Check PRN pain order Failure to Thrive False. John Duncan Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Provide comfort measures Your coworkers are asking you questions about Mr. Dominec. Noncompliance True. Hopelessness False. -Determine when a hospital provided sitter will be necessary Contact Social Services Palliative care. Escort patient Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. Psychological Needs Normal acuity Scenario 2 Impaired Skin Integrity, Risk for False Scenario 5 Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Allow for non-compliance of request -Start IV Notify doctor and charge nurse Ask patient to explain to you what procedure she was expecting to have this morning. Sit at an eye level. Re-assess patient Diet as tolerated. -Transport Mr. Burgundy to his room Full assessment including both lying/standing Educate patient Skin integrity at risk True Fall Risk Increased acuity Document results/findings Educational Needs Increased acuity Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Monitor and evaluate fluid intake Provide emotional support. Hopelessness: True Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion Imbalanced Nutrition True Report to charge nurse/ head nurse the need for staff education. Airborne Isolation. Capillary Refill: _________ seconds Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. They were also concerned about the next patient going into that room and the use of the lavatory. Check monitor Infection, risk for: False. -Medicate for pain Sensorium Normal acuity, Physiological Report this activity immediately to the hospital privacy officer Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Your responsibilities are: Scenario 1 Obtain and provide the infectious disease doctor's contact information for him. Neuro WNL, alert, and cooperative. He does not have an IV nor is he on oxygen. -Have patient remain in bed, head elevated 30 degrees An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Safety Fall Risk Increased acuity 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. Scenario 4 Ineffective breathing pattern False Scenario 3 LOC Increased acuity You determine to apply the restraint now. Pain, Acute True Impaired Gas Exchange False Skin warm and dry, daily dressing changes, T-tube without drainage. Pain Level Increased acuity Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Clear liquid diet. The patient has sustained an injury to her head, that is bandaged, and is bleeding from a wound to her right arm and chest area. Ineffective airway clearance True He is married, and his wife is requesting to stay at his side. Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice Self-Care Deficit False There is an order to apply a waist belt restraint if needed. Obtain patient record and follow patient as he is transferred to ICU Document pt's statements. Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch. Combien gagne t il d argent ? Wash and glove hands Chronic Pain False is a 57 y/o who has been admitted for a radical prostatectomy. Scenario 1 Safety Increased acuity, Physiological Scenario 4 Love and belonging- Therapeutic communication Toggle navigation Swift River. Because of the fall the provider has recommended that he stay in the hospital another night. Aggravating Factors: Assist patient out of bed Safety- Knowledge Deficit True Remain with patient Neck: ______________ Check surgical consent for correct procedure and make sure operative site in marked. -Advise patient not to get up and walk on his own Electrolyte Imbalance False They feel that you should share with them if he was a "real AIDS" patient or not. Deficient Knowledge False Arthur Thomason Pain Scale: 0 to 10: _______________ Educate caller regarding HIPAA Radiofrequency ablation may be recommended after endoscopic resection. Senario 2 IV NS is started, and lab work is sent. Health Change Increased acuity Wife at bedside. Notify family Scenario 2 Document results and findings Listen to patient concerns Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. RUE: ______________ LUE: _____________ Physiological- The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". -Reassess patient's physical status prior to leaving him in the hallway Notify doctor 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. The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). Wash and glove hands Ambulates with minimal assistance. Scenario 5 Establish second IV Lithia Monson Scenario 1 Safety -Reorient Patient to person, place, & time Continent: Yes No Brief/Diaper Verbal response Oriented converses = 5 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. Report current urinary output quantify per hour and color of urine Skin moist, respiratory bilateral wheezes and rhonchi. Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. Fall, Risk for True 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. The pathology report shows no cancerous lesions. Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. Document results and findings Extends abnormally = 2 Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. -Reapply the NC that he was admitted with at 2L The patient is awake alert and oriented. -Discuss and determine sitter availability ASA is held but morphine 4 mg was given after his GI cocktail. Today's incentive spirometry Tidal Volume is 1250ml, improvement over yesterday's 900ml. Mr. Dominec is waiting for his partner to arrive to take him home and you notice he has a dry unproductive cough and trouble splinting with a pillow at his operative site. Filmotka filmu Najvyia ponuka (2013). Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive Auscultate peripheral pulses and ROM. Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need Educational Needs Increased acuity You arrive in room to find Ms. Monson talking to herself. Physiological- She shares concern about patient's wife who is now coughing and having night sweats. Record intake and output : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Lung sounds are worse. **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 . Apical pulse rhythm: Regular Irregular Location: Scenario 1 NPO with small amount of ice chips only. Contact Social Services Document results Scenario 1 Educate patient 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. -Reassure patient that he will be moved to a private room as soon as possible Regular diet. Ineffective Peripheral Tissue Perfusion False Apply fall risk bracelet Scenario 1 Full assessment Yes Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Rapid Response team arrived including anesthesia. -Ensure IV is patent, Lithia Monson Glasgow Coma Scale 0-15 Musculoskeletal Pain Level Increased acuity Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Due to this, the provider would like him to stay in the hospital for observation. Assessment of bowel movement The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. He has not had his BP medication today. Discuss his understanding about the plan of care. Ms. Cumble states that she has not had a BM for three days. Assess The patient has a pneumothorax that requires a chest tube placement. Decisional Conflict False Scenario #3. Grieving: False Seek clarification He is excited and tells the nurse he is starving and glad that he finally gets to eat. Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. -Continue to observe urine for hematuria and document findings Love and belonging Health Change Increased acuity Scenario 4 Palliative care. -Notify HCP of fall, complete incident report Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Use therapeutic communication/Active Listening Impaired skin integrity: False, Anxiety: True Leave to break room and not continue in conversation. He also complains that his throat is still very sore. Scenario 1 Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. Acute Pain True Scenario 4 Obtain recent chest X-ray reports and recent ABG's for physician to review Scenario 5 He was recently diagnosed with stage III prostate cancer. The patient describes this pain as a heavy pressure with intermittent stabbing. Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage Ms. Gestalt is now complaining of fever and chills. He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. The surgeon has suggested Androgen-deprivation therapy (ADT) with surgical castration (orchiectomy). He states, "This is not serious." Scenario 4 Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ Cardiovascular has pacer with rate of 82bpm on demand. Scenario 1 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.
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robert sturgess swift river