care with the patient Peripheral Neurovascular Dysfunction: False Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F Regular diet. Remind physician to wash his hands before examining the patient Mr. Duncan is now complaining of feeling "dizzy" when he stands. He is having some difficulty hearing and complains of ringing in his ears. Nausea False Ineffective Self-Health Management False 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. 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. Scenario 2 Senario 2 Chronic Sorrow False Document results Hep-Lock in place left AC. Biopsies were sent to determine the treatment. Wash and glove hands The oncologist is recommending Docetaxel as opposed to an orchiectomy. Allow for non-compliance of request Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. -Reapply the NC that he was admitted with at 2L Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Stat lithotripsy treatment ordered. -Notify HCP of fall, complete incident report He insists that he is not hungry and refuses assistance with his meal. Scenario 3 He has been taking his HIV medication daily. Skin warm and dry, daily dressing changes, T-tube without drainage. The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. Acute Pain True Full assessment Capillary Refill: _________ seconds LLE: Non-pitting Pitting ___+ Vital signs- Impaired Home Maintenance Management False Wash and glove hands Determine from medical record if partner is aware of his recent AIDS diagnosis. The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. Scenario 1 Next time we'll spend our 60 on some food and nice beers. Scenario 4 -Reassess patients' vital signs, and place on q5 minutes continuous monitoring Scenario 5 Following isolation precautions, you notice several family members are by his bedside and none of them are wearing face masks as requested by sign on door. Anxiety False Self-Care Deficit False Vital signs taken by automatic B/P Cuff q 15 minutes You explain that his condition has worsened and now he has been taken to ICU. You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Grieving: False Inform patient about the progression and risk a PCP infection has for a patient with AIDS. Scenario 4 Dr. Starks, Physiological Auscultate peripheral pulses and ROM. Start secondary large bore IV line You correctly diagnosed 11 out of 16 options. Mr. Dominec had his surgical procedure and is doing great. The cycle of freezing and thawing damages the abnormal cells. The pathology report shows no cancerous lesions. Scenario 1 After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. -Assess patient LOC, by walking patient and asking them to take deep breaths. Acute pain: False -Advise patient not to get up and walk on his own Mr. Greer has just returned from surgery. Scenario 4 Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Your Swift River Virtual Clinicals account has been linked to your ATI Student account. He is excited and tells the nurse he is starving and glad that he finally gets to eat. -Ensure patient privacy and call for help and assist patient to bed once help arrives His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. Skin warm and, dry, all vital signs in WNL except 115 pulse, which is normal for him. Mr. Greer has just been visited by his wife. Obtain patient record and follow patient as he is transferred to ICU Perform circulatory evaluation Infection, Risk for True Notify lead nurse/doctor Combien gagne t il d argent ? Strict I&O, regular diet, intake 50%. Noncompliance False He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. Pain Level: Increased acuity Palliative care. Multiple abrasions, bruising Head, chest, and inner thigh. Palliative care. Health Change Increased acuity -Restart the IV and draw CBC Mr. Gonzales H/H is 12.7/38. Ineffective Airway Clearance True Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. Explain to physician what interventions you have recently initiated 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. No response = 1, Range of Motion: Full, Limited Seznam uivatel, kte vlastn, prodvaj nebo shnj film. 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 . The patient is asking you where her son is, the last place she saw him was right before the explosion. Tom Richardson -Draw a repeat CBC per HCP order to determine current Hemoglobin status Head/Face: Symmetric Asymmetric Drooping He states, "This is not serious." Dr. Roopes, Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Vital signs - Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. -Evaluate patient's understanding of teaching Home; Our Focus; Our Legacy; Our Partners; Our People; Our Fellows; Our Investments Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. She has IV access and has received a small dose of Valium to reduce apprehension. The cells are allowed to warm up and then are frozen again. Scenario 5 Senario 1 Scenario 1 Wash hands IV D5 1/2 NS @150ml/hr. Diet as tolerated. Fall, risk for: True Report this activity immediately to the hospital privacy officer 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 Observe closely first hour Scenario 5 Bleeding False Temp 98, BP 114/67, P 115, RR 20, SaO2 98%. Love and belonging- Scenario 2 Ineffective airway clearance True Deficient Knowledge True He is married, and his wife is requesting to stay at his side. The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Fall, risk for: True 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. RUE: ______________ LUE: ______________ Tap patient and ask, "Are you okay?" Skin integrity, impaired True Chronic Pain False Color:__________ Present health assessment including B/P and LOC and dressing. Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. Scenario 5 Document results and findings Attempt to orient to person, place, and time Use therapeutic communication/active listening Evaluate understanding Do not probe further Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output
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