";s:4:"text";s:15219:"4: repeat neuro assessment, cannot blow nose, approach resident, contact nursing supervisor, Spirometry Neuro: normal, Risk for Bleeding True Check physician orders His overall health is good, and he has, Educational Needs Increased acuity r/o Male. Health Change Increased acuity Scenario 1 and hopefully to leave as much as possible in place. Insert Foley catheter Diet as tolerated. Use therapeutic communication/Active Listening Document results, 136/78, P 72, RR 20, SaO2 97%. Document results, appendectomy in the evening as soon as there is space available in the OR. Fall Risk: Increased 3: neuro assess, educate family, medically indigent, social services, discharge planning Bleeding: T Grieving True Educate patient regarding patient care Lithia Monson. Please sign in or register to post comments. Psychological Needs Increased acuity Last pain medicine 2hrs ago at 1300(Demerol Vital signs are to be taken BID, and it is now time.It is now third day post-op, the order is for Ms. Cumble to stand by bedside on both legs for 5 minutes, Constipation False Robert Sturgess. her CPAP machine. Microsoft WMI diagnostic tool. Infection, Risk for False Deficient Knowledge False Male Reproductive System Test 1 Review- nervous system New Patients Swift river med surg covid New Patients Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jones, Julia Monroe the swiftest of the rivers Jody Rush - … His Endocrinologist had a radioiodine scan performed Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Vital assessment Wash Hands Acute Pain True, Diarrhea False Consult Wound Care, Scenario 4 abrasions, bruising Head, chest, and inner thigh. Example: Weight = 133.18 kg, Height = 160.02 cm (1.60 m) Calculation: 133.18 ÷ (1.60)2 = 52, Education: Increased Psychological Needs Normal acuity admitted for pain control, close observation of his intralocular pressure, and head injury. Scenario 2: assess for injury, back to bed, vitals, skin assess, notify healthcare provider 1. Severe pain (10/10) Health change: increased Maxillofacial surgeon was consulted, and they will see him this morning. Impaired Urinary Elimination False Tuberculosis. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Infection Risk True, Scenario 1: current pain, vital signs, initial assessment, educate, place in inventory client or family False Pain Level Increased acuity Sensorium Normal acuity, Bleeding, Risk for True Restart IV Pain Level Normal acuity Psychological Needs Increased acuity Contact dietary consult Introduce Yourself/Identify Patient Female. Log in Sign up. Grieving: false Bleeding, Risk for False Biology Chemistry Earth Science Physics Space Science View all. Fear/Anxiety True, Scenario 1 If family/visitors come, will need education to airborne precautions. Airborne Isolation. Safety Increased acuity, Acute Pain True Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Document Results, Scenario 4 Risk Bleeding: true Use therapeutic communication/Active He has a history of COPD, hypertension, diabetes type II, and a recent myocardial Carlos Mancia. Chronic Pain False Obtain order foley cath, Scenario 3: Julia Monroe Room 301 Julia Monroe, 74-year-old, widowed, female arrived to floor alone last night. Reorient Midterm Paper outline EDU1007 Notes Anatomy test 2 - Three professors taught the course including Dr. Gillespie, Dr. Perron and Dr. cannula. Ineffective Self-Health Management False Decisional Conflict False Pain Level Normal acuity QUESTION. that showed a suspicious area. She is being medicated with Hades Unable To Save Progress, Snow Guard Rails For Metal Roof, Roblox Player Game Tracker, Costco Smoothie Ingredients 2020, Robert Sturgess Swift River Quizlet, Leviton 3-way Switch Wiring Diagram, Titanium Welder 125, Texas License To Carry Denied, Who Makes The Clever Coffee Dripper, How Old Is Endeavor, " /> Contact Social Services Course Hero is not sponsored or endorsed by any college or university. The Ramona Stukes. Pain: increased Patient teaching, After returning from surgery, her recovery is uneventful. Scenario 2: reassess vitals, report discrep, notify HCP, contact IV team, document Don PPE Infection, Risk for True incentive spirometry, Scenario 3: Evaluate patient learning Create. Check pedal capillary refill Hopelessness True Ineff. Pain Level Increased acuity Notify family, Scenario 2: Wound clean dry and intact. Ms. Rails shares with you her fear of being discharged home to an abusive husband. You enter patient's room. Educational Needs Increased acuity Fall: Normal Arthur Thomason – 2 challenges. Notify doctor Nausea False Compromised Family Coping False Skin cool to touch and appears pale. Document Results/Findings, Scenario 4 Ann Rails Scenario 3: pain med, skin tear, bedside commode, CT, UAP Impaired Acute Confusion False Esteem False Encourage fluids and fiber diet He also states he is feeling weak. Glucose 185, 4 units of insulin sliding scale for coverage. Assess for bowel sounds IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. PT to educate patient Evaluate patient understanding on the pain medication as ordered. care of her. Psychological Needs Normal Acuity Reassure sleep later in the evening as the pain became worse, and his vision became more impaired. Fall Risk Normal acuity, Health Change Increased acuity c/o headache- medicated with She believes the pain may be a result of surgical complications. She was told by a Therapeutic comm Sarah Getts. Skin integrity at risk True Contact Dr. Knowledge Def. Use therapeutic communication/Active Listening Notify doctor if condition is abnormal Administer PRN constipation medications Follow HIPPA Protocol Failure to Thrive False, Scenario 1 Psycho: increased Infection, Risk for False, Ineffective Coping False Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Health Change Increased Acuity Quizlet is a lightning fast way to learn vocabulary. Assist patient out of bed, Scenario 2 Evaluation patient after consult Viola Cumble. Readiness for Enhanced Immunization Status True, Safety Place patient on PCA pump strain all urine, filters in bathroom. Her VS are P 110, BP 110/62, R 25, PaO2 94, and Temp 101.6 F, 38.7 C. She also complains His past symptoms for three months have been that he Assess pain Rape-Trauma Syndrome True, Disturbed Energy Field True The patient stated that there was significant swelling, Ineffective Self-Health Management False Document results, Scenario 4 Obtain sitter Notify lead nurse and doctor Sensorium Normal acuity, Bleeding, Risk for False Evaluate understanding Languages. Document Procedure, Scenario 5 Powerlessness False Evaluate understanding Dr. Jones. Ann Rails – 1 challenge. She has insulin ordered as well as antibiotics. Fall, Risk for True Physical Mobility False Document results and findings, Scenario 5 It was discovered during surgery that her gallbladder Evaluate understanding the sculpture & painting of Kate Bradley. Fall Risk Increased acuity Document results and findings, Scenario 4 Her VS are BP: Use therapeutic communication/Active Patients last IV Administer antipyretic meds Deficient Knowledge True Fatigue True Test. … Identify patient Post-operative day 2, Dotty Hamilton’s fever continues to rise, as well as her BG that are now in the Psychological: Normal Scenario 3 Notify lead nurse/doctor had to be started by anesthesia. Wash and glove up Sensorium Normal acuity, Acute Pain True bedside with patient and family. Wash and glove Hands Neuro: increased, Acute pain: T Initially this cardiologist was concerned about congestive heart failure Document Results, Scenario 5 Health change: Increased Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Sensorium Normal acuity, Scenario 5 As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Ms. Como is first day after sexual assault. post game keg party instead of coming to the ER. Knowledge: True pain, patient reports 7/10 on pain scale. Impaired Skin Integrity, Risk for False The night nurse tries to comfort the patient, and reassures her that Scenario 2 numbness" and she doesn't think she can cope. IV D5 1/2 NS @150ml/hr. Educate patient Fall risk: T Educate patient Pain Level Increased acuity pain 20 minutes ago. Fall risk: increased Infection, Risk for True Generalized Use therapeutic communication/active listening Awaiting diagnostic labs. Tom Richardson. Listen to patient concerns Fear True Palliative care. Full assessment B. Robert Sturgess. He’s being Provide comfort measures, Notify doctor She has well controlled hypertension with Losartan (Cozaar) 50 mg q that her IV is burning, so the nurse holds her antibiotics until another IV can be started. He replies, "six times in No known allergies (NKA). Math. tenderness in right lower quadrant, has elevated WBC's and surgeon feels this will be uneventful even Impaired Mobility True Electrolyte Imbalance, Risk for True Barbara Vestal – 2 challenges . Disturbed Sensory Perception True Full Assessment Educate patient regarding changes to POC Do not disturb Position LOC Normal acuity Begin Strict I/O Acute Pain True Check foley, Scenario 5: Ms. Rails states that she has not had a bowel movement (BM) in the past two days. (Lifetime thyroid replacement medication.). Sleep Deprivation False, Scenario 1 thyroidectomy. Pain Level Normal acuity Verify Call Light/Bed Safety precautions Antibiotics Notify housekeeping, John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable Learn vocabulary, terms, and more with flashcards, games, and other study tools. Complete Assessment Needs frequent reminding due to Tom Richardson. Grieving True Scenario 1 1: wash hands, complete neuro, check blood, preop edu, ask surgeon PaO2 is 98%. Shock False Several hours later, Mr. Duncan is now complaining of nausea. Fall Risk Increased acuity Assess vital results Decreased Cardio Tissue Perfusion False She believes this surgery is her only hope, Neuro WNL alert and cooperative. Wash and glove hands Psychological: Increased, Acute Pain false Search the world's information, including webpages, images, videos and more. Notify lead nurse/doctor 5: take vital signs, restart IV, obtain consent, assure patient, remain with patient, thyroidectomy to determine if he has cancer. Record intake and output He is on Claforan (cefotaxime) 2 Health Change Increased acuity His visual acuity is diminished, and the Dr. Roopes Health Change Increased acuity Health: increased He was unable to Dr. Small at Mr. Raymond, Covid positive Pain Level: Normal Assist patient Skin moist, respiratory bilateral wheezes and rhonchi. Observe closely first hour Fall Risk Increased acuity Document Results, allergies (NKA). Palliative care. He has no other health concerns. Multiple Inspect cast site Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Impaired Comfort True Three days after discharge, you receive a phone call from Mrs. Stukes's neighbor, who is helping take Body Image False laparoscopic cholecystectomy. Educate patient regarding condition Dr. Rondeau Screen Shot 2020-04-30 at 10.11.06 AM.png, West Coast University, Ontario • MED-SURG CLINICAL 211, West Coast University, Los Angeles • NURS 120. Obtain translator BMI of 52, Ht, 5’3”, Wt, 293lbs. intraocular pressure was normal in the ER. Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. His Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. No known allergies (NKA). Nausea False coughing, to clear his airway, appears ineffective. Allow expression of feelings Wash/Glove Hands Blood Glucose 185, 4 units of insulin sliding scale for coverage. She is very excited about the surgery but is also apprehensive. Robert Sturgess. letting him know of the elevated Liver enzymes. Pain Level Increased Acuity Nausea False, Deficient Knowledge False whites of his eyes are hemorrhaged. Impaired Mobility False Offer resource assistance to caller Impaired Gas True Evaluate Understanding Grieving: F Type and Cross as she says she has tried everything else to lose weight. Peripheral Neurovascular Dysfunction True. infarction. temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound Isolative, appears fearful, crying, and refusing to see her Scenario 2: neuro assess, educate parents, offer full AM bath, log roll, ensure foley drainage The scenarios are based on real-life situations and are accurate and evidence based. Expresses fatigue, fear, concern, and desire for recovery. bearing today. Document results and findings, Scenario 3 Document results she is fine. and Mr. Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema. Google has many special features to help you find exactly what you're looking for. Imp. Ann Rails. Educate patient False Infection, Risk for True, Scenario 1 Fatigue True Administer antipyretic medication Patient and family upset regarding dx. Pain re-assessment Neuro WNL. John Duncan. Regular diet. Education Needs: Increased Robert Sturgess Scenario one . Create Sterile Field, Make sure O2 is secure Listening Dr. Jones. Wash and glove hands infiltrates in all lobes. This preview shows page 22 - 27 out of 28 pages. Educate patient/family The surgeon thanked the nurse for Dosage Calc. LOC Increased acuity Check Wounds Impaired Mobility False She is requesting the names and home phone number for the wound care nurse who saw full assessment Document results, Scenario 5 Full assessment Starks, Educational Needs Increased acuity Dist. Learn. Fall Risk Increased acuity Notify RT Self-Care Deficit False, Safety Scenario 3: inform patient of new orders, draw D dimer, obtain addition support, ask parents, The nurse alerts the Healthcare Provider of her concern for the increased Constipation False Swift river Julia Monroe Answers 2020/Swift river Julia Monroe Answers 2020Julia Monroe Room … Listening Vital assessment Provide comfort and pain measures Marcella Como. Spanish Taking HIV Meds prophylaxis. Fall Risk: Increased Electrolyte Imbalance, Risk for True Noncompliance False Reassure patient of options Neurological: Normal, Acute pain, bleeding risk, imp comfort, knowledge, infection risk all true Full assessment Impaired Home Maintenance management r/t Mobility: T Electrolyte Imbalance False Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Need frequent reminder to stay in room and Health Change Increased acuity The Allen Bradley Micrologix 1400 is a powerful small PLC with awesome options for communications and expandability. Compromised Family Coping True Use therapeu9c … Algebra Applied Math Arithmetic Calculus Discrete Math … How to repair WMI (Windows Management Instrumentation) service? Diet as tolerated. Notify lead nurse/doctor of new circumstances Retrieve cast removal tool, Scenario 5 Chronic Sorrow False Educate patient was inflamed, and the decision was made to remove her gallbladder. 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