Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Seek clarification Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only Vital signs are: B/P 112/78, temp. Hx of dementia, from nursing home, fall one day ago. Too bad the cruise area was a very unatractive part of the River Elbe. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. What order are you providing the information to the receiving nurse? -Give NS liter bolus He asks to speak to a clergy member. Full assessment Scenario 4 Scenario 1 Ms. Getts is being transferred as an emergency to Critical Care. Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Document results Regular diet. No Known allergies (NKA). -Recheck Tilts after the NS bolus is complete.T 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. -Complete initial post-op assessment Bleeding, Risk for True Senario 1 She is also to receive radiation, chemotherapy, and hormone therapy post operatively. When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Senario 3 Document results
Hafencity Riverbus (Hamburg) - All You Need to Know BEFORE You Go Bleeding, Risk for True Scenario 1 Paul Greer He is married, and his wife is requesting to stay at his side. Noncompliance True. Scenario 2 Safety -Complete head-to-toe assessment while patient is on the floor. Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Escort patient Anxiety False Scenario 2 -Elevate head of bed and place the patient on Pulse oximetry. Present health assessment including B/P and LOC and dressing. Remain with patient and reassure Regular diet. Impaired Mobility False : 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. -Use therapeutic communication/active listening Sleep deprivation: False Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. Call rapid response He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Oral Mucosa: Tongue: Teeth:
Scenario 3 -Reapply the NC that he was admitted with at 2L
Najvyia ponuka (2013) | Filmotka | SFD.sk Scenario 2 Mr. Sturgess does not have a living will or durable power of care completed. Impaired Mobility, Risk for True Robert Strurgess IV Assessment/ N/A -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. Scenario 4 Scenario 5 Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Use therapeutic communication/Active Listening Assess for bowel sounds Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: Scenario 3 Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Skin warm dry, bruises on forehead with small laceration. Visual assessment Radiofrequency ablation may be recommended after endoscopic resection. Imbalanced Nutrition False Fall, risk for: False student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. Pain Level Increased acuity We have more than 20 years' experience in the industry providing a quality service to our clients We pride ourselves on our customer-orientated service and commitment to delivering high end quality goods within quick turnaround times. Administer protocol antidiarrheal medication Scenario 1 RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 -Reassess patient q 5 minutes until awake, then 15 minutes until they are fully awake (not Drowsy). Then the bus splashed into the river for a cruise. Notify family as to when they may come and visit. Non-significant past medical Hx. Tom Richardson, 46yr-old. Ineffective airway clearance True D/C plan- decrease pain and restore normal gait. Fatigue True Blood Pressure, 7a-7p Total: 7p-7a Total: -Evaluate patient's understanding of teaching -Perform neuro assess Full assessment The patient is asking you where her son is, the last place she saw him was right before the explosion. Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice ADA diet, intake, 25%. The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Scenario 3 RLE: ______________ LLE: _____________ Decreased Cardiac/perfusion False Filmotka filmu Najvyia ponuka (2013). Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Report to charge nurse/ head nurse the need for staff education. 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. Scenario 2 Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . -Discuss effectiveness of sitter Electrolyte Imbalance, Risk for True Notify Physical Therapy (PT) Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. Scenario 2 Notify Doctor for pain medz -Reassess patients' vital signs, and place on q5 minutes continuous monitoring Full assessment 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. The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. Vital assessment IV NS is started, and lab work is sent.
Eclectic Recipes Fast And Easy Family Dinner Recipes Scenario 1 Safety- Acute Pain: True Notify lead nurse/doctor -Restart the IV and draw CBC Hep-Lock in place left AC. You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. Scenario 2 Assess Decisional Conflict False Scenario 4 Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Scenario 1 Wash hands Determine clinical decisions based on listening to an audible client report. No Known allergies (NKA).
Fortune Salaire Mensuel de Nba 2k23 Pc Review Combien gagne t il d Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. No response = 1, Range of Motion: Full, Limited Document results. Educate patient -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 Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Document and provide copy for Mr. Dominec to share with his follow up appointment tomorrow. Full assessment Scenario 5 Educational needs: Increased acuity Psychological Needs Normal acuity Provide Operative summary of type of procedure, IV fluid and pain status. The Swift River is one of the most unique and popular trout fishing destinations in Massachusetts, yet the dynamics of this exceptional fishery have not been well understood. Scenario 3 Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. You observe Ms. Getts being assisted by another nurse who is being blatantly rude and disrespectful to her. His wife tells the nurse that he seemed very distant and did not want to talk much. Love and belonging -Draw a repeat CBC per HCP order to determine current Hemoglobin status Scenario 4 Pain Level Increased acuity Her husband and children remain with her in the surgical holding area awaiting transport to the OR. Read PT report Skin warm dry, bruises on forehead with small laceration. Tom Richardson They would also like to start Radium-223. Adjust crutches Vital assessment Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Surrounding skin: Moist/Intact Red/Erythema Irritation Hypothermia False -Assess patients' pain and rule out cardiac pain. Check input/output for possible dehydration Attempt to orient to person, place, and time Awaiting transport. 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. -Check patency of Foley catheter, urine color, and ensure it is secure to the patient's leg Senario 1 **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 . -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. Elevate head of bed Assessment of bowel movement Where is my camera man!! -Remove the lunch tray and ensure pre-operative consent has been signed. Esteem Teach patient about safety when getting out of bed He is restless with slight confusion but is easily orientated with attempts from nurse. Assess for fall risk Other: _______________________________ The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. Therapeutic communicationT Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Non-significant past medical history. Non-significant past medical Hx. Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. Educate pt regarding changes to POC Re-assess patient He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. The patient will be discharged today, and he will be ordering new prescriptions. Acute pain: True Psychological Needs Normal acuity No known allergies. 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. Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car.
Swift River Reflection Questions 1 - Swift River - Course Hero Senario 3 You arrive in room to find Ms. Monson talking to herself. Your response to all of them would be: Scenario 1 Sa fortune s lve 10 000,00 euros mensuels Localizes pain = 5
Microeconomics And Behavior Robert Frank 9th Edition Educational Needs Increased acuity Inappropriate words = 3 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 . Full assessment Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ Record intake and output Dr. Jones. He was recently diagnosed with stage III prostate cancer. Document results/findings Senario 2 Scenario 2 The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC.
Make-Up Clinic Day 3 MS - Swift River Assignment: Make-up Day 3 Swift Educate patient regarding changes to POC Educate patient regarding patient care Document Procedure Scenario 5 Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. #1: _________, No Bladder distention Pelvic pain Low back/flank pain Nausea/Vomiting: Yes No Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Inform his partner that everything is being done to keep him comfortable. Scenario 5 He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. You determine to apply the restraint now. Scenario 1 c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. ADA diet, intake 25%. Perform pain reassessment Skin cool to touch and appears pale. -Ask the patient if it is okay to discuss his care in front of his children. Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. Home; Our Focus; Our Legacy; Our Partners; Our People; Our Fellows; Our Investments Neuro WNL alert and cooperative.
Med Surg - Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A Respirations Skin integrity at risk True Place pt on PCA pump Peripheral Neurovascular Dysfunction True. Disturbed Body Image True He has not had his BP medication today. Spiritual Distress False. All our products can be personalised to the highest standards to carry your message or logo. Assume role in response team of documenter He states, "This is not serious." -Ensure patients is positioned in bed properly Dr. Donofrio. Scenario 4 Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Scenario 1 You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes and chest muscles intact. No known allergies (NKA). Stoma: N/A Colostomy Ileostomy Effluent Consistency: Virginia Smith Chronic Pain True Nathaniel Gonzalez : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Glasgow Coma Scale 0-15 Musculoskeletal Ms. Cumble states that she has not had a BM for three days. Vital assessment His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. Description: Sharp Stabbing Throbbing Aching Cramping Other: Start secondary large bore IV line Isolative, appears fearful, crying, and refusing to see her husband. Imbalanced Nutrition: True
Fortune Salaire Mensuel de Tthuchicago Org Combien gagne t il d argent Diet as tolerated. A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. Non-significant past medical history. Educate patient Diet as tolerated. Scenario 2 Impaired Skin Integrity False -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall Scenario 5 Blood Glucose 185, 4 units of insulin sliding scale for coverage. IV D5 1/2 NS @150ml/hr. Nutritional Intake: Adequate Inadequate BMI: Ruth Cummings Trustee Vice Chair Audit Chair . A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. Cardiovascular has pacer with rate of 82bpm on demand. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Scenario 3 Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging Because of the fall the provider has recommended that he stay in the hospital another night. The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Notify doctor if condition is abnormal Educate caller regarding HIPAA No response = 1, Muscle Strength: WNL, Flaccid, Contracted Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Intermittent/Continuous Other: After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. Document conversation Psychological Needs Increased acuity After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. -Discuss with family sitter if there are any other family members who can help with monitoring Lithia Combien gagne t il d argent ? Normal Sinus Rhythm on telemetry. He does not have an IV nor is he on oxygen. Scenario 3 Date of insertion: _________________________ Date of dressing: _________________________________ His children are visiting, and they are very supportive. Students will prioritize medical surgical . Do not probe further 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. Insert Foley catheter Safety Increased acuity, Physiological Report and document results Anterior: ___________________________________ Posterior: ____________________________________ Failure to Thrive: True. Document results Document teaching moment. Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage The patient describes this pain as a heavy pressure with intermittent stabbing. Respiratory Effort: Relaxed, Regular, Non-labored Pursed lip breathing Labored Genitalia: WNL (skin intact, no lesions) Abnormalities Describe: __________________________