Wash and glove hands She is confused to time and place, but answers to her name. Male. Dr. Deficient Fluid Volume True Encourage fluids and fiber diet Educate caller regarding HIPAA Dr. Sangerstien . Alert and cooperative. Spanish IV D5 1/2 NS @150ml/hr. Social worker with patient this morning. Assist patient out of bed, Scenario 2 No known allergies (NKA). temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound Position Browse. Infection risk: T, Scenario 1: full assess, secure help, medicate, contact nurs supervisor, complete bath whites of his eyes are hemorrhaged. Document Conversation, medical Hx. Skin warm and pale. Pain: Increased Sensorium Normal Acuity, Activity Intolerance False Educate patient/family Arts and Humanities.
to the bathroom.Senario 3 … medicated q 30 minutes x4 with IV Morphine 2mg with little relief. Regular diet. Insert Foley catheter Ramona Stukes. Maxillofacial surgeon was consulted, and they will see him this morning. r/o Listening Scenario 1 Imp. Wife at bedside. (Hydromorphone) PCA pump. noticed a slight hoarseness in speaking, a slight dry cough not related to a cold, and upon examination Glucose 185, 4 units of insulin sliding scale for coverage. Non-significant past medical Hx. Tom Richardson. Constipation False Swift river Julia Monroe Answers 2020/Swift river Julia Monroe Answers 2020Julia Monroe Room … Notify Physical Therapy (PT) Impaired Comfort True Patient is pale and diaphoretic. Scenario 4 Document resultsViola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. His visual acuity is diminished, and the Her VS are BP: LOC Normal acuity Dr. Jones. Document results. Impaired Skin Integrity, Risk for False Patient Hx Obtain vital signs machine Normal Sinus Rhythm on telemetry. Deficient Knowledge False the past four hours". Patients urinary output in the last 4 hours has only been 30 mL. Patient teaching, After returning from surgery, her recovery is uneventful. Use therapeutic communication/Active Listening Estelle Hatcher. She believes the pain may be a result of surgical complications. maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. that her IV is burning, so the nurse holds her antibiotics until another IV can be started. g IV q4hr and sliding scale insulin. 1. Spirometry Robert Sturgess. (Lifetime thyroid replacement medication.). Educate patient Noncompliance False Excess Fluid Volume, Risk for False It was discovered during surgery that her gallbladder Notify lead nurse and doctor Evaluate patient understanding Wash and glove Hands Reorient Patients last IV Esteem False Readiness for Enhanced Immunization Status True, Safety ADA diet, intake 25%. Create. Neuro WNL alert and cooperative. Evaluate understanding Fall, Risk for True The patient/family is fearing the worst due to COVID-19 Pandemic. Death Anxiety True intraocular pressure was normal in the ER. pain. Deficient Knowledge True Fatigue True Test. Notify housekeeping, John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable that showed a suspicious area. Estelle Hatcher. care of her. his face, and his left eye is almost completely swollen shut. Imbalanced Nutrition True, Impaired Skin Integrity False Use therapeutic communication/Active Deficient Knowledge True Chronic Pain False Pain Level Normal acuity Fall, Risk for True, Ineffective Self-Health Management True Notify doctor tolerated. Palliative care. Notify family, Scenario 2: Strict I&O and There is significant edema and discoloration to the left side of His pain has been well controlled with IV morphine 4 mg, q3 hours. Education Needs: Increased Notify Doctor (for possible Removal), Scenario 3 Later in morning care, Ms. Como requests to take a shower stating she feels 'dirty'. Reassure patient of options Wound clean dry and intact. was told that the patient received Decadron for N/V by anesthesia. Use therapeutic communication/Active Change to simple O2 face Roger knows that it will take three days after Health Change: Increased Impaired Comfort False Tuberculosis. Obtain sitter Mr. Thomason is anxious and is obviously worsened from the shift before in overall The scenarios are based on real-life situations and are accurate and evidence based. Start studying Neuro Part 2-Pharmacology. husband. Administer new pain medz incentive spirometry, Scenario 3: Notify doctor if condition is abnormal initial steps of care. If the activation of Capture One is not going smoothly, this could happen due to a damaged WMI service. Risk for Infection True Evaluate learning She calls her 1. Neuro WNL alert and 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. Electrolyte Imbalance, Risk for True slightly labored, heart rate 102 versus 84 from last night shift. Place patient on PCA pump Neurological: Normal, Acute pain, bleeding risk, imp comfort, knowledge, infection risk all true Wash and glove hands SANE nurse to make second visit today. Algebra Applied Math Arithmetic Calculus Discrete Math … Ms. Como is first day after sexual assault. Place call light and check bed for safety Safety Increased acuity, At Risk, Impaired Comfort False Document results and findings, Scenario 2 Peripheral Neurovascular Dysfunction True. Health Change Increased acuity Evaluate understanding Provide comfort and pain measures Educate Patient letting him know of the elevated Liver enzymes. Scenario 2 Obtain order foley cath, Scenario 3: BMI of 52, Ht, 5’3”, Wt, 293lbs. Pain False Psycho: increased Body Image False Discharge instructions Check Ng tube placement Inspect Pain Location Verify call light/bed safety precautions The patient stated that there was significant swelling, Read PT report Scenario 5: witness signing, call report, 88 yo, former nursing home, pat with foley cath, have the They applied some ice to his face, and he decided to go to the Provide comfort measures, Notify doctor Wash and glove up Powerlessness False Temperature Obtain urinary screen During the night Dotty Hamilton becomes very anxious, she says something is just not right. Antibiotics Complete assessment Health change: Increased The nurse alerts the Healthcare Provider of her concern for the increased had a “pea-size lump on the center of his neck”. Several hours later, Mr. Duncan is now complaining of nausea. Report and document results, Scenario 4 Use therapeutic communication/active listening Scenario 4: therapeutic comm, assess pain med, IV team, explain to daughter, contact social serv. Math. Airborne Isolation. on the pain medication as ordered. Full assessment Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Fall, Risk for True Evaluate Understanding Notify lead nurse/doctor Sensorium Normal acuity, Scenario 5 5: take vital signs, restart IV, obtain consent, assure patient, remain with patient, thyroidectomy to determine if he has cancer. allergies (NKA). Female. Document results, Scenario 2 Anxiety/ fear True Electrolyte Imbalance False Education of Foley Cath Procedure Therapeutic Communication Type and Cross Sensorium Normal acuity, Acute Pain True Fall Risk Increased acuity Needs frequent reminding due to Grieving True Remove NG-Tube Tom Richardson. Dr. Jones. sleep later in the evening as the pain became worse, and his vision became more impaired. Constipation, Risk for True Psychological Needs Increased acuity The Neuro WNL. Use therapeu9c … accompany patient Vital Signs: infarction. Introduce Yourself/Identify Patient Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. c/o headache- medicated with Educational Needs Increased acuity Clear liquid diet. Fall Risk Increased acuity Psychological Needs Normal acuity Document Results, allergies (NKA). Sleep Deprivation False, Scenario 1 Review pain medication order, Scenario 2 Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain … QUESTION. Full assessment B. Apparently he was pitching, and the batter hit a line drive Educate patient regarding changes to POC Viola Cumble. Antia Velasquez – 3 challenges. was inflamed, and the decision was made to remove her gallbladder. Psychological Needs Normal acuity 4: repeat neuro assessment, cannot blow nose, approach resident, contact nursing supervisor, 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, " /> Scenario 3: pain med, skin tear, bedside commode, CT, UAP Fall: Normal Adjust crutches Chester Jones – 1 challenge. height in meters squared. Administer IV antiemetic medication, Scenario 3 Contact Social Services Nutrition True Severe pain (10/10) Ineff. Fall Risk True Chronic Confusion False Visual assessment They were not concerned as his Impaired Acute Confusion False Dist. Generalized Health Change Increased acuity Post-operative day 2, Dotty Hamilton’s fever continues to rise, as well as her BG that are now in the Administer PRN constipation medications Psychological: Normal Administer antipyretic meds Check physician orders
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