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Administer antipyretic medication Educate patient 2021-22, Historia de la literatura (linea del tiempo), Respiratory Completed Shadow Health Tina Jones, CH 02 HW - Chapter 2 physics homework for Mastering, BI THO LUN LUT LAO NG LN TH NHT 1, 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. Notify lead nurse/doctor Lithia Monson -Take initial vital signs (room air Pulse Ox) Scenario 3 -Ask the patient to verbalize understanding of teaching and reassure them that yourself or any member of their care team will be available to answer questions. The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. Skin warm and, dry, all vital signs in WNL except 115 pulse, which is normal for him. Refer call to contact health department Neck: ______________ Scenario 2 Give verbal report Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. Explain to her family and provide contact information. Scenario 3 You explain that his condition has worsened and now he has been taken to ICU. The cells are allowed to warm up and then are frozen again. Continent: Yes No Occasional Incontinence Frequent Incontinence Brief Scenario 1 Strict I&O, regular diet, intake 50%. Use therapeutic communication/Active Listening IV Assessment/ N/A Acute Pain True Encourage to ambulate with assistance to void if needed Acute Confusion False Vital re-assessment -Notify HCP of neuro findings Provide comfort and pain measures Listen to patient concerns He also complains that his throat is still very sore. Physiological- Some hair on the left side of his head has been burned off, as well. Patients vital signs are BP: 100/58, P: 106, R: 28, PaO2: 92%, T: 97.1 F, 36.2 C. She is also investigating bone marrow transplantation. He has a 20-year one pack history of smoking. Urine Color: Clarity: Odor: Ask patient to explain to you what procedure she was expecting to have this morning. Scenario 5 Chronic Pain False Deficient knowledge: True LOC Increased acuity LOC Normal acuity Report current urinary output quantify per hour and color of urine Safety Safety- Electrolyte Imbalance False Esteem Blood, Glucose 185, 4 units of insulin sliding scale for coverage. river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . -Assess if the contents of lunch tray are intact. Electrolyte Imbalance True Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles 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. I need to be reporting!" Multiple abrasions, bruising Head, chest, and inner thigh. Safety Scenario 3 Bleeding False Activity as tolerated with assistance. Fall, risk for: False He does not want to return to the nursing home, and does not wish to burden or live with his children. Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Senario 1 Sit at an eye level. You are about to call the Surgical ICU and give report. Scenario 4 Scenario 3 Localizes pain = 5 The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Imbalance nutrition: True Blood-tinged mucous, productive cough. Apply oxygen Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Remind the nursing staff that the patient is NPO. The lesion was identified as Kaposi's Sarcoma. Verbal command = 3 Suprapubic Insertion site: WNL S/S Infection : ____________________ Nausea False His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" Cardiovascular Assessment -Discuss effectiveness of sitter Safety Increased acuity, Physiological Mr. Gonzales H/H is 12.7/38. Perform circulatory evaluation Pupils PERRLA, eyes clear. Ronald Burgundy 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. Love and belonging He chooses to go home and see the doctor tomorrow in his office. He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. 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. Deficient Fluid Volume False He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Educational Needs Increased acuity Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. Acute Confusion: True Document conversation However, these abnormal cells do not have the capability to spread to other parts of the body. Diet as tolerated. -If cardiac is suspected call the provider and the rapid response team. -Complete initial post-op assessment To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". Perform circulatory evaluation 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. Hx of dementia, from nursing home, fall one day ago. Hypothermia False Impaired home maintenance mgmg r/t client or family: False Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Scenario 4 Excess Fluid Volume, Risk for False Normal Sinus Rhythm on telemetry. Needs frequent reminding due to determination to do things herself without assistance. Obtain urinary screen Iron forms a sulfide with the approximate formula Fe7S8\mathrm{Fe}_7 \mathrm{~S}_8Fe7S8. IV Fluids: INT lock IV Fluids ______________@ _____________ mL/hr Date on tubing: Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chronic Pain, Risk for constipation, impaired nutrition, anxie, 4 units on insulin sliding scale for coverage, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Peripheral Neurovascular Dysfunction False Blood Glucose 185, 4 units of insulin sliding scale for coverage. The patient has a pneumothorax that requires a chest tube placement. 0800 1200 Fall, Risk for True Safety Her chart reports she was extubated upon arrival to the recovery area, received three units (3000 mL) of fluid, receiving O2 @ 4L via nasal cannula, has Foley Catheter in place draining QS clear yellow urine, responds to verbal stimulation, chest dressing in place remains dry and intact, and has just received a small dose of IV morphine for pain. Document results List the nursing care order. Hopelessness False. Take vital signs before leaving the hospital again. Notify Doctor for pain medz Senario 4 Viola Cumble Psychological Needs Normal acuity The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. -Obtain chest tube tray and set-up pleurovac Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Physiological- Decreased Cardiac/perfusion False Offer nutrition and/ or toileting After 3 hours, Ms. Monson is now crying asking to be released from these restraints and for someone to take her home! IV D5 1/2 NS @150ml/hr. Combien gagne t il d argent ? Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. Report and document results Nutritional Intake: Adequate Inadequate BMI: NG tube to low suction possibly D/C'd today after Dr. Levine rounds. Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + Scenario 3 Request sitter/family member to bedside Disoriented, confused = 4 -Provide the patient with the time when HCP will come discuss options with him Scenario 4 Offer bedpan Electrolyte Imbalance False jessdevan. Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Skin warm and dry, all vital signs in WNL Document Results, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Offer masks to visitors Document results Senario 4 Patient and family upset regarding dx. Impaired Skin Integrity, Risk for False Vital assessment Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes 2Provide comfort in pre-surgical room Mr. Dominec. 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. Bladder distention Pelvic pain Low back/flank pain John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Need frequent reminder to stay in room and maintain mask precautions. Scenario 2 Wash and glove hands Infection, Risk for False Nathaniel Gonzalez Visual assess Pulse 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. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Scenario 1 Grieving True The bed arrives tomorrow. His overall health is good, and he has known he has been HIV positive for the past five years. Love and belonging- The charge nurse tells you to get the Mr. Burgundy to the hallway because six more patients are inbound, and we need to clear out our trauma-bays. ADA diet, intake 25%. Urination: WNL Burning Frequency Urgency Document results Document results and findings Construct dietary consult (plan) Health Change Increased acuity Document results and findings Palliative care. Respiratory Rate: WNL Tachypnea Bradypnea Fall Risk Increased acuity How does the Med-surg simulator work? Verify call Light/bed safety precautions Psychological Needs: Increased acuity Carlos Mancia Acute Confusion True Disturbed body False Remain with patient and reassure Scenario 4 Scenario 3 Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Scenario 2: 1Educate about recovery from appendectomy and care to wound. Document results. Scenario 3 -Place patient on 100% O2 Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . Stoma: N/A Colostomy Ileostomy Effluent Consistency: -Notify charge nurse Awaiting transport. Notify lead nurse Vital signs are to be taken BID, and it is now time. Dr. Brown, Educational Needs Increased acuity Health Change Increased acuity -Give NS liter bolus Scenario 5 -Instruct Mr. Burgundy and his cameraman to stop immediately -Draw a repeat CBC per HCP order to determine current Hemoglobin status Acute Pain True Hopelessness False. Neuro WNL alert and cooperative. Perform circulatory evaluation Notify lead nurse/doctor His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. Love and belonging Scenario 5 Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions StuDocu University Keiser University Western Governors University He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. NURS 320 Med_Surg_Swift_River **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 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. Blood Pressure, 7a-7p Total: 7p-7a Total: Scenario 2 Encourage fluids and fiber diet You correctly diagnosed 11 out of 16 options. -Complete incident report. Provide comfort in pre-surgical room Mr. Dominec. Senario 2 Senario 2 Apply nasal cannula Administer antipyretic medication Full head to toe neuro assessment. Breath Sounds: Clear bilaterally. Deficient Knowledge True 97.4, Resp 16 and Pulse Ox 94%. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Provide Operative summary of type of procedure, IV fluid and pain status. Self-Care Deficit: True Yes Scenario 4 Gown and mask Use therapeutic communication/active listening No weight bearing today. A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. Scenario 4 Therapeutic communicationT Present health assessment including B/P and LOC and dressing. Diet as tolerated, up ad lib after gait training. Contact charge nurse. Escort patient to vehicle An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Rapid Response team arrived including anesthesia. It is now the second day post op and he is given discharge information. Re-assess patient Do not disturb -Use therapeutic communication/active listening Scenario 2 No response = 1, Range of Motion: Full, Limited NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. LLE: Non-pitting Pitting ___+ She is also to receive radiation, chemotherapy, and hormone therapy post operatively. He replies, "six times in the past four hours". Senario 3 1Perform full assessment and provide anti-nausea medicine. Notify doctor and charge nurse Monitor and evaluate fluid intake Notify lead nurse/doctor Document Procedure Bowel Movement Total: x________________, Hygiene Times Surrounding skin: Moist/Intact Red/Erythema Irritation Remind physician to wash his hands before examining the patient Notify doctor Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging Provide a few chairs if possible for her family to also be comfortable Pain re-assessment Scenario 1 Scenario 5 Pain Level Increased acuity -Recheck Tilts after the NS bolus is complete.T -Complete head-to-toe assessment while patient is on the floor. He was recently diagnosed with stage III prostate cancer. It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump palliative care. -Offer nutrition and/ or toileting Physiological- Noncompliance True. Tom Richardson He is restless with slight confusion but is easily orientated with attempts from nurse. Therapeutic Communication Nursing questions and answers. Strict I&O, regular diet, intake 50%. Scenario 3 The pain makes him short of breath. Scenario 5 Tap patient and ask, "Are you okay?" IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. His VS are BP 122/64, P 89, R 12, SpO2 93%. GI WNL. You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Senario 4 Spanish interpreter available at extension 61178. -Start an IV Contact Social Services You question her while reviewing her operative consent and determine that everything is correct. Arthur Thomason 50% intake. Fall, Risk for True Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Include patient condition change in shift report Renal diet. Assist patient 3Check surgical consent for correct procedure and make sure operative site is marked. She has just been transported from recovery. Fear/Anxiety True. Regular diet. Verify call light/ bed safety precautions Increased fall risk. Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Notify doctor for Foley catheter You, his prior nurse, notice the family and respond to them. Compromised Family Coping False Encourage fluids -Ensure the bed is in lowest position, the side rails are up, the call light is in reach, and ask the patient if they need anything before you leave the room Oral Mucosa: Tongue: Teeth: and the GI cocktail given in the ER did relieve his CP but not completely. Impaired mobility: False He has partial thickness burns to his left arm and the left side of his face. Deficient Fluid Volume True Wash and glove hands Social Isolation, Risk for True Ruth Cummings Trustee Vice Chair Audit Chair . When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Grieving: False. Full assessment Anxiety True Check pedal capillary refill Description: Sharp Stabbing Throbbing Aching Cramping Other: Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. Decisional Conflict True Oriented to: Person Place Time Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Scenario 3 Wound clean dry and intact. Scenario 4 You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. 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.