Cheap Arizona Land For Sale By Owner, Paw Patrol Fire Truck Ride On How To Charge, Articles R

Risk for Infection True Scenario 2 This will treat any cancer that may have metastasized to the bone. The patient will be discharged today, and he will be ordering new prescriptions. Scenario 5 An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Alert and cooperative. No known allergies (NKA). Do not probe further Pain, Acute True Validate NPO Status Document results and findings Date of insertion: _________________________ Date of dressing: _________________________________ Sleep Deprivation False. Biopsies were sent to determine the treatment. -Discuss with sitter that patient needs continual observation 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. Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Week #7 Assignment - Incentive Spriometer . Nausea/Vomiting: Yes No Urostomy: N/A Urostomy/Ileal conduit Document pt's statements. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. -Advise patient not to get up and walk on his own Senario 3 His, Joyce Workman Room 303 Joyce Workman Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. Include patient condition change in shift report Obtain Spanish signs & brochure Rapid Response team arrived including anesthesia. Hx of dementia, from nursing home, fall one day ago. Activity as tolerated with assistance. Scenario 1 Report to charge nurse/ head nurse the need for staff education. Decreased cardio tissue perfusion: False Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Intermittent/Continuous Other: -Medicate for pain Reassure patient of options Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Wash and glove hands Attain fluids/fiber diet and assisted ambulation Obtain urinary screen -Place patient on O2 Nasal Canula Ineffective Peripheral Tissue Perfusion False Vital assessment Sa fortune s lve 1 900,00 euros mensuels Fall, Risk for True Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! Impaired skin integrity: False, Anxiety: True Psychological Needs Increased acuity Physical Mobility, Impaired True Ann Rails Allow husband to come into recovery for a quick one-minute visit. 20ga. Notify doctor if condition is abnormal Your responsibilities are: Scenario 1 The charge nurse asks you to assume the patient's nursing care. -Check patency of Foley catheter, urine color, and ensure it is secure to the patient's leg Provide a few chairs if possible for her family to also be comfortable Senario 2 Safety The lesion was identified as Kaposi's Sarcoma. Today's incentive spirometry Tidal Volume is 1250ml, improvement over yesterday's 900ml. Scenario 3 2. You call his doctor to inform him the family has arrived. Therapeutic communication. Document findings Vital assessment : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. -Give NS liter bolus After 24 hours, Ms. Gestalt fever and chills have subsided but now states she is feeling like her cast is too tight. Verify call Light/bed safety precautions Document results. You also notice the patient is more difficult to orient. Impaired comfort: True Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. -Explain that Docetaxel is a hormone therapy that suppresses the testosterone that your testicles produce producing similar results as surgical intervention. Scenario 1 Wash hands Obtain patient record and follow patient as he is transferred to ICU Elevate Extremity Verify call light/bed safety precautions Comfort/Pain Assessment Respiratory Assessment He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. His children are visiting, and they are very supportive. Scenario 2 Scenario 1 Check pedal capillary refill Dr. Donofrio. Bowel Movement Total: x________________, Hygiene Times Scenario 2: 1Educate about recovery from appendectomy and care to wound. After 3 hours, Ms. Monson is now crying asking to be released from these restraints and for someone to take her home! You return to the break room on your floor. Neuro WNL alert and cooperative. Senario 5 Full assessment of patient. You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. Scenario 4 -Attempt to orient to person, place, and time -Perform admission assessment Scenario 3 Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Inform and educate spouse of dietary orders Safety- Decreased Cardiac/perfusion False Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Impaired Skin Integrity, False You are the now the Surgical ICU nurse assigned to her. Psychological Needs Increased acuity He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. -Notify HCP of neuro findings Bleeding False Offer masks to visitors Insert Foley catheter Pain Level Normal acuity You correctly diagnosed 11 out of 16 options. Urination: WNL Burning Frequency Urgency Impaired Home Maintenance management r/t client or family False Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Scenario 2 Replace oxygen nasal cannula that had become disconnected 45 terms. Love and belonging Provide for physical and thermal comfort. Use therapeutic communication/Active Listening Family in room with patient very concerned. Deficient Knowledge True Discharge instructions Scenario 1 Document results Hep-Lock in place left AC. Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Check physician orders He has a 20-year one pack history of smoking. Esteem Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . Color:__________ Place call light and check bed for safety : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Vital re-assessment Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Scenario 1 Noncompliance: False Sensorium Normal acuity, Physiological Educate patient/family Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not recognize son today which is new for her; Neuro assessment and vital signs q1 hr. Document and prepare to transfer to Surgical ICU Notify doctor for Foley catheter Administer protocol antidiarrheal medication Senario 1 Imbalanced Nutrition: True Wound clean dry and intact. You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Scenario 4 Your response to all of them would be: Scenario 1 You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) Esteem Visual assess The provider explains that it is a pre-cancerous stage in where the cell develops abnormal features. Neuro WNL alert and cooperative. Scenario 1 Notify lead nurse/doctor Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Imbalanced Fluid Volume, Risk for True John Duncan Perineal Care Full assessment Urine Color: Clarity: Odor: Ronald Burgundy -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need -Transport Mr. Burgundy to his room Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. Acute Pain True -Teach the patient that there are several interventions for complications post-prostatectomy to include erectile dysfunction, post-op prostatectomies, and self-care involved with a foley catheter at home. He asks to speak to a clergy member. Scenario 4 -Reinforce to the patient to not get out of bed Vital signs are to be taken BID, and it is now time. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Some hair on the left side of his head has been burned off, as well. You, his prior nurse, notice the family and respond to them. Scenario 4 Electrolyte Imbalance False Aggravating Factors: Construct dietary consult (plan) Compromised Family Coping False Senario 3 Bleeding, Risk for False Fear: True Monitor and evaluate fluid intake Lithia Monson Offer bedpan -Using therapeutic communication inform Mr. Greer that there are many treatment options, and not to leave until the HCP can come and speak with him Vital signs are: B/P 112/78, temp. Full assessment Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ You enter patient's room. However, he quit three years ago when he remarried; he and his wife have a nine-month-old baby. You escort them with you to the ICU. is a 57 y/o who has been admitted for a radical prostatectomy. Request time she can arrive and staff to help with transfer -Continue to observe urine for hematuria and document findings Ms. Cumble states that she has not had a BM for three days. Verbal command = 3 -Ensure patients is positioned in bed properly He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Scenario 1 Your Swift River Virtual Clinicals account has been linked to your ATI Student account. He also complains that his throat is still very sore. Scenario 2 Document results and findings Noncompliance False Teach Cameron. Evaluate understanding Provide emotional support. Self-Care Deficit False What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? Chronic Sorrow False The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. Scenario 5 Re-assess patient Excess Fluid Volume, Risk for False Anxiety True Head/Face: Symmetric Asymmetric Drooping Neuro WNL alert and cooperative. Infection, Risk for True Document Results, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Safety Increased acuity, Physiological r/o Tuberculosis. Scenario 4 Administer pain medications The patient asks the nurse to explain about these medications and why they are in such a hurry. Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging She is having some difficulty breathing. Scenario 4 Scenario 2 Sa fortune s lve 2 000,00 euros mensuels Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch. Increased fall risk. Pain Level Increased acuity Assessment of bowel movement Impaired Mobility, Risk for True After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. Scenario 2 Skin warm dry, bruises on forehead with small laceration. Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Scenario 3 Impaired Skin Integrity False Read PT report Wash and glove hands Scenario 4 As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Constipation, risk for: True Ineffective Renal Perfusion, Risk for True Wash and glove hands Scenario 5 Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Isolative, appears fearful, crying, and refusing to see her husband. Contact Social Services Fall Risk: Increased acuity Scenario 4 Ineffective airway clearance True -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. Full assessment Fall Risk Increased acuity Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Mark Klimek Blue Book Study Guide, 200 pages, Perspectives in the Natural Sciences (SCI100), Principles of Business Management (BUS 1101), Electrical Machines and Power Electronic Drives (E E 452), Methods of Structured English Immersion for Elementary Education (ESL-440N), Pre service firefighter education and training (FSC-1106), Advanced Medical-Surgical Nursing (NUR2212), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Chapter 1 - Summary International Business, Death Penalty Research Paper - Can Capital Punishment Ever Be Justified, Skomer Casey, BIO 140 - Cellular Respiration Case Study, English 123- 3-4 Assignment Submission- Annotating Your Sources, Ch 2 A Closer Look Differences Among the Nutrition Standard & Guidelines & When to Use Them, Greek god program by alex eubank pdf free, Logica proposicional ejercicios resueltos, 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.