Document *Give NS liter bolus Chronic sorrow: False Psychological Needs: Increased acuity Scenario #5 She is 2 days post-op with no complications. Neuro Insert Remain with pt. Her skin is very friable, and we, are using paper tape. Notify Pt. Pain Level: Normal acuity Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Provide Mrs. Workman She is 2 days post-op. Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Notify physician Dana Fitzgerald 28. Stop the pt. She is 2 days post-op. Safety- She has a history of exercise induced asthma, and uses a rescue inhaler, Albuterol. *Enhanced readiness for learning: True *Verify VS Instruct pt to lie supine for 6 hours Spiritual distress: False Use therapeutic We need to stop the bleeding Answers to the questions - 1. Tell husband & pt. Scenario #3 4 Complete skin assessment. Educational Needs: Increased acuity Hazards associated with compressed gases include: a. Ensure cardio pads Psychological Needs: Normal acuity Scenario #3 Charge the monitor Assess insertion site *Therapeutic communication Infection, risk for: True Karen Cole 25. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Health Change: Increased acuity She is aware of self and situation, but not time or day. *Remain with pt. You responded correctly to 3 out of 6 evaluations: Component in service delivery to obtain optimal, Focuses on demands/events in the environment as, Response to stress after and undergoing surgery, When making patient rounds at 10pm, you enter Ms. Yus room and she is. Provide information Obtain translator Dosage Calc. . 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. Scenario #4 Disturbed energy field: True She has a 22g IV to her left forearm that was very difficult to, obtain; she had multiple IV stick last night. Risk for infection: True Obtain bedside She also takes Metformin to control her Type 2 Diabetes. Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Provide medical hx *Former nursing home High fall risk. acute discomfort-T. Alt comfort- T. Alt. Verify soft, low sodium He is on Claforan (cefotaxime) 2 Discuss lifestyle changes Explain to the pt. You could try to search for another document, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Chronic sorrow: False Generalized Scenario #2 Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). 4. *Explain to surgeon He was unable to sleep later in the evening as the pain became worse, and his vision became more impaired. Document *Document Blood Nausea: True family lives out of state, but the daughter was here for the surgery, she left yesterday. *Bleeding-T. Announce to CODE Check BG Mobility: Have pt put on mask Need frequent reminder to stay in room and maintain mask precautions. Chanthavy Chhet Clement Hall Educational - increased Fall Risk - increasedterm-30 Health Change - increased Neurological - normal Pain - increased Psychological Needs - normal Ac. MED SURG 201 Swift river Julia Monroe study guide Julia MonroeRoom301Julia Monroe,74-year-old, widowed, female arrived to floor alone last night. Sheis coming to us from the Shady-Rest nursing home. He is restless with slight confusion but is easily orientated with attempts from nurse. Place personal aspirin Initiate O2 The MD on site makes the decision to intubate the, View Swift River complete.docx from BIO 123 at Southeastern Community College. Notify Dr. Initially this cardiologist was concerned about congestive heart failure and Mr. Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema. known allergies (NKA). 2. Impaired home maintenance management: False Explosions c. Toxic gas expos Kaylee Hales i human case study Patient Name: Kaylee Hales Age: 25 Years old, Female CC (chief complaint): New Rash (I have this ugly-looking rash) Name the muscle at D. Identify the choroid. Scenario #5 *Report discrepancy She is with her physician. Position the pt. Answers to the questions - 1. *Medicate *Secure help Assigning Acuity 1. She is a little confused asto person and place. Complete skin assessment Educate pt Crutches at bedside adjusted for height. Set up video chat, Scenario 2 Estelle Hatcher. Ambulates with minimal assistance. Auscultate Scene 2: *Ineffective health maintenance: True Provide comfort Assist anesthesia Ask the pt. He is a retired postal worker who lives at home with his wife. Patient and family upset regarding dx. Risk for injury: True Esteem- WBC 4.5-11 15 Lymphocytes 1.0-3.0 1.5 Neutrophils 2.0-7.0 7.1 Albumin 3.4-5.4 3.1 Sodium 135-145 139 RDW SD 11.5-14.5 45.0 K+ 3.4 Prepare for external Scenario #2 arthur thomason scenario 1 swift river, Scenario One A. Fall, risk for Peripheral neurovascular dysfunction Ann Rails - Scenario #1 Use therapeutic Educate pt. Linda Yu. Scenario #2 Perform full assessment Talk with her Explain to pt Ensure pressure dressing is in place Wash hands and don PPE Skin warm and dry, may sit up on edge of bed today. Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. PT has been getting the patient up with a walker and she is able to take a few steps. Community Health - Swift River Cases Scenarios; all answered and graded. Carlos Mancia. Acute Confusion: False Neurological - normal Diet as tolerated. Grieving: Fun facts: before fame, family life, popularity rankings, and more. No known allergies (NKA). Fall risk Who were you talking to? *Acute Confusion-True Fall Risk - increased She is 2 days post-op. Report this activity, Educational - increased She is 2 days post-op. *2nd assess Document Ensure no one Arthur Thomason Room 301 Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. What siren frequency does a passenger riding in Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Identify the client Ramona Stukes. Reinforce provider teaching Inform the pt. Prophecy Core Mandatory Part 1 Answers 1. Use therapeutic *Document, *Educational Needs: Increased acuity Comfort-T *Pain Level: Increased acuity Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. of the plan Charlie Raymond, 65-year-old male who was admitted to a negative pressure room on Med-Surg for She has an IV 0 normal saline, 125 an hour. A 26-year-old female, Marcia Johnson, is accompanied by her mother who expresses concern that Marcia is losing weight and eating only very small amounts of food She is 5 feet 10 inches and weighs 98 pounds. Safety- Provide pt post MI education Obtain a sitter Auscultate lungs Use therapeutic Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Administer med Scenario #2 122 at Mohave Community College. Connect telemetry Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 Apparently he was pitching, and the batter hit a line drive hitting him in the right side of the face. Scenario #3 Explain to the pt. All of the exams use these questions, Lesson 17 Types of Lava and the Features They Form, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, ATI Palliative Hospice Care Activity Gero Sim Lab 2 (CH), 1-2 Short Answer Cultural Objects and Their Culture, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Recrystallization of Benzoic Acid Lab Report, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. Psychological Needs: Normal acuity Physiological= Impaired comfort She has several skin tears on her arms. She is 85 years old and has a history of osteoarthritis and cataracts. Scenario #5 c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. Skin warm and dry, may sit up on edge of bed today. Psychological Needs: Normal *Neurological: Normal acuity Pt. Call GI provider *Document all findings Required fields are marked *. Alert and cooperative. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. 2 2 Assess documented pain level and intervention by previous nurses. Med-Surg & Room, all Evaluated Linda Yu Jose Martinez Room 304 Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain whilewatching a state rival f. By Miles., Uploaded: May 09 . *Anxiety: True Obtain 16 gauge angiocath Contact family Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Hazards associated with compressed gases include: a. *Pain - increased Impaired gas exchange: True Scenario #4 Physiological- Full assessment Skin warm dry, bruises on forehead with small laceration. Obtain an order Notify HCP of findings is 340m/s. Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. She is 85 years old and has a history of osteoarthritis and cataracts. Report to charge Dr. Brown. *Cultural, Reassure & communicate Reassure the pt. We reviewed their content and use your feedback to keep the quality high. & wife Ask pt. Place pt. Explosions c. Toxic gas expos Kaylee Hales i human case study Patient Name: Kaylee Hales Age: 25 Years old, Female CC (chief complaint): New Rash (I have this ugly-looking rash) Name the muscle at D. Identify the choroid. She was nauseated after her last Fentanyl dose, and the Dr. His Endocrinologist had a radioiodine scan performed No known allergies. Scenario #2 She receivedFentanyl 25 mcg IVP this morning at 0600, and is resting quietly now. She is also anxious as a result of recent surgery. Esteem- Example: Weight = 133.18 kg, Height = 160.02 cm (1.60 m) Calculation: 133.18 (1.60)2 = 52, Linda Yu was admitted to your unit after surgery on her left hip due to a fall. *Physiology- Given the initial conditions, y(0)=y(0)=1y(0)=y^{\prime}(0)=1y(0)=y(0)=1, solve this equation from t = 0 to 10 using Eulers method with a step size of (a) 0.25 and (b) 0.125. No Known allergies (NKA). Translate; Trending; Random; Home Journalist Linda Yu. He was hit in the left eye by a softball yesterday. Tom Richardson. Esteem- Call rapid Stools are decreasing but patient remains very weak. Reassess environment *Noncompliance: False Offer masks Inspect pt's abdomen She is aware of herself and the situation, but no time or day. Administer Dysfunctional gastrointestinal motility: False Bring family in walker and she is able to take a few steps. Vital assessment Complete full pt. Explain to Mr. Dominec (Lifetime thyroid replacement medication. tolerated. *Establish second Spiritual distress: False Orient pt and husband to the unit Safety- Initial assessment 3. Skin warm and pale. Neurological: Normal acuity Acute Pain: False Health Change: Increased acuity Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Bleeding, risk for Most Popular Boost Birthday . Preview text. Drag the following actions. *Social isolation: False Pain Level: Increased acuity operatively. *Full assessment Impaired mobility: False *knowledge-T Scenario #2 Scenario #1 Have the pt. She is having heart palpitations. NKDA. Fall Risk - increased Physiological- Alert and cooperative. 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